Evidence map›Paper›PMID 38564877›Full record

ArticleInternational journal of hygiene and environmental health2024

Infection prevention and control and related practices in African neonatal units: The Pan-African neonatal care assessment study (PANCAS).

Irene Frantzis, Stéphanie Levasseur, Jack Huebner, Maitry Mahida, Philip Larussa, Wilmot James, Workeabeba Abebe, Crispen Ngwenya, Ezekiel Mupere, Susan L Rosenthal and 6 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of hygiene and environmental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. The synergy ofThe Pan African medical journal · 2025
    Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 5 countries.

Irene FrantzisDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA. Electronic address: If2281@cumc.columbia.edu.
Stéphanie LevasseurDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA.
Jack HuebnerDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA.
Maitry MahidaDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA.
Philip LarussaDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA.
Wilmot JamesDepartment of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI, USA.
Workeabeba AbebeTikur Anbessa Specialized Hospital, Addis Ababa University, Addis Ababa, Ethiopia.
Crispen NgwenyaPaediatrics department at Midlands State University faculty of Medicine, Gweru, Zimbabwe.
Ezekiel MupereDepartment of Paediatrics and Child Health School of Medicine College of Health Sciences, Makerere University, Kampala, Uganda.
Susan L RosenthalDepartments of Pediatrics and Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Janna PattersonGlobal Child Health and Life Support, American Academia of Pediatrics, Itasca, IL, USA.
Julia JohnsonDivision of Neonatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Renate StrehlauVIDA Nkanyezi Research Unit, Department of Paediatrics and Child Health, Rahima Moosa Mother and Child Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Sileshi LulsegedDepartment of Pediatrics and Child Health, College of Health Sciences, Addis Abbaba, Ethiopia.
Lawrence R StanberryDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA.
Lisa SaimanDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA; Department of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, NY, USA.
Columbia University Irving Medical Center · USAmerican Academy of Pediatrics · USBrown University · USColumbia University · USJohns Hopkins University · USMakerere University · UGMidlands State University · ZWNewYork–Presbyterian Hospital · USTikur Anbessa Hospital · ETUniversity of the Witwatersrand · ZA

Funding

Training in Pediatric Infectious DiseasesT32AI007531 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PRINCE, ALICE S, SAIMAN, LISA · 1998 to 2023
$4.0M
Preventing antimicrobial resistance and infections in hospitalized neonates in low resource settingsK23HD100594 · NICHD · JOHNS HOPKINS UNIVERSITY · PI JOHNSON, JULIA · 2020 to 2024
$857k
NIAID NIH HHS T32 AI007531NICHD NIH HHS K23 HD100594
6 · The paper itself

Abstract

backgroundThe burden of neonatal mortality is primarily borne by low- and middle-income countries (LMICs), including deaths due to healthcare-associated infections (HAIs). Few studies have assessed infection prevention and control (IP&C) practices in African units caring for small and/or sick newborns aimed to reduce HAIs.

methodsWe performed a mixed-methods study composed of a survey and virtual tour to assess IP&C and related practices. We created a survey composed of multiple-choice and open-ended questions delivered to site respondents via Zoom or video equivalent. Respondents provided a virtual tour of their unit via video and the study team used a checklist to evaluate specific practices.

resultsWe recruited 45 units caring for small and sick newborns in 20 African countries. Opportunities to optimize hand hygiene, Water, Sanitation and Hygiene (WASH) practices, Kangaroo Mother Care, and IP&C training were noted. The virtual tour offered further understanding of IP&C challenges unique to individual sites. All respondents expressed the need for additional space, equipment, supplies, education, and IP&C staff and emphasized that attention to maternal comfort was important to IP&C success. DISCUSSION: This study identified opportunities to improve IP&C practices using low-cost measures including further education and peer support through learning collaboratives. Virtual tours can be used to provide site-specific assessment and feedback from peers, IP&C specialists and environmental engineering experts.

Indexed as

Cross InfectionInfection ControlAfricaHand HygieneHumansHygieneInfant, NewbornIntensive Care Units, NeonatalSurveys and QuestionnairesAfricaGlobal healthInfection preventionNeonatesNewborns

Identifiers

PMID38564877
PMCPMC11163474
OpenAlexW4393373511

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.