Infection prevention and control in a treatment centre during a Lassa fever outbreak in southeastern Nigeria - January, 2018
'Introduction:' Lassa fever (LF) is a communicable viral haemorrhagic disease. Person-to-person spread occurs by inhalation or direct contact with the bodily fluids of an infected patient. Infection Prevention and Control (IPC) is essential in healthcare facilities for the wellbeing and sa...
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University of New South Wales
2019-11-01
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doaj-604311389fbe4b42af3c02786c5840e72020-11-25T01:16:36ZengUniversity of New South Wales Global Biosecurity2652-00362019-11-011310.31646/gbio.4441Infection prevention and control in a treatment centre during a Lassa fever outbreak in southeastern Nigeria - January, 2018Odekunle Bola Odegbemi0Chukwuma David Umeokonkwo1William Nwachukwu2Chinenye Nkem Nwaekpe3John Oladejo4Benedict Azuogu5Kingsley Ojide6Joseph Agboeze7Elsie Ilori8Muhammad Shakir Balogun9Patrick Nguku10Chikwe Ihekweazu11Naval Medical Centre, Naval Dockyard, Victoria Island, LagosAlex Ekwueme Federal University Teaching Hospital AbakalikiNigeria Centre for Disease Control, AbujaNational Orthopaedic Hospital, EnuguNigeria Centre for Disease Control, AbujaAlex Ekwueme Federal University Teaching Hospital AbakalikiAlex Ekwueme Federal University Teaching Hospital AbakalikiAlex Ekwueme Federal University Teaching Hospital AbakalikiNigeria Centre for Disease Control, AbujaNigeria Field Epidemiology and Laboratory Training ProgrammeAfrican Field Epidemiology Network, AbujaNigeria Centre for Disease Control, Abuja'Introduction:' Lassa fever (LF) is a communicable viral haemorrhagic disease. Person-to-person spread occurs by inhalation or direct contact with the bodily fluids of an infected patient. Infection Prevention and Control (IPC) is essential in healthcare facilities for the wellbeing and safety of patients, staff and visitors. Federal Teaching Hospital, Abakaliki is the designated treatment center for LF in Ebonyi State. We assessed IPC practices in this facility during the 2018 outbreak of LF involving healthcare workers. 'Methods:' We conducted a cross-sectional study on 135 healthcare workers selected by systematic sampling. Information on their knowledge and practice of IPC was collected using a pre-tested, semi-structured questionnaire. We classified knowledge into “good”, “fair” and “poor” based on the total correct response. Those that scored ≥75% of the maximum score were classified as good, 50-74% as fair and <50% as poor. We calculated prevalence odds ratio and 95% confidence intervals of the odds ratio to determine the factors associated with good knowledge scores. We purposively sampled key units involved in the management of suspected Lassa fever cases and assessed the availability of basic IPC requirements. 'Results:' The mean age of the respondents was 37.6 ± 7.6 years and 75 (55.6%) were females. Fifty-seven (42.5%), 29 (21.6%) and 13 (9.9%) respondents claimed always to have gloves, running water and hand washing soaps, respectively, in their units. The proportion of respondents with good knowledge of IPC measures was 71.8%, while 58.5% and 37.8% had good knowledge of LF epidemiology and LF clinical features, respectively. Being a core health worker (OR: 3.39 95%CI: 1.38-8.32) was significantly associated with good knowledge of LF epidemiology. Being male (OR: 1.55 95%CI: 0.72-3.34) and having spent >15years in the facility (OR: 1.16 95%CI: 0.39 - 3.44) were associated with good knowledge of IPC precautionary measures. However, these associations were not statistically significant. 'Conclusions:' The majority of the staff had good knowledge of IPC. However, knowledge of LF epidemiology was greater among those whose roles were related to management of LF cases. We recommended more awareness on LF, IPC practices and improved supply of IPC commodities.https://jglobalbiosecurity.com/articles/44infection prevention and control, outbreak, lassa fever, healthcare workers |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Odekunle Bola Odegbemi Chukwuma David Umeokonkwo William Nwachukwu Chinenye Nkem Nwaekpe John Oladejo Benedict Azuogu Kingsley Ojide Joseph Agboeze Elsie Ilori Muhammad Shakir Balogun Patrick Nguku Chikwe Ihekweazu |
spellingShingle |
Odekunle Bola Odegbemi Chukwuma David Umeokonkwo William Nwachukwu Chinenye Nkem Nwaekpe John Oladejo Benedict Azuogu Kingsley Ojide Joseph Agboeze Elsie Ilori Muhammad Shakir Balogun Patrick Nguku Chikwe Ihekweazu Infection prevention and control in a treatment centre during a Lassa fever outbreak in southeastern Nigeria - January, 2018 Global Biosecurity infection prevention and control, outbreak, lassa fever, healthcare workers |
author_facet |
Odekunle Bola Odegbemi Chukwuma David Umeokonkwo William Nwachukwu Chinenye Nkem Nwaekpe John Oladejo Benedict Azuogu Kingsley Ojide Joseph Agboeze Elsie Ilori Muhammad Shakir Balogun Patrick Nguku Chikwe Ihekweazu |
author_sort |
Odekunle Bola Odegbemi |
title |
Infection prevention and control in a treatment centre during a Lassa fever outbreak in southeastern Nigeria - January, 2018 |
title_short |
Infection prevention and control in a treatment centre during a Lassa fever outbreak in southeastern Nigeria - January, 2018 |
title_full |
Infection prevention and control in a treatment centre during a Lassa fever outbreak in southeastern Nigeria - January, 2018 |
title_fullStr |
Infection prevention and control in a treatment centre during a Lassa fever outbreak in southeastern Nigeria - January, 2018 |
title_full_unstemmed |
Infection prevention and control in a treatment centre during a Lassa fever outbreak in southeastern Nigeria - January, 2018 |
title_sort |
infection prevention and control in a treatment centre during a lassa fever outbreak in southeastern nigeria - january, 2018 |
publisher |
University of New South Wales |
series |
Global Biosecurity |
issn |
2652-0036 |
publishDate |
2019-11-01 |
description |
'Introduction:' Lassa fever (LF) is a communicable viral haemorrhagic disease. Person-to-person spread occurs by inhalation or direct contact with the bodily fluids of an infected patient. Infection Prevention and Control (IPC) is essential in healthcare facilities for the wellbeing and safety of patients, staff and visitors. Federal Teaching Hospital, Abakaliki is the designated treatment center for LF in Ebonyi State. We assessed IPC practices in this facility during the 2018 outbreak of LF involving healthcare workers. 'Methods:' We conducted a cross-sectional study on 135 healthcare workers selected by systematic sampling. Information on their knowledge and practice of IPC was collected using a pre-tested, semi-structured questionnaire. We classified knowledge into “good”, “fair” and “poor” based on the total correct response. Those that scored ≥75% of the maximum score were classified as good, 50-74% as fair and <50% as poor. We calculated prevalence odds ratio and 95% confidence intervals of the odds ratio to determine the factors associated with good knowledge scores. We purposively sampled key units involved in the management of suspected Lassa fever cases and assessed the availability of basic IPC requirements. 'Results:' The mean age of the respondents was 37.6 ± 7.6 years and 75 (55.6%) were females. Fifty-seven (42.5%), 29 (21.6%) and 13 (9.9%) respondents claimed always to have gloves, running water and hand washing soaps, respectively, in their units. The proportion of respondents with good knowledge of IPC measures was 71.8%, while 58.5% and 37.8% had good knowledge of LF epidemiology and LF clinical features, respectively. Being a core health worker (OR: 3.39 95%CI: 1.38-8.32) was significantly associated with good knowledge of LF epidemiology. Being male (OR: 1.55 95%CI: 0.72-3.34) and having spent >15years in the facility (OR: 1.16 95%CI: 0.39 - 3.44) were associated with good knowledge of IPC precautionary measures. However, these associations were not statistically significant. 'Conclusions:' The majority of the staff had good knowledge of IPC. However, knowledge of LF epidemiology was greater among those whose roles were related to management of LF cases. We recommended more awareness on LF, IPC practices and improved supply of IPC commodities. |
topic |
infection prevention and control, outbreak, lassa fever, healthcare workers |
url |
https://jglobalbiosecurity.com/articles/44 |
work_keys_str_mv |
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