학술논문
Infection prevention and control training and capacity building during the Ebola epidemic in Guinea.
Document Type
Academic Journal
Author
Soeters HM; Centers for Disease Control and Prevention, Atlanta, United States of America.; Koivogui L; Institut National de Santé Publique, Conakry, Guinea.; de Beer L; Centers for Disease Control and Prevention, Atlanta, United States of America.; Johnson CY; Centers for Disease Control and Prevention, Atlanta, United States of America.; Diaby D; Catholic Relief Services, Conakry, Guinea.; Ouedraogo A; World Health Organization, Conakry, Guinea.; Touré F; Hôpital National Donka, Conakry, Guinea.; Bangoura FO; World Health Organization, Conakry, Guinea.; Chang MA; Centers for Disease Control and Prevention, Atlanta, United States of America.; Chea N; Centers for Disease Control and Prevention, Atlanta, United States of America.; Dotson EM; Centers for Disease Control and Prevention, Atlanta, United States of America.; Finlay A; Centers for Disease Control and Prevention, Atlanta, United States of America.; Fitter D; Centers for Disease Control and Prevention, Atlanta, United States of America.; Hamel MJ; Centers for Disease Control and Prevention, Atlanta, United States of America.; Hazim C; Centers for Disease Control and Prevention, Atlanta, United States of America.; Larzelere M; Centers for Disease Control and Prevention, Atlanta, United States of America.; Park BJ; Centers for Disease Control and Prevention, Atlanta, United States of America.; Rowe AK; Centers for Disease Control and Prevention, Atlanta, United States of America.; Thompson-Paul AM; Centers for Disease Control and Prevention, Atlanta, United States of America.; Twyman A; World Health Organization, Conakry, Guinea.; Barry M; Guinea Ministry of Health and Public Hygiene, Conakry, Guinea.; Ntaw G; Catholic Relief Services, Conakry, Guinea.; Diallo AO; Guinea Ministry of Health and Public Hygiene, Conakry, Guinea.
Source
Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
Subject
Language
English
Abstract
Background: During the 2014-2016 Ebola epidemic in West Africa, a key epidemiological feature was disease transmission within healthcare facilities, indicating a need for infection prevention and control (IPC) training and support.
Methods: IPC training was provided to frontline healthcare workers (HCW) in healthcare facilities that were not Ebola treatment units, as well as to IPC trainers and IPC supervisors placed in healthcare facilities. Trainings included both didactic and hands-on components, and were assessed using pre-tests, post-tests and practical evaluations. We calculated median percent increase in knowledge.
Results: From October-December 2014, 20 IPC courses trained 1,625 Guineans: 1,521 HCW, 55 IPC trainers, and 49 IPC supervisors. Median test scores increased 40% (interquartile range [IQR]: 19-86%) among HCW, 15% (IQR: 8-33%) among IPC trainers, and 21% (IQR: 15-30%) among IPC supervisors (all P<0.0001) to post-test scores of 83%, 93%, and 93%, respectively.
Conclusions: IPC training resulted in clear improvements in knowledge and was feasible in a public health emergency setting. This method of IPC training addressed a high demand among HCW. Valuable lessons were learned to facilitate expansion of IPC training to other prefectures; this model may be considered when responding to other large outbreaks.
Methods: IPC training was provided to frontline healthcare workers (HCW) in healthcare facilities that were not Ebola treatment units, as well as to IPC trainers and IPC supervisors placed in healthcare facilities. Trainings included both didactic and hands-on components, and were assessed using pre-tests, post-tests and practical evaluations. We calculated median percent increase in knowledge.
Results: From October-December 2014, 20 IPC courses trained 1,625 Guineans: 1,521 HCW, 55 IPC trainers, and 49 IPC supervisors. Median test scores increased 40% (interquartile range [IQR]: 19-86%) among HCW, 15% (IQR: 8-33%) among IPC trainers, and 21% (IQR: 15-30%) among IPC supervisors (all P<0.0001) to post-test scores of 83%, 93%, and 93%, respectively.
Conclusions: IPC training resulted in clear improvements in knowledge and was feasible in a public health emergency setting. This method of IPC training addressed a high demand among HCW. Valuable lessons were learned to facilitate expansion of IPC training to other prefectures; this model may be considered when responding to other large outbreaks.