ArticleAntimicrobial resistance and infection control2024
Contextual barriers to infection prevention and control program implementation in hospitals in Latin America: a mixed methods evaluation.
Article in Antimicrobial resistance and infection control, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Assessment of infection prevention and control practices in healthcare facilities in the O.R. Tambo district municipality using the WHO infection prevention and control assessment framework.Frontiers in public health · 2026Article
- A nationwide survey of infection prevention and control and high-level disinfection and sterilization practices in the Dominican Republic.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Implementing adaptive strategies for infection prevention and control in resource-limited settings.Frontiers in medicine · 2026Article
- Using a Human Factors Framework to Examine Complexity as a Mediator Between IPC Work System and Healthcare Workers' Behaviors: A Structural Equation Model.Infection and drug resistance · 2026Article
- Disease outbreak preparedness: a baseline assessment of infection prevention and control practice in healthcare facilities in Lagos, Nigeria.BMJ public health · 2026Article
- Antimicrobial resistance interventions in Latin America and the Caribbean: a scoping review of reported interventions between 2018-2024.Antimicrobial resistance and infection control · 2025Article
- Exploring communication between pharmacists and infection control staff: a qualitative study in ministry of health hospitals, Riyadh, Saudi Arabia.BMC health services research · 2025Article
- Multicenter Evaluation of Antibiotic Use and Antibiotic Stewardship Programs in Latin American Hospitals.Open forum infectious diseases · 2025Article
- Antimicrobial stewardship practices in Guatemala: communication, perceptions, and behaviors regarding antimicrobial prescribing.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Evaluating infection prevention and control implementation in hospitals of underdeveloped region of China using the standardized WHO-IPCAF tool.Frontiers in public health · 2025Article
- Global landscape and professionalization of infection preventionist education: comparative insights and future directions.Frontiers in public health · 2025Review
- Evaluating infection prevention and control programs in Zambian hospitals using the WHO infection prevention and control assessment framework tool.Frontiers in public health · 2025Article
- Public perceptions and support for introduced microbes to combat hospital-acquired infections and antimicrobial resistance.PloS one · 2025Article
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Abstract
backgroundInfection prevention and control (IPC) programs are essential to prevent and control the spread of multidrug-resistant organisms in healthcare facilities (HCFs). The current implementation of these programs in Latin America remains largely unknown.
methodsWe conducted a mixed-methods evaluation of IPC program implementation in HCFs from Guatemala, Panama, Ecuador, and Argentina, March-July 2022. We used the World Health Organization (WHO) IPC Assessment Framework (IPCAF) survey, a previously validated structured questionnaire with an associated scoring system that evaluates the eight core components of IPC (IPC program; IPC guidelines; IPC education and training; healthcare-associated infection [HAI] surveillance; multimodal strategies; monitoring and audit of IPC practices and feedback; workload, staffing, and bed occupancy; and the built environment and materials and equipment for IPC). Each section generates a score 0-100. According to the final score, the HCF IPC program implementation is categorized into four levels: inadequate (0-200), basic (201-400), intermediate (401-600), or advanced (601-800). Additionally, we conducted semi-structured interviews among IPC personnel and microbiologists using the Systems Engineering Initiative for Patient Safety model to evaluate barriers and facilitators for IPC program implementation. We performed directed content analysis of interview transcripts to identify themes that focused on barriers and facilitators of IPC program implementation which are summarized descriptively.
resultsThirty-seven HCFs (15 for-profit and 22 non-profit) completed the IPCAF survey. The overall median score was 614 (IQR 569, 693) which corresponded to an "advanced" level of IPC implementation (32% [7/22] non-profit vs. 93% [14/15] for-profit HCFs in this category). The lowest scores were in workload, staffing and bed occupancy followed by IPC training and multimodal strategies. Forty individuals from 16 HCFs were interviewed. They perceived inadequate staffing and technical resources, limited leadership support, and cultural determinants as major barriers to effective IPC guideline implementation, while external accreditation and technical support from public health authorities were perceived as facilitators.
conclusionsEfforts to strengthen IPC activities in Latin American HCFs should focus on improving support from hospital leadership and public health authorities to ensure better resource allocation, promoting safety culture, and improving training in quality improvement.
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