Scarcity of protective items against HIV and other bloodborne infections in 13 low- and middle-income countries
Identifieur interne : 000126 ( PascalFrancis/Curation ); précédent : 000125; suivant : 000127Scarcity 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.
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Wong</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of International Health, Johns Hopkins Bloomberg School of Public Health</s1><s2>Baltimore, MD</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Surgeons OverSeas</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Centre for Global Surgery, McGill University Health Centre</s1><s2>Montreal, QC</s2><s3>CAN</s3><sZ>2 aut.</sZ></inist:fA14><country>Canada</country></affiliation></author><author><name sortKey="Kushner, Adam L" sort="Kushner, Adam L" uniqKey="Kushner A" first="Adam L." last="Kushner">Adam L. Kushner</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of International Health, Johns Hopkins Bloomberg School of Public Health</s1><s2>Baltimore, MD</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Surgeons OverSeas</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">14-0256144</idno><date when="2014">2014</date><idno type="stanalyst">PASCAL 14-0256144 INIST</idno><idno type="RBID">Pascal:14-0256144</idno><idno type="wicri:Area/PascalFrancis/Corpus">000002</idno><idno type="wicri:Area/PascalFrancis/Curation">000126</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Scarcity of protective items against HIV and other bloodborne infections in 13 low- and middle-income countries</title><author><name sortKey="Gupta, Shailvi" sort="Gupta, Shailvi" uniqKey="Gupta S" first="Shailvi" last="Gupta">Shailvi Gupta</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Surgery, University of California San Francisco</s1><s2>East Bay, Oakland, CA</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of International Health, Johns Hopkins Bloomberg School of Public Health</s1><s2>Baltimore, MD</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Surgeons OverSeas</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation></author><author><name sortKey="Wong, Evan G" sort="Wong, Evan G" uniqKey="Wong E" first="Evan G." last="Wong">Evan G. Wong</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of International Health, Johns Hopkins Bloomberg School of Public Health</s1><s2>Baltimore, MD</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Surgeons OverSeas</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Centre for Global Surgery, McGill University Health Centre</s1><s2>Montreal, QC</s2><s3>CAN</s3><sZ>2 aut.</sZ></inist:fA14><country>Canada</country></affiliation></author><author><name sortKey="Kushner, Adam L" sort="Kushner, Adam L" uniqKey="Kushner A" first="Adam L." last="Kushner">Adam L. Kushner</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of International Health, Johns Hopkins Bloomberg School of Public Health</s1><s2>Baltimore, MD</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Surgeons OverSeas</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country></affiliation></author></analytic><series><title level="j" type="main">TM & IH. Tropical medicine & international health</title><title level="j" type="abbreviated">TM IH, Trop. med. int. health</title><idno type="ISSN">1360-2276</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">TM & IH. Tropical medicine & international health</title><title level="j" type="abbreviated">TM IH, Trop. med. int. health</title><idno type="ISSN">1360-2276</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Developing countries</term><term>Prevention</term><term>Surgery</term><term>Treatment</term><term>Tropical medicine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>SIDA</term><term>Chirurgie</term><term>Prévention</term><term>Pays en développement</term><term>Médecine tropicale</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Pays en développement</term></keywords></textClass></profileDesc></teiHeader><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></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>1360-2276</s0></fA01><fA03 i2="1"><s0>TM IH, Trop. med. int. health</s0></fA03><fA05><s2>19</s2></fA05><fA06><s2>11</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Scarcity of protective items against HIV and other bloodborne infections in 13 low- and middle-income countries</s1></fA08><fA11 i1="01" i2="1"><s1>GUPTA (Shailvi)</s1></fA11><fA11 i1="02" i2="1"><s1>WONG (Evan G.)</s1></fA11><fA11 i1="03" i2="1"><s1>KUSHNER (Adam L.)</s1></fA11><fA14 i1="01"><s1>Department of Surgery, University of California San Francisco</s1><s2>East Bay, Oakland, CA</s2><s3>USA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Department of International Health, Johns Hopkins Bloomberg School of Public Health</s1><s2>Baltimore, MD</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="03"><s1>Surgeons OverSeas</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="04"><s1>Centre for Global Surgery, McGill University Health Centre</s1><s2>Montreal, QC</s2><s3>CAN</s3><sZ>2 aut.</sZ></fA14><fA20><s1>1384-1390</s1></fA20><fA21><s1>2014</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>26295</s2><s5>354000502653710110</s5></fA43><fA44><s0>0000</s0><s1>© 2014 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>3/4 p.</s0></fA45><fA47 i1="01" i2="1"><s0>14-0256144</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>TM & IH. Tropical medicine & international health</s0></fA64><fA66 i1="01"><s0>GBR</s0></fA66><fC01 i1="01" l="ENG"><s0>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. 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