Airborne infection control in India: Baseline assessment of health facilities

Details

• Alternative Title:
  Indian J Tuberc
• Personal Author:
  Parmar, Malik M. ; Sachdeva, K.S. ; Rade, Kiran ; Ghedia, Mayank ; Bansal, Avi ; Nagaraja, Sharath Burugina ; Willis, Matthew D. ; Misquitta, Dyson P. ; Nair, Sreenivas A. ; Moonan, Patrick K. ; Dewan, Puneet K.
• Description:
  Background
  
  Tuberculosis transmission in health care settings represents a major public health problem. In 2010, national airborne infection control (AIC) guidelines were adopted in India. These guidelines included specific policies for TB prevention and control in health care settings. However, the feasibility and effectiveness of these guidelines have not been assessed in routine practice. This study aimed to conduct baseline assessments of AIC policies and practices within a convenience sample of 35 health care settings across 3 states in India and to assess the level of implementation at each facility after one year.
  
  Method
  
  A multi-agency, multidisciplinary panel of experts performed site visits using a standardized risk assessment tool to document current practices and review resource capacity. At the conclusion of each assessment, facility-specific recommendations were provided to improve AIC performance to align with national guidelines.
  
  Result
  
  Upon initial assessment, AIC systems were found to be poorly developed and implemented. Administrative controls were not commonly practiced and many departments needed renovation to achieve minimum environmental standards. One year after the baseline assessments, there were substantial improvements in both policy and practice.
  
  Conclusion
  
  A package of capacity building and systems development that followed national guidelines substantially improved implementation of AIC policies and practice.
  
  
• Subjects:
  Article Cross Infection/prevention & Control Health Facilities Humans Infection Control/standards Tuberculosis/prevention & Control Tuberculosis/transmission
• Source:
  Indian J Tuberc. 62(4):211-217.
• Pubmed ID:
  26970461
• Pubmed Central ID:
  PMC4813660
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Name as Subject:
  United States. President's Emergency Plan For AIDS Relief (PEPFAR)
• Place as Subject:
  India
• Volume:
  62
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:b6830b4e6b8e11b933c75612cfe945f01f1accabd631020daa7ed5779825d2f748a655e6e45d678edf535539944996e3358953ddc36e09b78bc96ab6ccec5c15
• Download URL:
  https://stacks.cdc.gov/view/cdc/38752/cdc_38752_DS1.pdf
• File Type:
  [PDF - 77.11 KB ]