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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A national infection control evaluation of drug-resistant tuberculosis hospitals in South Africa
International Journal of Tuberculosis and Lung Disease, Volume 16, No. 1, Year 2012
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Description
BACKGROUND: The importance of infection control (IC) in health care settings with tuberculosis (TB) patients has been highlighted by recent health care-associated outbreaks in South Africa. OBJECTIVE: To conduct operational evaluations of IC in drug-resistant TB settings at a national level. METHODS: A cross-sectional descriptive study was conducted from June to September 2009 in all multidrugresistant (MDR-TB) and extensively drug-resistant TB (XDR-TB) facilities in South Africa. Structured interviews with key informants were completed, along with observation of IC practices. Health care workers (HCWs) were asked to complete an anonymous knowledge, attitudes and practices (KAP) questionnaire. Multilevel modeling was used to take into consideration the relationship between center and HCW level variables. RESULTS: Twenty-four M(X)DR-TB facilities (100%) were enrolled. Facility infrastructure and staff adherence to IC recommendations were highly varied between facilities. Key informant interviews were incongruent with direct observation of practices in all settings. A total of 499 HCWs were enrolled in the KAP evaluation. Higher level of clinical training was associated with greater IC knowledge (P < 0.001), more appropriate attitudes (P < 0.001) and less time spent with coughing patients (P < 0.001). IC practices were poor across all disciplines. CONCLUSION: These findings demonstrate a clear need to improve and standardize IC infrastructure in drugr esistant TB settings in South Africa. © 2012 The Union.
Authors & Co-Authors
Farley, Jason E.
United States, Baltimore
Johns Hopkins University
Tudor, Carrie
United States, Baltimore
Johns Hopkins University
Mphahlele, Matsie
South Africa, Tygerberg
South African Medical Research Council
Franz, K.
United States, Baltimore
Johns Hopkins University
Perrin, Nancy A.
United States, Portland
Kaiser Permanente Center for Health Research
Dorman, Susan E.
United States, Baltimore
Johns Hopkins University
van der Walt, Martie L.
South Africa, Tygerberg
South African Medical Research Council
Statistics
Citations: 74
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.5588/ijtld.10.0791
ISSN:
10273719
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Locations
South Africa