Infection prevention and control practice for Crimean-Congo hemorrhagic fever—A multi-center cross-sectional survey in Eurasia

PLoS One

Tuğba Y. Yalcin¹  Arjun Khanna¹  Iva Christova¹  Abuova Gulzhan¹  Masoud Mardani²  Nick J. Beeching³  Saban Esen⁴  Mustafa Sunbul⁵  Ilkay Bozkurt⁶  Hakan Leblebicioglu⁷  Fazilet Duygu⁸  Seif S. Al-Abri⁹  Faisal Mahmood^1,10  Aynur Atilla^1,11  Nana Mamuchishvili^1,12  Zahide Asik^1,13  Heval Bilek^1,14  Tom E. Fletcher^1,14  Çiğdem Kader^1,15  Natalia Pshenichnaya^1,16  Salih Ahmeti^1,17 

[1] Department of Clinical Microbiology and Infectious Diseases, School of Medicine, Ondokuz Mayis University, Samsun, Turkey;Department of Infectious Diseases and Clinical Microbiology, Bozok University, Yozgat, Turkey;Department of Infectious Diseases and Clinical Microbiology, Samsun Research and Training Hospital, Samsun, Turkey;Department of Infectious Diseases, AY Ankara Oncology Research and Training Hospital, Ankara, Turkey;Department of Infectious Diseases, Rostov State Medical University, Rostov-on-Don, Russia;Department of Infectious Diseases, Siirt State Hospital, Siirt, Turkey;Department of Infectious Diseases, Sivas Numune Hospital, Sivas, Turkey;Department of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria;Infectious Disease Clinic, University of Prishtina;Infectious Diseases Department, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Infectious Diseases and Clinical Microbiology, Tokat State Hospital, Tokat, Turkey;Infectious Diseases, Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan;Infectious Diseases, Royal Hospital, Muscat, Oman;Liverpool School of Tropical Medicine, Liverpool, United Kingdom;Metro Centre for Respiratory Diseases, Metro Multispeciality Hospital, Noida, Uttar Pradesh, India;National Center for Disease Control and Public Health, Tbilisi, Georgia;South-Kazakhstan State Pharmaceutical Academy, Shymkent, Republic of Kazakhstan

关键词: Crimean-Congo hemorrhagic fever;    Health care facilities;    Safety equipment;    Intensive care units;    Turkey (country);    Iran;    Pakistan;    Russia;   

DOI  :  10.1371/journal.pone.0182315

学科分类：医学（综合）

来源: Public Library of Science

【 摘 要 】

Background Crimean Congo Hemorrhagic Fever (CCHF) is a life threatening acute viral infection that presents significant risk of nosocomial transmission to healthcare workers. Aim Evaluation of CCHF infection prevention and control (IP&C) practices in healthcare facilities that routinely manage CCHF cases in Eurasia. Methods A cross-sectional CCHF IP&C survey was designed and distributed to CCHF centers in 10 endemic Eurasian countries in 2016. Results Twenty-three responses were received from centers in Turkey, Pakistan, Russia, Georgia, Kosovo, Bulgaria, Oman, Iran, India and Kazakhstan. All units had dedicated isolation rooms for CCHF, with cohorting of confirmed cases in 15/23 centers and cohorting of suspect and confirmed cases in 9/23 centers. There was adequate personal protective equipment (PPE) in 22/23 facilities, with 21/23 facilities reporting routine use of PPE for CCHF patients. Adequate staffing levels to provide care reported in 14/23 locations. All centers reported having a high risk CCHFV nosocomial exposure in last five years, with 5 centers reporting more than 5 exposures. Education was provided annually in most centers (13/23), with additional training requested in PPE use (11/23), PPE donning/doffing (12/23), environmental disinfection (12/23) and waste management (14/23). Conclusions Staff and patient safety must be improved and healthcare associated CCHF exposure and transmission eliminated. Improvements are recommended in isolation capacity in healthcare facilities, use of PPE and maintenance of adequate staffing levels. We recommend further audit of IP&C practice at individual units in endemic areas, as part of national quality assurance programs.

【 授权许可】

CC BY