Implementation of Tuberculosis Infection Control Practices in Tuberculosis Diagnostic and Treatment Health Facilities in Kampala District, Uganda, August 2015

• DOI: 10.1101/2020.07.14.20119214
• Publication Date: 2020-07-17T17:37:46Z
• Authors: Didas Tugumisirize; Stavia Turyahabwe; Lilian Bulage; Stella Zawedde Mu...; Robert Kaos Majwala; Michael Kakinda; Simon Muchuro; Abdunoor Nyombi; Andrew Nsawotebba; Denis Mujuni; Joel Kabugo; Simon Peter Katon...
• Keywords: Guideline

Abstract Background Effective implementation of Tuberculosis infection control (TB IC) measures in health facilities delivering TB care services is very critical controlling nosocomial transmission infections among workers, patients and their attendants. The aim the study was to assess document IC practices diagnostic treatment Kampala District, which accounts for 15-20% total burden Uganda. Methods In August 2015, we conducted a cross-sectional 25 including 07 Public 18 Private healthcare Kampala. We used modified checklist adopted from national manual implementing facilities. reviewed facility records where necessary observed triangulate our findings. univariate analysis generated proportions order describe extent measures. Results On average, 73% both administrative managerial, 65% environmental, 56% personal protective were complied with at visited. implemented 71% managerial TBIC compared public (31%). Thirty Six percent reported that they regularly screening workers TB. By Observation, 28% had guideline, 36% plan, 12% designated area sputum collection, opening windows, 40% fans installed waiting areas and/or consultation rooms 24% bio-safety cabinets fitted UV light. addition, 60% N95 respirators but only 32% routinely wore them. Conclusion Implementation WHO recommended sub optimal. Routine involvement management as well increasing human resources easy do like triaging, patients’ educating on coughing etiquette respiratory hygiene daily window particularly settings wanting