Tuberculosis infection control in primary health clinics in eThekwini, KwaZulu-Natal, South Africa

Tuberculosis infection control in primary health clinics in eThekwini, KwaZulu-Natal, South Africa
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DOI:
10.5588/ijtld.12.0041
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发表时间:
2012-12-01
影响因子:
4
通讯作者:
Nordstrom, D. L.
Nordstrom, D. L.
中科院分区:
医学4区
文献类型:
--
作者:
Naidoo, S.;Seevnarain, K.;Nordstrom, D. L.

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环境:初级卫生诊所在夸祖鲁-纳塔尔,南非。目的:评估和描述目前的做法,在感染控制在当地政府的初级卫生诊所。设计:一项描述性研究,使用标准化的工具,以评估遵守建议的感染控制政策,在51个初级卫生诊所在2009-2010年。行政政策,工程控制和个人呼吸防护进行了评估,观察和访谈在clinics.RESULTS:51个诊所,11(22%)有感染控制政策,13(26%)分流咳嗽患者和16(31%)有一个专门的护士和专门的咨询室治疗结核病(TB)患者。研究诊所每天治疗中位数为99例患者(范围3-331),每月治疗中位数为15例TB患者(范围2-73)。在所有依赖自然通风的诊所中,有一半(149/284)的房间
SETTING: Primary health clinics in KwaZulu-Natal, South Africa.OBJECTIVE: To assess and describe current practices in infection control at local government primary health clinics.DESIGN: A descriptive study using a standardised tool to assess adherence to recommended infection control policies in 51 primary health clinics in 2009-2010. Administrative policies, engineering controls and personal respiratory protection were assessed by observations and interviews at the clinics.RESULTS: Of 51 clinics, 11(22%) had infection control policies, 13 (26%) triaged coughing patients and 16 (31%) had a dedicated nurse and a dedicated consulting room for treating tuberculosis (TB) patients. Study clinics treated a median of 99 patients (range 3-331) daily and a median of 15 TB patients (range 2-73) monthly. Of the rooms in the clinics, all of which rely on natural ventilation, half (149/284) had