Challenges with Surveillance of Healthcare-Associated Infections in Intensive Care Units in South Africa
Joint Authors
Mahomed, Saajida
Mahomed, Ozayr
Sturm, A. Willem
Knight, Stephen
Moodley, Prashini
Source
Critical Care Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-12
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
The incidence of healthcare-associated infections (HAIs) in the public health sector in South Africa is not known due to the lack of a surveillance system.
We report on the challenges experienced in the implementation of a surveillance system for HAIs in intensive care units (ICUs).
Methods.
A passive, paper-based surveillance system was piloted in eight ICUs to measure the incidence of ventilator-associated pneumonia, catheter-associated urinary tract infection, and central line-associated bloodstream infection.
Extensive consultation with the ICU clinical and nursing managers informed the development of the surveillance system.
The Plan-Do-Study-Act method was utilized to guide the implementation of the surveillance.
Results.
The intended outputs of the surveillance system were not fully realized due to incomplete data.
The organizational culture did not promote the collection of surveillance data.
Nurses felt that the surveillance form added to their workload, and the infection control practitioners were unable to adequately supervise the process due to competing work demands.
Conclusions.
A manual system that adds to the administrative workload of nurses is not an effective method of measuring the burden of HAIs.
Change management is required to promote an organizational culture that supports accurate data collection for HAIs.
American Psychological Association (APA)
Mahomed, Saajida& Mahomed, Ozayr& Sturm, A. Willem& Knight, Stephen& Moodley, Prashini. 2017. Challenges with Surveillance of Healthcare-Associated Infections in Intensive Care Units in South Africa. Critical Care Research and Practice،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1139816
Modern Language Association (MLA)
Mahomed, Saajida…[et al.]. Challenges with Surveillance of Healthcare-Associated Infections in Intensive Care Units in South Africa. Critical Care Research and Practice No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1139816
American Medical Association (AMA)
Mahomed, Saajida& Mahomed, Ozayr& Sturm, A. Willem& Knight, Stephen& Moodley, Prashini. Challenges with Surveillance of Healthcare-Associated Infections in Intensive Care Units in South Africa. Critical Care Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1139816
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139816