A5069857333- Antibiotic Use and Resistance
- Infection Control in Healthcare
- Viral Infections and Outbreaks Research
- Surgical site infection prevention
- Vaccine Coverage and Hesitancy
- Disaster Response and Management
- Patient Satisfaction in Healthcare
- Food Safety and Hygiene
- Maternal and Perinatal Health Interventions
- Cardiac, Anesthesia and Surgical Outcomes
- Antibiotic Resistance in Bacteria
- COVID-19 and healthcare impacts
- Pneumonia and Respiratory Infections
- Dental Research and COVID-19
- Viral Infections and Immunology Research
- Pharmaceutical Practices and Patient Outcomes
- Wastewater Treatment and Reuse
- Hepatitis Viruses Studies and Epidemiology
- Viral gastroenteritis research and epidemiology
- Travel-related health issues
- Fecal contamination and water quality
- Global Maternal and Child Health
- COVID-19 epidemiological studies
- Infection Control and Ventilation
- Trauma and Emergency Care Studies
World Health Organization - Pakistan
2024
University of Sierra Leone
2020-2022
Sierra Leone Urban Research Centre
2021
Biomedical Research and Training Institute
2017-2020
University of Zimbabwe
2013
Parirenyatwa Hospital
2013
Abstract Background There is limited information on surgical site infections (SSI) and the related antibiotic resistance needed to guide their management prevention in Sierra Leone. In this study, we aimed establish incidence risk factors of SSI among adults attending a tertiary hospital, secondary health facility Freetown, Methods This prospective cohort study designed collect data from adult (18 years or older) patients who attended elective emergency surgeries at two hospitals Freetown...
Inappropriate use of antibiotics during the COVID-19 pandemic has potential to increase burden antimicrobial resistance. In this study, we report on prevalence antibiotic and its associated factors among suspected confirmed patients admitted 35 health facilities in Sierra Leone from March 2020–March 2021. This was a cross-sectional study using routinely collected patient data. Of 700 patients, 47% received antibiotics. The majority (73%) belonged ’WATCH’ group antibiotics, which are highly...
Objective Inappropriate use of antibiotics is a major driver antibiotic resistance. A few studies conducted in Africa have documented that about half hospitalised patients who receive should not received them. hospital-based been Sierra Leone high usage hospitals. Therefore, we nationwide point prevalence survey on among Leone. Design We hospital-based, cross-sectional the using WHO methodology. Setting The study was 26 public and private hospitals are providing inpatient healthcare...
Monitoring antibiotic consumption is crucial to tackling antimicrobial resistance. However, currently there no system in Sierra Leone for recording and reporting on consumption. We therefore conducted a cross-sectional study assess national expressed as defined daily dose (DDD) per 1000 inhabitants day using all registered imported antibiotics (categorized under the subgroup J01 anatomical therapeutic classification (ATC) system) proxy. Between 2017–2019, total cumulative of was 19 DDD day....
Healthcare-associated infections (HAIs) result in millions of avoidable deaths or prolonged lengths stay hospitals and cause huge economic loss to health systems communities. Primarily, HAIs spread through the hands healthcare workers, so improving hand hygiene can reduce their spread. We evaluated practices promotion across 13 public (six secondary seven tertiary hospitals) Western Area Sierra Leone a cross-sectional study using WHO self-Assessment framework May 2021. The mean score for all...
Although hand hygiene (HH) is the most effective intervention to reduce spread of infections, there are limited data on HH facilities, policy, and compliance in sub-Saharan Africa. This cross-sectional study aimed at assessing using WHO self-assessment framework, technical reference manual, a modified infection control tool two hospitals Sierra Leone. Only 10% 9% regional capital city had running tap water, respectively. Veronica buckets were resources for 89% units hospital 92% hospital....
Abstract Background Although one of the main drivers antimicrobial resistance is inappropriate antibiotic prescribing, there are limited resources to support surveillance consumption in low-income countries. In this study, we aimed assess use and among medical patients two hospitals different geographic regions Sierra Leone. Methods This a cross-sectional study adult (18 years or older) receiving care at (34 Military Hospital-MH Makeni Government Hospital-MGH) between March 2021 October...
Good Infection prevention and control (IPC) is vital for tackling antimicrobial resistance limiting health care-associated infections. We compared IPC performance before (2019) during the COVID-19 (2021) era at national unit all regional (4) district hospitals (8) in Sierra Leone.Cross-sectional assessments using standardized World Health Organizations checklists. scores were graded as inadequate = 0-25%, basic 25.1-50%, intermediate 50.1-75%, advanced 75.1-100%.Overall improved from 'basic'...
Despite the impact of inappropriate prescribing on antibiotic resistance, data surgical prophylaxis in sub-Saharan Africa are limited. In this study, we evaluated use and consumption 4 hospitals located 2 geographic regions Sierra Leone.We used a prospective cohort design to collect from patients aged 18 years or older between February October 2021. Data were analyzed using Stata version 16 software.Of 753 patients, 439 (58.3%) females, 723 (96%) had received at least 1 dose antibiotics....
In anticipation of rotavirus vaccine introduction, the Zimbabwe Ministry Health initiated surveillance in 2008 to describe epidemiological trends and circulating genotypes among children <5 years age.Active hospital-based for diarrhea was conducted at 3 sentinel sites from January December 2011. Children aged years, who presented with acute gastroenteritis as a primary illness were admitted hospital ward or treated emergency unit, enrolled program had stool specimen collected tested by...
Hand hygiene actions are essential to reduce healthcare-associated infections and the development of antimicrobial resistance. In this cross-sectional study at two tertiary hospitals, Freetown, Sierra Leone, we observed hand compliance (defined as using handwash with soap water or alcohol-based rub (ABHR) amongst healthcare workers between June August 2021. Using WHO Hygiene tool, observations were made in relation type opportunity, different wards types worker. Overall, 10,461 opportunities...
Background and objectivesInfection prevention control is a set of practices, protocols, procedures that are put in place to prevent infections associated with health care service provision settings.It an element quality safety delivery; worker occupational practices; medical waste management; also concerned clinical public surveillance action.Healthcare facilities ideal settings for the transmission patients (who more susceptible), healthcare workers, their families communities.Healthcare...
Background: Sepsis is the leading cause of maternal death in sub-Saharan Africa (SSA), a region that sees some highest rates and morbidity world. As one most commonly performed surgical procedures SSA proved risk factor for site infection (SSI), cesarean section (CS) an important operation to target because its massive impact on neonatal health. There currently insufficient published data available patient facility-based context around SSI after CS establish true clear understanding this...
Background: High compliance to infection prevention and control (IPC) is vital prevent health care-associated infections. In the worst 2014–2015 Ebola-affected district in Sierra Leone (Kenema), we assessed (a) average yearly IPC (2016–2018) using a National assessment tool hospital peripheral units (PHUs), (b) gaps activities, infrastructure consumables 2018. Methods: This was cross-sectional study secondary program data. Results: At hospital, increased from 69% 2016 73% 2018 (expected...
On November 20, 2019, the Sierra Leone International Health Regulations (IHR) National Focal Point was notified of an exported case Lassa fever in The Netherlands, by a Dutch doctor who previously practiced rural hospital Leone. This report describes extent outbreak, possible sources infection, and outbreak response measures taken.Response implemented to control included coordination across multiple countries cities, investigation, active finding, contact tracing monitoring, laboratory...
Water quality surveillance can help to reduce waterborne diseases. Despite better access safe drinking water in Sierra Leone, about a third of the population (3 million people) drink from unimproved sources. In this cross-sectional study, we collected samples 15 standpipes and 5 wells measured physicochemical bacteriological quality, antimicrobial sensitivity Escherichia coli (E. coli) two communities Freetown, Leone dry wet seasons 2021. All sources were contaminated with E. coli, all five...
<title>Abstract</title> Background Alcohol-based handrub (ABHR) is the gold standard for hand hygiene (HH) which a cornerstone of infection prevention and control (IPC) strategies. However, several factors influence efficient use ABHR by health workers. This study evaluated tolerability acceptability locally produced product HH behaviour among Methods A hospital-based, longitudinal, interventional was conducted, adhering to WHO's standardized protocol evaluating (Method 1). 60 workers across...
Alcohol-based handrub (ABHR) is the gold standard for hand hygiene (HH) and a cornerstone of infection prevention control (IPC) strategies. However, several factors influence efficient use ABHR by health workers. This study evaluated tolerability acceptability locally produced product HH behaviour among A longitudinal hospital-based intervention was conducted in accordance with WHO's standardized protocol evaluating (Method 1). Sixty workers across 4 hospitals Sierra Leone were observed over...
Background: Surgical site infections (SSIs) are among the most common healthcare-associated (HAIs) in low- and middle-income countries (LMICs). SSI surveillance can be challenging resource-intensive to implement LMICs. To support feasible LMIC surveillance, we piloted a multisite protocol using simplified case definitions methodology Sierra Leone. Methods: A standardized evaluation tool was used assess knowledge, capacity, attitudes at 5 proposed facilities. We restricted objective,...
Background: Improved infection prevention and control (IPC) reduces healthcare-associated infections (HAIs). Following the Ebola virus disease (EVD) outbreak in West Africa (2014–2016), Sierra Leone made substantial investments strengthening IPC health facilities. The WHO identified 8 core components of developed an accompanying assessment framework (IPCAF) to monitor capacity progress. IPCAF reflects IPC. component constitute a consistent universal outline that supports guidance healthcare...
Background: Trained infection prevention and control (IPC) practitioners are critical to reducing healthcare-associated infections (HAI) improving patient safety. Despite having HAI rates 3 times higher than high-income countries, many low- middle-income countries (LMICs) lack trained IPC professionals. During the 2014–2016 Ebola outbreak in West Africa, Sierra Leone Ministry of Health Sanitation (MoHS) recognized this need appointed focal persons at all district hospitals. Following...
Implementing and monitoring infection prevention control (IPC) measures at immigration points of entry (PoEs) is key to preventing infections, reducing excessive use antimicrobials, tackling antimicrobial resistance (AMR). Sierra Leone has been implementing IPC four PoEs (Queen Elizabeth II Quay port, Lungi International Airport, the Jendema Gbalamuya ground crossings) since last Ebola outbreak in 2014-2015. We adapted World Health Organization Assessment Framework tool assess these identify...