Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon

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dc.contributor.authorVigenschow, Anja
dc.contributor.authorAdegbite, Bayodé R.
dc.contributor.authorEdoa, Jean-Ronald
dc.contributor.authorAlabi, Abraham
dc.contributor.authorAdegnika, Akim A
dc.contributor.authorGrobusch, Martin P
dc.contributor.authorMassinga-Loembe, Marguerite
dc.date.accessioned2021-11-22T08:22:13Z
dc.date.available2021-11-22T08:22:13Z
dc.date.issued2021-11-05
dc.date.updated2021-11-07T04:14:05Z
dc.description.abstractBackground Healthcare workers (HCW) are at higher risk of tuberculosis (TB) than the general population. We assessed healthcare facilities for their TB infection control standards and priorities. Methods A standardised tool was applied. The assessment was conducted by direct observation, documents review and interviews with the facility heads. Results Twenty healthcare facilities were assessed; 17 dispensaries, an HIV-clinic, a private not-for-profit hospital and a public regional hospital. In both hospitals, outpatient departments, internal medicine wards, paediatric wards, emergency departments; and the MDR-TB unit of the public regional hospital were assessed. In Gabon, there are currently no national guidelines for TB infection control (TBIC) in healthcare settings. Consequently, none of the facilities had an infection control plan or TBIC focal point. In three departments of two facilities (2/20 facilities), TB patients and presumed TB cases were observed to be consistently provided with surgical masks. One structure reported to regularly test some of its personnel for TB. Consultation rooms were adequately ventilated in six primary care level facilities (6/17 dispensaries) and in none of the hospitals, due to the use of air conditioning. Adequate personal protective equipment was not provided regularly by the facilities and was only found to be supplied in the MDR-TB unit and one of the paediatric wards. Conclusions In Moyen-Ogooué province, implementation of TBIC in healthcare settings is generally low. Consequently, HCW are not sufficiently protected and therefore at risk for M. tuberculosis infection. There is an urgent need for national TBIC guidelines and training of health workers to safeguard implementation.en_US
dc.identifier.apacitationVigenschow, A., Adegbite, Bayodé R., Edoa, J., Alabi, A., Adegnika, A. A., Grobusch, M. P., & Massinga-Loembe, M. (2021). Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon. <i>BMC Health Services Research</i>, 21(1), 1200. http://hdl.handle.net/11427/35327en_ZA
dc.identifier.chicagocitationVigenschow, Anja, Bayodé R. Adegbite, Jean-Ronald Edoa, Abraham Alabi, Akim A Adegnika, Martin P Grobusch, and Marguerite Massinga-Loembe "Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon." <i>BMC Health Services Research</i> 21, 1. (2021): 1200. http://hdl.handle.net/11427/35327en_ZA
dc.identifier.citationVigenschow, A., Adegbite, Bayodé R., Edoa, J., Alabi, A., Adegnika, A.A., Grobusch, M.P. & Massinga-Loembe, M. 2021. Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon. <i>BMC Health Services Research.</i> 21(1):1200. http://hdl.handle.net/11427/35327en_ZA
dc.identifier.ris TY - Journal Article AU - Vigenschow, Anja AU - Adegbite, Bayodé R. AU - Edoa, Jean-Ronald AU - Alabi, Abraham AU - Adegnika, Akim A AU - Grobusch, Martin P AU - Massinga-Loembe, Marguerite AB - Background Healthcare workers (HCW) are at higher risk of tuberculosis (TB) than the general population. We assessed healthcare facilities for their TB infection control standards and priorities. Methods A standardised tool was applied. The assessment was conducted by direct observation, documents review and interviews with the facility heads. Results Twenty healthcare facilities were assessed; 17 dispensaries, an HIV-clinic, a private not-for-profit hospital and a public regional hospital. In both hospitals, outpatient departments, internal medicine wards, paediatric wards, emergency departments; and the MDR-TB unit of the public regional hospital were assessed. In Gabon, there are currently no national guidelines for TB infection control (TBIC) in healthcare settings. Consequently, none of the facilities had an infection control plan or TBIC focal point. In three departments of two facilities (2/20 facilities), TB patients and presumed TB cases were observed to be consistently provided with surgical masks. One structure reported to regularly test some of its personnel for TB. Consultation rooms were adequately ventilated in six primary care level facilities (6/17 dispensaries) and in none of the hospitals, due to the use of air conditioning. Adequate personal protective equipment was not provided regularly by the facilities and was only found to be supplied in the MDR-TB unit and one of the paediatric wards. Conclusions In Moyen-Ogooué province, implementation of TBIC in healthcare settings is generally low. Consequently, HCW are not sufficiently protected and therefore at risk for M. tuberculosis infection. There is an urgent need for national TBIC guidelines and training of health workers to safeguard implementation. DA - 2021-11-05 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Health Services Research KW - Tuberculosis KW - Infection control KW - Healthcare facility KW - Healthcare workers KW - Gabon LK - https://open.uct.ac.za PY - 2021 T1 - Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon TI - Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon UR - http://hdl.handle.net/11427/35327 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12913-021-07236-z
dc.identifier.urihttp://hdl.handle.net/11427/35327
dc.identifier.vancouvercitationVigenschow A, Adegbite Bayodé R, Edoa J, Alabi A, Adegnika AA, Grobusch MP, et al. Tuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabon. BMC Health Services Research. 2021;21(1):1200. http://hdl.handle.net/11427/35327.en_ZA
dc.language.isoenen_US
dc.language.rfc3066en
dc.publisher.departmentInstitute of Infectious Disease and Molecular Medicineen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceBMC Health Services Researchen_US
dc.source.journalissue1en_US
dc.source.journalvolume21en_US
dc.source.pagination1200en_US
dc.source.urihttps://bmchealthservres.biomedcentral.com/
dc.subjectTuberculosisen_US
dc.subjectInfection controlen_US
dc.subjectHealthcare facilityen_US
dc.subjectHealthcare workersen_US
dc.subjectGabonen_US
dc.titleTuberculosis infection control measures in healthcare facilities in Moyen-Ogooué Province, Gabonen_US
dc.typeJournal Articleen_US
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