Evidence map›Paper›PMID 41419247›Full record

ArticleBMJ global health2025

Infection prevention and healthcare epidemiology professionals in low- and middle-income countries: a needs assessment survey and call for action.

Pranavi Sreeramoju, Xiaoyan Song, Ana Cecilia Bardossy, Jose Cadena, Corey A Forde, Payal Patel, Jorge Salinas, Catherine Tolliver, Bassem Zayed, Sarah L Krein

Abstract read
In one paragraph

Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Pranavi SreeramojuInternal Medicine-Infectious Diseases, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA Pranavi.Sreeramoju@PennMedicine.Upenn.edu.ORCID 0000-0002-1218-8974
Xiaoyan Song *Children's National Hospital, Washington, DC, USA.
Ana Cecilia Bardossy *Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Jose CadenaDepartment of Medicine, Infectious Diseases, UT Health San Antonio Long School of Medicine, San Antonio, Texas, USA.
Corey A FordeQueen Elizabeth Hospital, Bridgetown, Barbados.
Payal PatelDivision of Infectious Diseases, Intermountain Health, Salt Lake City, Utah, USA.ORCID 0000-0001-8666-7313
Jorge SalinasStanford University School of Medicine, Palo Alto, California, USA.
Catherine TolliverThe Society for Healthcare Epidemiology of America, Arlington, Virginia, USA.
Bassem ZayedWHO, Geneva, Switzerland.
Sarah L KreinUniversity of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0003-2111-8131

Funding

HSRD VA IK6 HX003399World Health Organization 001
6 · The paper itself

Abstract

introductionMore than 75% of the global population resides in low- and middle-income countries (LMICs), where healthcare-associated infection rates are notably higher than in high-income countries. Little is known about the professional experiences, perceptions and needs of infection prevention and healthcare epidemiology professionals (IPHEP) practising in these countries.

methodsA voluntary and anonymous online survey of IPHEP in LMICs was conducted via open invitations on social media and email from October 2022 to January 2023. The survey covered five domains: (1) Survey Responders, Practice Setting and Programme Characteristics; (2) Job Responsibilities, Training and Professional Development; (3) Workload and Work Environment; (4) COVID-19 Response; and (5) Priorities and Needs. Descriptive statistics were generated for the total sample and each World Bank region.

resultsThe number of survey respondents was 148, who represented 28/138 (20.3%) LMICs. They reported receiving formal training in infection prevention (80/94, 85.1%), antimicrobial stewardship (44/94, 46.8%), quality improvement and patient safety tools (55/94, 58.5%) and leadership (37/94, 39.4%). Importantly, 48.8% (42/86) reported job burnout. During the COVID-19 pandemic, 55/102 (53.9%) respondents reported their programme as effective or extremely effective, and 58/102 (56.9%) reported moderate or extreme financial hardship for their facility. Hand hygiene, improving antibiotic use and preventing multidrug-resistant organisms were ranked as top three priorities to be addressed, with specific resource needs identified for each programme by 89.0%, 95.0% and 93.8% of the survey respondents, respectively.

conclusionThis survey provides crucial insights into the realities faced by IPHEP in LMICs, emphasising the critical need for developing and strengthening workforce, supporting their organisational environments, allocating resources strategically for infection prevention and control initiatives, as well as improving their connectivity with other IPHEP colleagues across the world to foster greater collaboration and support.

Indexed as

COVID-19Developing CountriesHealth PersonnelInfection ControlNeeds AssessmentAdultFemaleHumansMaleMiddle AgedSARS-CoV-2Surveys and QuestionnairesDelivery of Health CareGlobal HealthHealth PersonnelHealth systemsPublic Health

Identifiers

PMID41419247
PMCPMC12716524

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LicenceCC BY
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Registered trials

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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.