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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Tuberculosis infection control in rural South Africa: Survey of knowledge, attitude and practice in hospital staff
Journal of Hospital Infection, Volume 79, No. 4, Year 2011
Notification
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Description
A baseline assessment of tuberculosis infection control (TB IC) knowledge, attitude and practice (KAP) was conducted among staff in a resource-limited rural South African hospital where nosocomially transmitted multi- and extensively drug-resistant (M/XDR) TB had been reported. Assessment consisted of anonymous questionnaires and direct observation during July-September 2007, soon after the report of M/XDR-TB. Data were obtained from 57 questionnaires and 10. h of direct observation. While knowledge and attitudes were generally supportive of TB IC implementation, 49.1% of staff felt that the hospital did not care about them and/or was not working to prevent staff TB infections, and 42.9% were less willing to continue as a healthcare worker because of staff TB/MDR-TB/XDR-TB deaths. Practices were variable. The recent appointment of an IC officer and implementation of natural ventilation were strengths, but the facility lacked a TB IC policy, the patient TB screening process was inadequate, and 41.5% of respondents were unaware of their personal human immunodeficiency virus (HIV) status. Respondents reported a number of barriers to TB IC implementation such as concerns about the confidentiality of staff health information, the stigma of TB and HIV, inadequate resources, and patient non-compliance. Assessment of staff KAP provided useful data regarding deficits and barriers to TB IC, and helped to focus subsequent IC strategies. Given the critical importance of reducing nosocomial TB transmission, it is recommended that facilities should conduct simplified TB IC assessment, ensure the confidentiality of staff health information, address the stigma of TB/HIV, and implement multi-faceted TB IC facility and behavioural change interventions. Behavioural science methods have the potential to improve TB IC research and implementation. © 2011 The Healthcare Infection Society.
Authors & Co-Authors
Kanjee, Zahir
United States, New Haven
Yale School of Medicine
South Africa
Tugela Ferry Care and Research Collaboration
Catterick, K.
South Africa, Kwazulu-natal
Church of Scotland Hospital
South Africa
Tugela Ferry Care and Research Collaboration
Moll, Anthony P.
South Africa, Kwazulu-natal
Church of Scotland Hospital
South Africa
Tugela Ferry Care and Research Collaboration
Rivet Amico, K. Rivet
United States, Storrs
University of Connecticut
South Africa
Tugela Ferry Care and Research Collaboration
Friedland, Gerald H.
United States, New Haven
Yale School of Medicine
South Africa
Tugela Ferry Care and Research Collaboration
Statistics
Citations: 101
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1016/j.jhin.2011.06.017
ISSN:
01956701
e-ISSN:
15322939
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
South Africa