Identifying the priority infection prevention and control gaps contributing to neonatal healthcare-associated infections in low-and middle-income countries: results from a modified Delphi process

Details

• Alternative Title:
  J Glob Health Rep
• Personal Author:
  Yee, Daiva ; Osuka, Hanako ; Weiss, Jamine ; Kriengkauykiat, Jane ; Kolwaite, Amy ; Johnson, Julia ; Hopman, Joost ; Coffin, Susan ; Ram, Pavani ; Serbanescu, Florina ; Park, Benjamin
• Description:
  Background
  
  In low- and middle-income countries (LMIC), neonatal healthcare-associated infections (HAI) are associated with increased morbidity, mortality, hospital stay, and costs. When resources are limited, addressing HAI through infection prevention and control (IPC) requires prioritizing interventions to maximize impact. However, little is known about the gaps in LMIC that contribute most to HAI.
  
  Methods
  
  A literature review was conducted to identify the leading IPC gaps contributing to neonatal HAIs in intensive care units and specialty care wards in LMIC. Additionally, a panel of 21 global experts in neonatology and IPC participated in an in-person modified Delphi process to achieve consensus on the relative importance of these gaps as contributors to HAI.
  
  Results
  
  Thirteen IPC gaps were identified and summarized into four main categories: facility policies such as prioritizing a patient safety culture and maintaining facility capacity, general healthcare worker behaviors such as hand hygiene and proper device insertion and maintenance, specialty healthcare worker behaviors such as cleaning and reprocessing of medical equipment, and infrastructural considerations such as adequate medical equipment and hand hygiene supplies.
  
  Conclusions
  
  Through a modified Delphi process, we identified the leading IPC gaps contributing to neonatal HAIs; this information can assist policymakers, public health officials, researchers, and clinicians to prioritize areas for further study or intervention.
  
  
• Subjects:
  Article Delphi Process Healthcare-associated Infections Infection Prevention And Control Low- And Middle-income Countries Neonatal Sepsis Patient Safety
• Source:
  J Glob Health Rep. 5
• Pubmed ID:
  37179842
• Pubmed Central ID:
  PMC10174223
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8a5a2a262f02a241bd0c03c5c303f5eae2c526c19b59b005fb84443b9f1d8787
• Download URL:
  https://stacks.cdc.gov/view/cdc/128466/cdc_128466_DS1.pdf
• File Type:
  [PDF - 74.34 KB ]