Developing an infection prevention and control intervention to reduce hospital-acquired infections in Cambodia and Lao People’s Democratic Republic
The HAI-PC study protocol
Bibliographic Data
| ID | 22085636 |
|---|---|
| Authors | Sreymom Oy (0000-0001-9796-0080, National University of Singapore), Chan Hang Saing (0000-0001-6935-5959, National University of Singapore), Mengieng Ung (0000-0003-1411-5442, National University of Singapore), Marina Zahari (0000-0002-1451-6628, National University of Singapore), Inthavong Nouhak, Sothea Kim (University of Health Science), Michiko Hayashi (0000-0002-3666-7814, National University of Singapore), Michiko Nagashima-Hayashi, Dyna Khuon (0009-0004-7593-7436, University of Health Science), Virya Koy (0000-0003-1385-8535, Ministry of Health), Sovatha Mam (0000-0001-9690-8897, University of Health Science), Somphou Sayasone (0000-0001-8219-9567), Vonthanak Saphonn (0000-0002-5620-0517, University of Health Science), Siyan Yi (0000-0002-3045-5386, National University of Singapore, corresponding author) |
| Year | 2023 |
| Volume | 11 |
| Pages | 1239228-1239228 |
| Publication date | 2023-09-20 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2023.1239228 |
| PMID | 37799162 |
| OpenAlex | W4386934598 |
| Language | EN |
| References cited | 34 |
Background: Hospital-acquired infections (HAIs) are significant public health issues, especially in low-and middle-income countries (LMICs). Hand hygiene and low-level disinfection of equipment practices among healthcare workers are some of the essential measures to reduce HAIs. Various infection prevention and control (IPC) interventions to reduce HAI incidence have been developed. However, effective interventions have not been well developed in the LMICs context. Therefore, this protocol aims to develop, pilot, and assess the feasibility and acceptability of an IPC intervention in Cambodia and the Lao People's Democratic Republic. Methods: This study will consist of four phases guided by the Medical Research Council (MRC) Framework. Three hospitals will be purposely selected - each from the district, provincial, and national levels - in each country. The gap analysis will be conducted in Phase 1 to explore IPC practices among healthcare workers at each hospital through desk reviews, direct observation of hand hygiene and low-level disinfection of equipment practices, in-depth interviews with healthcare workers, and key informant interviews with stakeholders. In Phase 2, an IPC intervention will be developed based on the results of Phase 1 and interventions selected from a systematic literature review of IPC interventions in LMICs. In Phase 3, the developed intervention will be piloted in the hospitals chosen in Phase 1. In Phase 4, the feasibility and acceptability of the developed intervention will be assessed among healthcare workers and representatives at the selected hospitals. National consultative workshops in both countries will be conducted to validate the developed intervention with the national technical working groups. Discussion: The MRC Framework will be employed to develop and evaluate an intervention to reduce HAIs in two LMICs. This theoretical framework will be used to explore the factors influencing hand hygiene compliance among healthcare workers. The gap analysis results will allow us to develop a comprehensive IPC intervention to reduce HAI incidence in Cambodia and Lao People's Democratic Republic. Findings from this protocol will feed into promising IPC interventions to reduce HAI incidence in other resource-limited settings. Clinical trial registration: ClinicalTrial.Gov, identifier NCT05547373
Alternative medicine · Developing country · Economic growth · Environmental health · Family medicine · Health care · Hygiene · Infection control · Intensive care medicine · Political science · Psychological intervention · Public health · Emergency and Acute Care Studies · Infection Control in Healthcare · Medicine · Nursing · Patient Safety and Medication Errors
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| Citation velocity | historical |
|---|---|
| Highly cited | No |