Scarcity of protective items against HIV and other bloodborne infections in 13 low- and middle-income countries
Identifieur interne : 000543 ( Main/Exploration ); précédent : 000542; suivant : 000544Scarcity of protective items against HIV and other bloodborne infections in 13 low- and middle-income countries
Auteurs : Shailvi Gupta [États-Unis] ; Evan G. Wong [États-Unis, Canada] ; Adam L. Kushner [États-Unis]Source :
- TM & IH. Tropical medicine & international health [ 1360-2276 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie, Pays en développement.
English descriptors
- KwdEn :
Abstract
OBJECTIVE To assess protection of surgical healthcare workers against HIV and other bloodborne infections in low- and middle-income countries (LMICs). METHODS Literature review based on recent studies assessing baseline surgical capacity in LMICs using the WHO Situational Analysis of Access to Emergency and Essential Surgical Care, the Surgeons OverSeas (SOS) Personnel, Infrastructure, Procedures, Equipment and Supplies (PIPES) survey and the Harvard Humanitarian Initiative survey tools. The availability of protective eyewear, sterile gloves and sterilisers was assessed. RESULTS Thirteen individual country studies with relevant data were identified documenting items from 399 hospitals. The countries included Afghanistan, Bolivia, Gambia, Ghana, Liberia, Mongolia, Nigeria, Sierra Leone, Solomon Islands, Somalia, Sri Lanka, Tanzania and Zambia. Overall, only 29% (79/270) of hospitals always had eye protection. Sterilisers were only available at 64% (244/ 383) of facilities. Sterile gloves were the most available item, available at 75% of facilities (256/340). CONCLUSION Surgical healthcare worker protection for bloodborne infections continues to be deficient in LMICs. Improved documentation of these items should be incorporated into future surgical capacity studies. Policy makers and clinicians should work together to secure resources and interventions that will protect this vital workforce.
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">OBJECTIVE To assess protection of surgical healthcare workers against HIV and other bloodborne infections in low- and middle-income countries (LMICs). METHODS Literature review based on recent studies assessing baseline surgical capacity in LMICs using the WHO Situational Analysis of Access to Emergency and Essential Surgical Care, the Surgeons OverSeas (SOS) Personnel, Infrastructure, Procedures, Equipment and Supplies (PIPES) survey and the Harvard Humanitarian Initiative survey tools. The availability of protective eyewear, sterile gloves and sterilisers was assessed. RESULTS Thirteen individual country studies with relevant data were identified documenting items from 399 hospitals. The countries included Afghanistan, Bolivia, Gambia, Ghana, Liberia, Mongolia, Nigeria, Sierra Leone, Solomon Islands, Somalia, Sri Lanka, Tanzania and Zambia. Overall, only 29% (79/270) of hospitals always had eye protection. Sterilisers were only available at 64% (244/ 383) of facilities. Sterile gloves were the most available item, available at 75% of facilities (256/340). CONCLUSION Surgical healthcare worker protection for bloodborne infections continues to be deficient in LMICs. Improved documentation of these items should be incorporated into future surgical capacity studies. Policy makers and clinicians should work together to secure resources and interventions that will protect this vital workforce.</div>
</front>
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