Antimicrobial Resistance and Infection Control (Nov 2024)
Contextual barriers to infection prevention and control program implementation in hospitals in Latin America: a mixed methods evaluation
- Valeria Fabre,
- Clara Secaira,
- Carolyn Herzig,
- Elizabeth Bancroft,
- Maria Paula Bernachea,
- Lucy Anchiraico Galarza,
- Bowen Aquiles,
- Ana Belén Arauz,
- Maria Del Carmen Bangher,
- Marisa Liliana Bernan,
- Sol Burokas,
- Alfredo Canton,
- Iris L. Cazali,
- Angel Colque,
- Marisabel Comas,
- Rosa Verónica Contreras,
- Wanda Cornistein,
- Maria Gabriela Cordoba,
- Silvia Mabel Correa,
- Gustavo Costilla Campero,
- Marta Isabel Chamorro Ayala,
- Nuria Chavez,
- Gabriela De Ascencao,
- Carlos Cruz García,
- Clara Esquivel,
- Cecilia Ezcurra,
- Leonardo Fabbro,
- Leandro Falleroni,
- Johana Fernandez,
- Sandra Ferrari,
- Veronica Freire,
- Maria Isabel Garzón,
- José Anel Gonzales,
- Lucrecia Guaymas,
- Fausto Guerrero-Toapanta,
- Diego Laplume,
- Sandra Lambert,
- César Guillermo Lemir,
- Paola Romina Lazarte,
- Itzel L. Lopez,
- Herberth Maldonado,
- Guadalupe Martínez,
- Diego M. Maurizi,
- Florencia Mesplet,
- Cristina Moreno Izquierdo,
- Gabriela Luciana Moya,
- Mariela Nájera,
- Yanina Nuccetelli,
- Argelis Olmedo,
- Belén Palacio,
- Florencia Pellice,
- Carla Lorena Raffo,
- Carolina Ramos,
- Fanny Reino,
- Viviana Rodriguez,
- Federico Romero,
- Juan José Romero,
- Graciela Sadino,
- Nancy Sandoval,
- Mariana Suarez,
- Maria Victoria Suayter,
- Maria Alejandra Ureña,
- Marisol Valle,
- Ligia Vence Reyes,
- Silvia Vera Amate Perez,
- Hugo Videla,
- Silvina Villamandos,
- Olmedo Villarreal,
- Maria Alejandra Viteri,
- Eduardo Warley,
- Rodolfo E. Quiros
Affiliations
- Valeria Fabre
- Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine
- Clara Secaira
- Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine
- Carolyn Herzig
- International Infection Control Program, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention
- Elizabeth Bancroft
- International Infection Control Program, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention
- Maria Paula Bernachea
- Clinica Conciencia
- Lucy Anchiraico Galarza
- Clínica Universitaria Privada Reina Fabiola
- Bowen Aquiles
- Hospital Sociedad de Lucha Contra el Cáncer
- Ana Belén Arauz
- Hospital Santo Tomas
- Maria Del Carmen Bangher
- Instituto de Cardiología de Corrientes “Juana Francisca Cabral”
- Marisa Liliana Bernan
- Hospital Interzonal General de Agudos San Roque
- Sol Burokas
- Hospital Italiano de Buenos Aires
- Alfredo Canton
- Pacifica Salud, Hospital Punta Pacifica
- Iris L. Cazali
- Hospital Roosevelt
- Angel Colque
- Hospital Medico Policial Churruca Visca
- Marisabel Comas
- Hospital El Cruce
- Rosa Verónica Contreras
- Hospital Dr. Marcial V. Quiroga
- Wanda Cornistein
- Hospital Universitario Austral
- Maria Gabriela Cordoba
- Hospital Medico Policial Churruca Visca
- Silvia Mabel Correa
- Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine
- Gustavo Costilla Campero
- Hospital Angel C. Padilla
- Marta Isabel Chamorro Ayala
- Hospital Zonal General de Agudos Dr. Alberto Eurnekian
- Nuria Chavez
- Hospital Regional de Zacapa
- Gabriela De Ascencao
- Hospital Provincial de Rosario
- Carlos Cruz García
- Hospital Sociedad de Lucha Contra el Cáncer
- Clara Esquivel
- Hospital San Benito
- Cecilia Ezcurra
- Hospital Alemán
- Leonardo Fabbro
- Hospital Universitario Austral
- Leandro Falleroni
- Hospital Provincial de Rosario
- Johana Fernandez
- Hospital Dr. Guillermo Rawson
- Sandra Ferrari
- Hospital Dr. Guillermo Rawson
- Veronica Freire
- Hospital Nacional Profesor Alejandro Posadas
- Maria Isabel Garzón
- Hospital Universitario Privado de Cordoba
- José Anel Gonzales
- Hospital Irma de Lourdes Tzanetatos
- Lucrecia Guaymas
- Clinical Privada Provincial
- Fausto Guerrero-Toapanta
- Hospital Carlos Andrade Marín
- Diego Laplume
- Hospital Nacional Profesor Alejandro Posadas
- Sandra Lambert
- Hospital El Cruce
- César Guillermo Lemir
- Hospital San Bernardo
- Paola Romina Lazarte
- Maternidad Nuestra Señora De Las Mercedes De Tucumán
- Itzel L. Lopez
- Clinica Hospital San Fernando
- Herberth Maldonado
- Universidad del Valle
- Guadalupe Martínez
- Hospital San Bernardo
- Diego M. Maurizi
- Hospital Municipal de Agudos Dr. Leonidas Lucero
- Florencia Mesplet
- Hospital Cesar Milstein
- Cristina Moreno Izquierdo
- Hospital Metropolitano
- Gabriela Luciana Moya
- Clinica Conciencia
- Mariela Nájera
- Unidad De Cirugía Cardiovascular De Guatemala
- Yanina Nuccetelli
- Instituto de Diagnostico
- Argelis Olmedo
- Pacifica Salud, Hospital Punta Pacifica
- Belén Palacio
- Sanatorio Allende Nueva Córdoba
- Florencia Pellice
- Hospital Dr. Marcial V. Quiroga
- Carla Lorena Raffo
- Hospital Municipal de Trauma Dr. Federico Abete
- Carolina Ramos
- Hospital Santo Tomas
- Fanny Reino
- Hospital Carlos Andrade Marín
- Viviana Rodriguez
- Hospital Alemán
- Federico Romero
- Sanatorio Allende Nueva Córdoba
- Juan José Romero
- Hospital Vozandes
- Graciela Sadino
- Clínica Universitaria Privada Reina Fabiola
- Nancy Sandoval
- Hospital Roosevelt
- Mariana Suarez
- Hospital Interzonal General de Agudos San Roque
- Maria Victoria Suayter
- Hospital Universitario Privado de Cordoba
- Maria Alejandra Ureña
- Maternidad Nuestra Señora De Las Mercedes De Tucumán
- Marisol Valle
- Hospital Municipal de Agudos Dr. Leonidas Lucero
- Ligia Vence Reyes
- The Panama Clinic
- Silvia Vera Amate Perez
- Hospital Angel C. Padilla
- Hugo Videla
- Instituto de Diagnostico
- Silvina Villamandos
- Instituto de Cardiología de Corrientes “Juana Francisca Cabral”
- Olmedo Villarreal
- Hospital Irma de Lourdes Tzanetatos
- Maria Alejandra Viteri
- Hospital Cesar Milstein
- Eduardo Warley
- Clinical Privada Provincial
- Rodolfo E. Quiros
- Sanatorio Las Lomas
- DOI
- https://doi.org/10.1186/s13756-024-01484-4
- Journal volume & issue
-
Vol. 13,
no. 1
pp. 1 – 11
Abstract
Abstract Background Infection 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. Methods We 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. Results Thirty-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. Conclusions Efforts 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.
Keywords