1. A survey of tuberculosis infection control practices at the NIH/NIAID/DAIDS-supported clinical trial sites in low and middle income countries
- Author
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Catherine, Godfrey, Gail, Tauscher, Sally, Hunsberger, Melissa, Austin, Lesley, Scott, Jeffrey T, Schouten, Anne F, Luetkemeyer, Constance, Benson, Robert, Coombs, Susan, Swindells, and Carolyn, Yanovich
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0301 basic medicine ,medicine.medical_specialty ,Tuberculosis ,Infectious Disease Transmission, Patient-to-Professional ,Health Personnel ,Low and middle income countries ,030106 microbiology ,Audit ,03 medical and health sciences ,Tuberculosis prevention ,0302 clinical medicine ,Acquired immunodeficiency syndrome (AIDS) ,National Institute of Allergy and Infectious Diseases (U.S.) ,Resource limited ,Surveys and Questionnaires ,Infection prevention ,Health care ,medicine ,Infection control ,Humans ,Mass Screening ,030212 general & internal medicine ,Developing Countries ,Clinical Trials as Topic ,Infection Control ,business.industry ,IC ,Masks ,HIV ,Guideline ,Mycobacterium tuberculosis ,medicine.disease ,United States ,Ventilation ,3. Good health ,Clinical trial ,AIDS ,Clinical research ,Infectious Diseases ,Family medicine ,Facility Design and Construction ,Immunology ,Practice Guidelines as Topic ,Guideline Adherence ,business ,Hand Disinfection ,Research Article - Abstract
Background Health care associated transmission of Mycobacterium tuberculosis (TB) is well described. A previous survey of infection control (IC) practices at clinical research sites in low and middle income countries (LMIC) funded by the National Institute of Allergy and Infectious Diseases (NIAID) conducting HIV research identified issues with respiratory IC practices. A guideline for TB IC based on international recommendations was developed and promulgated. This paper reports on adherence to the guideline at sites conducting or planning to conduct TB studies with the intention of supporting improvement. Methods A survey was developed that assessed IC activities in three domains: facility level measures, administrative control measures and environmental measures. An external site monitor visited each site in 2013–2014, to complete the audit. A central review committee evaluated the site-level survey and results were tabulated. Fisher’s exact test was performed to determine whether there were significant differences in practices at sites that had IC officers versus sites that did not have IC officers. Significance was assessed at p
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