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11 results on '"Shewade, Hemant Deepak"'

1. Have Hand Hygiene Practices in Two Tertiary Care Hospitals, Freetown, Sierra Leone, Improved in 2023 following Operational Research in 2021?

Author

Moiwo, Matilda Mattu, primary, Kamara, Gladys Nanilla, additional, Kamara, Dauda, additional, Kamara, Ibrahim Franklyn, additional, Sevalie, Stephen, additional, Koroma, Zikan, additional, Kamara, Kadijatu Nabie, additional, Kamara, Matilda N., additional, Kamara, Rugiatu Z., additional, Kpagoi, Satta Sylvia Theresa Kumba, additional, Konteh, Samuel Alie, additional, Margao, Senesie, additional, Fofanah, Bobson Derrick, additional, Thomas, Fawzi, additional, Kanu, Joseph Sam, additional, Tweya, Hannock M., additional, Shewade, Hemant Deepak, additional, and Harries, Anthony David, additional

Published
2023
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4. Hand Hygiene Compliance at Two Tertiary Hospitals in Freetown, Sierra Leone, in 2021: A Cross-Sectional Study

Author

Kamara, Gladys Nanilla, primary, Sevalie, Stephen, additional, Molleh, Bailah, additional, Koroma, Zikan, additional, Kallon, Christiana, additional, Maruta, Anna, additional, Kamara, Ibrahim Franklyn, additional, Kanu, Joseph Sam, additional, Campbell, Julian S. O., additional, Shewade, Hemant Deepak, additional, van Henten, Saskia, additional, and Harries, Anthony D., additional

Published
2022
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5. Screening People with Tuberculosis for High Risk of Severe Illness at Notification: Programmatic Experience from Karnataka, India

Author

Shewade, Hemant Deepak, primary, Nagaraja, Sharath Burugina, additional, Murthy, Hosadurga Jagadish Deepak, additional, Vanitha, Basavarajachar, additional, Bhargava, Madhavi, additional, Singarajipura, Anil, additional, Shastri, Suresh G., additional, Reddy, Ramesh Chandra, additional, Kumar, Ajay M. V., additional, and Bhargava, Anurag, additional

Published
2021
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10. Hand Hygiene Practices and Promotion in Public Hospitals in Western Sierra Leone: Changes Following Operational Research in 2021.

Author

Kamara MN, Lakoh S, Kallon C, Kanu JS, Kamara RZ, Kamara IF, Moiwo MM, Kpagoi SSTK, Adekanmbi O, Manzi M, Fofanah BD, and Shewade HD

Abstract

Hand hygiene is the most important intervention for preventing healthcare-associated infections and can reduce preventable morbidity and mortality. We described the changes in hand hygiene practices and promotion in 13 public hospitals (six secondary and seven tertiary) in the Western Area of Sierra Leone following the implementation of recommendations from an operational research study. This was a "before and after" observational study involving two routine cross-sectional assessments using the WHO hand hygiene self-assessment framework (HHSAF) tool. The overall mean HHSAF score changed from 273 in May 2021 to 278 in April 2023; it decreased from 278 to 250 for secondary hospitals but increased from 263 to 303 for tertiary hospitals. The overall mean HHSAF score and that of the tertiary hospitals remained at the "intermediate" level, while secondary hospitals declined from "intermediate" to "basic" level. The mean score increased for the "system change" and "institutional safety climate" domains, decreased for "training and education" and "reminders in the workplace" domains, and remained the same for the "evaluation and feedback" domain. Limited resources for hand hygiene promotion, lack of budgetary support, and formalized patient engagement programs are the persistent gaps that should be addressed to improve hand hygiene practices and promotion.

Published
2023
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11. HIV Viral Load Estimation Using Hematocrit Corrected Dried Blood Spot Results on a BioMerieux NucliSENS ® Platform.

Author

Nyagupe C, Shewade HD, Ade S, Timire C, Tweya H, Vere N, Chipuka S, Sisya L, Gumbo H, Ditima E, and Zinyowera S

Abstract

While reporting human immunodeficiency virus (HIV) viral load (VL) using dried blood spot (DBS) in the BioMerieux NucliSENS platform, application of the hematocrit correction factor has been suggested. In this cross-sectional study from the National Microbiology Reference Laboratory of Zimbabwe, we assessed whether hematocrit correction (individual and/or mean) in DBS results improved the correlation with plasma VL and prediction of VL non-suppression (≥1000 copies per ml in plasma). Of 517 specimens during August-December 2018, 65(12.6%) had non-suppressed plasma VL results. The hematocrit correction factor ranged from 1.3 to 2.0 with a mean of 1.6, standard deviation (SD: 1.5, 1.7). The intraclass correlation (ICC) for mean (0.859, 95% CI: 0.834, 0.880) and individual (0.809, 95% CI: 0.777, 0.837) hematocrit corrected DBS results were not significantly different. The uncorrected DBS results had a significantly lower ICC (0.640, 95% CI: 0.586, 0.688) when compared to corrected DBS results. There were no significant differences in validity, predictive values, and areas under the receiver operating characteristics curves for all three DBS results when predicting VL non-suppression. To conclude, hematocrit correction of DBS VL results improved agreement with the plasma results but did not improve prediction of VL non-suppression. The results were not significantly different for individual and mean corrected results.

Published
2019
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