This survey aimed to determine the status of infection prevention and control (IPC) bundle practice and the most frequent interventional variables in Low-Middle Income Countries (LMICs)” Alp et al (2018).
AIM: This survey aimed to determine the status of infection prevention and control (IPC) bundle practice and the most frequent interventional variables in Low-Middle Income Countries (LMICs).
METHODS: A questionnaire was emailed to Infectious Diseases International Research Initiative (ID-IRI) Group Members and dedicated IPC doctors working in LMICs to examine self-reported practices/policies regarding IPC bundles. Responding country incomes were classified by World Bank definitions into low, middle, and high. Comparison of LMIC results was then made to a control group of high-income countries (HICs).
RESULTS: This survey report practices from one low-income country (LIC), 16 middle-income countries (MICs) (13 European), compared to eight high-income countries (HICs). Eighteen (95%) of MICs had an IPC committee in their hospital, 12 (63.2%) had an annual agreed programme and produced healthcare-associated infection (HAI) report. Annual agreed programmes (87.5% vs. 63.2%, respectively) and an annual HAI report (75.0% vs. 63.2%, respectively) were more common in HICs than MICs. All HIC had at least one invasive device-related surveillance programmes. Seven (37%) MICs had no invasive device-related surveillance programme, six (32%) had no ventilator associated pneumonia prevention bundles, seven (37%) had no catheter associated urinary tract infection prevention bundles, and five (27%) had no central line associated bloodstream infection prevention bundles.
CONCLUSION: LMICs need to develop their own bundles with low-cost and high level of evidence variables adapted to the limited resources, with further validation in reducing infection rates.
Alp, E., Cookson, B., Erdem, H. and Rello, J. (2018) Infection Control Bundles in Intensive Care: An International Cross-sectional survey in Low-Middle Income Countries. The Journal of Hospital Infection. July 20th. .