Top

BMC Infectious Diseases

Published in:

Open Access 01-12-2023 | COVID-19 | Research

Effectiveness of inspector mechanism for the emergency infection prevention and control in the SARS-CoV-2 epidemic period: a self-control real-word study

Authors: Yu Lv, Qian Xiang, Xiaoyan Jiang, Bo Zhang, Jiayu Wu, Hongrong Cao

Published in: BMC Infectious Diseases | Issue 1/2023

Abstract

Background

To ensure emergency infection prevention and control (IPC) can be fully supervised and monitored in coronavirus disease (COVID-19) epidemic period, a three-level inspector mechanism called "Internal self-check, Departmental cross-check, and Verification of outstanding key and difficult issues" was established in southwest China. The present study aimed to explore the effectiveness of inspector mechanism for the emergency IPC.

Methods

A self-control real-world study was conducted during COVID-19 epidemic period from 2020 to 2022. An innovative designed mobile phone application was used to realize paperless information transmission and data management. Data were compared between inspection levels using SPSS 19.0 software.

Results

A total of 2,800,132 supervision records were collected, including 149,137 comprehensive epidemic IPC projects, 1,410,093 personal protective equipment (PPE) use, 1,223,595 wearing and removing process of PPE and 17,307 ultraviolet light-detectable fluorescent (UV/F) surface marker. During the study period, the inspectors and subjects explored many optimized IPC measures. The compliance rate of check items has exceeded 98%, and internal self-check has a statistically significant higher rate than departmental cross-check (99.95% versus 98.74%, χ² = 26111.479, P < 0.001). Compare with the failure rate in internal self check, the failure rate of PPE usage and wearing/removing process was statistically higher in departmental cross-check (χ² = 1957.987, P < 0.001, χ² = 465.610, P < 0.001, respectively). The overall clearance rate of UV/F surface markers is 87.88%, but there is no statistically significant difference over the three years of the present study (F = 2.902, P = 0.071).

Conclusions

Inspector mechanism for the emergency IPC completed an incredible inspection workload and offered creative assistance to combat the COVID-19 outbreak. These methods and accumulated experiences should be helpful for us to strengthen IPC for future epidemic.

Available only for authorised users

WHO. Coronavirus disease (COVID-19) pandemic. 2023. https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed 12 June 2023.

WHO. WHO Director-Generals remarks at the media briefing on 2019-nCoV on 11 February 2020. 2020. https://www.who.int/director-general/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-2019-ncov-on-11-february-2020. Accessed 12 June 2023.

Koelle K, Martin MA, Antia R, Lopman B, Dean NE. The changing epidemiology of SARS-CoV-2. Science (New York, NY). 2022;375(6585):1116–21. https://doi.org/10.1126/science.abm4915.CrossRefPubMed

Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect Dis. 2020;20(5):533–4. https://doi.org/10.1016/S1473-3099(20)30120-1.CrossRefPubMedPubMedCentral

People’s Daily. Report on the recent prevention and control of COVID-19. 2023. p. 01. http://paper.people.com.cn/rmrb/html/2023-02/17/nw.D110000renmrb_20230217_1-01.htm. Accessed 12 June 2023.

Edwards AM, Baric RS, Saphire EO, Ulmer JB. Stopping pandemics before they start: Lessons learned from SARS-CoV-2. Science (New York, NY). 2022;375(6585):1133–9. https://doi.org/10.1126/science.abn1900.CrossRefPubMed

WHO. From emergency response to long-term COVID-19 disease management: sustaining gains made during the COVID-19 pandemic. 2023. https://www.who.int/publications/i/item/WHO-WHE-SPP-2023.1. Accessed 12 June 2023.

Lei N, Li BX, Zhang KF, Bao H, Ding J, Wang Y. Analysis of the protective effect of infection controllers supervising third-party personnel entering and leaving Shanghai Fangcang Shelter Hospital. Infect Drug Resist. 2022;15:7519–27. https://doi.org/10.2147/IDR.S388707. Published 2022 Dec 19.CrossRefPubMedPubMedCentral

Patel AB, O’Donnell A, Bonebrake A, et al. Stewardship of personal protective equipment (PPE): An important pandemic resource for PPE preservation and education. Infect Control Hosp Epidemiol. 2021;42(5):636–7. https://doi.org/10.1017/ice.2020.311.CrossRefPubMed

10.

Shehab M, Shuaibi S, Qadhi I, Alfadhli A. Effectiveness of inspectors’ team in increasing compliance with personal protective equipment use and reducing COVID19 infection spread among healthcare workers. Infect Prev Pract. 2021;3(2):100137. https://doi.org/10.1016/j.infpip.2021.100137.CrossRefPubMedPubMedCentral

11.

Chen X, Tian J, Li G, Li G. Initiation of a new infection control system for the COVID-19 outbreak. Lancet Infect Dis. 2020;20(4):397–8. https://doi.org/10.1016/S1473-3099(20)30110-9.CrossRefPubMedPubMedCentral

12.

Pan L, Wang L, Huang X. How to face the novel coronavirus infection during the 2019–2020 epidemic: the experience of Sichuan Provincial People’s Hospital. Intensive Care Med. 2020;46(4):573–5. https://doi.org/10.1007/s00134-020-05964-0.CrossRefPubMedPubMedCentral

13.

Huang J, Zeng J, Xie M, Huang X, Wei X, Pan L. How to perform tracheal intubation for COVID-19 patients safely and effectively: Experience AND tips from Sichuan, China. J Clin Anesth. 2020;64:109800. https://doi.org/10.1016/j.jclinane.2020.109800.CrossRefPubMedPubMedCentral

14.

Lv Yu, Xiang Q, Cai M, et al. Current status of resource allocation of healthcare-associated infection management in medical institutions of Sichuan province. Chin J Nosocomiol. 2018;2018(1):2843–7.

15.

Office of the National Health Commission. Technical guidelines on prevention and control of novel coronavirus infection in medical institutions. 1st ed. Chin J Infect Control. 2020;19(2):189–91.

16.

National Health Commission of the People's Republin of China. Technical guidelines on prevention and control of novel coronavirus infection in medical institutions. 2nd ed. 2021. http://www.nhc.gov.cn/xcs/zhengcwj/202104/f82ac450858243e598747f99c719d917.shtml. Accessed 12 June 2023.

17.

Rural Health in China. Technical guidelines on prevention and control of novel coronavirus infection in medical institutions. 3rd ed. 2022. (01) p. 7–11 .

18.

Houghton C, Meskell P, Delaney H, Smalle M, Glenton C, Booth A, Chan XHS, Devane D, Biesty LM. Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. The Cochrane database of systematic reviews. 2020;4(4):CD013582. https://doi.org/10.1002/14651858.CD013582.CrossRefPubMed

19.

Hale R, Powell T, Drey NS, Gould DJ. Working practices and success of infection prevention and control teams: a scoping study. J Hosp Infect. 2015;89(2):77–81. https://doi.org/10.1016/j.jhin.2014.10.006.CrossRefPubMed

20.

Health Industry Standards of the People’s Republic of China. Personal Protection Guidelines of Specific Groups during COVID-19 Epidemic. WS/T 697–2020.0. 2020.

21.

Gilbert GL, Kerridge I. What is needed to sustain improvements in hospital practices post-COVID-19? a qualitative study of interprofessional dissonance in hospital infection prevention and control. BMC Health Serv Res. 2022;22(1):504. https://doi.org/10.1186/s12913-022-07801-0.CrossRefPubMedPubMedCentral

22.

Mengfang C, Yu’e Ni, Linzhi Li, et al. The practice and exploration of the infection prevention and control supervision in the designated treatment hospital of COVID-19. China Rural Health. 2021;13(23):65–7.

23.

Yun X, Ping Z, Qiaofang He. Application efficacy of infection control observer system in operating rooms during COVID-19 epidemic period. Chin J Infect Control. 2021;03:253–6.

24.

McCarthy R, Gino B, d’Entremont P, Barari A, Renouf TS. The importance of personal protective equipment design and donning and doffing technique in mitigating infectious disease spread: a technical report. Cureus. 2020;12(12):e12084. https://doi.org/10.7759/cureus.12084.CrossRefPubMedPubMedCentral

25.

Chunhui Li, Xun H, Taban C, et al. Expert consensus on personal protection of posts in different regions of medical institutions during the COVID-19. Chin J Infect Control. 2020;19(03):199–213.

26.

Anderson DJ, Chen LF, Weber DJ, et al. Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study. Lancet. 2017;389(10071):805–14. https://doi.org/10.1016/S0140-6736(16)31588-4.CrossRefPubMedPubMedCentral

27.

Ziegler MJ, Babcock HH, Welbel SF, et al. Stopping Hospital Infections With Environmental Services (SHINE): A Cluster-randomized Trial of Intensive Monitoring Methods for Terminal Room Cleaning on Rates of Multidrug-resistant Organisms in the Intensive Care Unit [published correction appears in Clin Infect Dis. 2023 Feb 18;76(4):777]. Clin Infect Dis. 2022;75(7):1217–23. https://doi.org/10.1093/cid/ciac070.CrossRefPubMedPubMedCentral

28.

Wurmb T, Ertl G, Ernestus RI, Meybohm P. Command and control in hospitals during SARS-CoV-2 pandemic: The windmill model of disaster response. J Emerg Manag (Weston, Mass). 2020;18(7):19–22. https://doi.org/10.5055/jem.2020.0520.CrossRef

29.

McAlearney AS, Gaughan AA, DePuccio MJ, MacEwan SR, Hebert C, Walker DM. Management practices for leaders to promote infection prevention: Lessons from a qualitative study. Am J Infect Control. 2021;49(5):536–41. https://doi.org/10.1016/j.ajic.2020.09.001.CrossRefPubMed

30.

Pi J. Effect of Ergonomics-Based Piano Teaching on Teachers’ Physical and Mental Health and the Improvement of Sense of Happiness. J Healthc Eng. 2022;2022:9174441. https://doi.org/10.1155/2022/9174441.CrossRefPubMedPubMedCentral

31.

Hoskins K, Ulrich CM, Shinnick J, Buttenheim AM. Acceptability of financial incentives for health-related behavior change: An updated systematic review. Prev Med. 2019;126:105762. https://doi.org/10.1016/j.ypmed.2019.105762.CrossRefPubMed

32.

Pan S, Huang Y, Wang D. Questionnaire survey: setting “open questions” is a mistake. Soc Sci Res. 2008;176(03):81–5.

33.

Madjaric M, Nesek-Madjaric V, Leitner H, Köle W, Gell G, Leodolter W. Paperless hospital: reality, dream or a nightmare? Stud Health Technol Inform. 2000;77:1028–32.PubMed

Title: Effectiveness of inspector mechanism for the emergency infection prevention and control in the SARS-CoV-2 epidemic period: a self-control real-word study
Authors: Yu Lv
Qian Xiang
Xiaoyan Jiang
Bo Zhang
Jiayu Wu
Hongrong Cao
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: COVID-19
Published in: BMC Infectious Diseases / Issue 1/2023
Electronic ISSN: 1471-2334
DOI: https://doi.org/10.1186/s12879-023-08682-2

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2023

Helicobacter pylori eradication rates using clarithromycin and levofloxacin-based regimens in patients with previous COVID-19 treatment: a randomized clinical trial

The effect of an infection control guideline on the incidence of ventilator-associated pneumonia in patients admitted to the intensive care units

A case of meningitis caused by Ralstonia insidiosa, a rare opportunistic pathogen

Non-small cell lung cancer with bone metastasis and pneumocystis pneumonia in a pregnant woman: a case report and literature review

Monocyte count is associated with the severity of human adenovirus pneumonia in hospitalized children aged less than 6 years

Pooling sputum testing to diagnose tuberculosis using xpert MTB/RIF and xpert ultra: a cost-effectiveness analysis

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials