Infect Dis Health. Preventing nosocomial infections in resource-limited settings: An interventional approach in healthcare facilities in Burkina Faso

[tetano]

Infect Dis Health. 2020 May 11. pii: S2468-0451(20)30025-0. doi: 10.1016/j.idh.2020.04.003. [Epub ahead of print]
Preventing nosocomial infections in resource-limited settings: An interventional approach in healthcare facilities in Burkina Faso.


Duvernay PG¹, de Laguiche E², Campos Nogueira R³, Graz B⁴, Nana L⁵, Ou?draogo W⁶, Sauter Y⁷, Sauvageat E⁸.

Author information




Abstract

BACKGROUND:

Nosocomial pathogens are transmitted by contamination of surfaces causing healthcare-associated infections (HAI). The impact of locally produced disinfectant with operational training as a means to improve hygiene in resource-limited healthcare facilities and prevent HAI was evaluated.
METHOD:

In Burkina Faso, 4 types of electro-chlorinator devices that convert salt and water into sodium hypochlorite through electrolysis were installed in 26 healthcare facilities distributed across 3 sanitary districts. The program was evaluated at 4 months and 11 months and performance compared with a control group.
RESULTS:

After 11 months, over 90% of the facilities applied 8 of the 11 essential hygiene practices defined by the Ministry of Health, compared to 20% in the control group. 61.5% of the healthcare facilities improved the chlorine concentration of their sodium hypochlorite solutions, reaching an average concentration of 5.1 g/L compared to an average of 2.1 g/L in the control group. Additionally, a cost-benefit analysis demonstrated that locally produced sodium hypochlorite led to daily savings ranging between 2.7 and 53 euros depending on the device compared with the purchase of chlorine tablets.
CONCLUSION:

Results, therefore, suggest that electro-chlorinator devices in addition to hygiene sensitization can be a simple, cost-effective and tailored intervention to reduce the prevalence of HAI in low-resource settings.
Copyright ? 2020 Australasian College for Infection Prevention and Control. Published by Elsevier B.V. All rights reserved.



KEYWORDS:

Africa; Burkina Faso; Coronavirus; Electro-chlorinator device; Nosocomial infections; Sodium hypochlorite


PMID:32417112DOI:10.1016/j.idh.2020.04.003