Indicator-based tuberculosis infection control assessments with knowledge, attitudes, and practices evaluations among health facilities in China, 2017 to 2019 - 17/03/25
Resumen |
Background |
Tuberculosis Building and Strengthening Infection Control Strategies (TB BASICS) aimed to achieve improvements in TB infection prevention and control (IPC) through structured training and mentorship.
Methods |
TB BASICS was implemented in 6 Chinese provinces from 2017 to 2019. Standardized, facility-based risk assessments tailored to inpatient, laboratory, and outpatient departments were conducted quarterly for 18months. Knowledge, attitudes, and practices surveys were administered to health care workers (HCW) at 9 participating facilities during the first and last assessments. Kruskal-Wallis rank sum test assessed score differences between departments (alpha=0.05).
Results |
Fifty-seven departments received risk assessments. IPC policies and practices improved substantially during follow up. Facility-based assessment scores were significantly lower in outpatient departments than other departments (P<.05). All indicators achieved at least partial implementation by the final assessment. Low scores persisted for implementing isolation protocols, while personal protective equipment use among staff was consistent among all departments. Overall, we observed minimal change in IPC knowledge among HCW. In general, HCW had favorable views of their own IPC capabilities, but reported limited agency to improve institutional IPC.
Conclusions |
TB BASICS demonstrated improvements in TB IPC implementation. Structured training and mentorship engaged HCW to maintain confidence and competency for TB prevention.
El texto completo de este artículo está disponible en PDF.Highlights |
• | TB BASICS is a facility-based TB infection prevention project. |
• | TB Building and Strengthening Infection Control Strategies was implemented in 9 health facilities in China from 2017 to 2019. |
• | Outpatient departments received lower TB risk assessment scores during follow-up. |
• | Survey provided insight into health care worker knowledge, attitudes, and practices. |
• | Health facilities demonstrated major improvements during project implementation. |
Key Words : Infection prevention, Health care workers, KAP, China
Esquema
| Funding/support: This work was supported by the China–US Collaborative Program on Emerging and Re-emerging Infectious Diseases through the US CDC, and the Tuberculosis Control and Prevention Project of China CDC. |
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| The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the funding agencies. |
|
| Conflicts of interest: None to report. |
Vol 53 - N° 4
P. 506-513 - avril 2025 Regresar al número
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