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Journal Article > Research

Assessment of infection prevention and control measures at points of entry in Sierra Leone in 2021: a cross-sectional study

Kamara KN, Squire JS, Kanu JS, Carshon-Marsh R, Koroma Z, Koroma AT, Maruta A, Kallon C, Manzi M, Camara BS, Sargsyan A, Delamou A, Guth JA, Khogali MA, Vandi MA
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Abstract
Implementing and monitoring infection prevention and control (IPC) measures at immigration points of entry (PoEs) is key to preventing infections, reducing excessive use of antimicrobials, and tackling antimicrobial resistance (AMR). Sierra Leone has been implementing IPC measures at four PoEs (Queen Elizabeth II Quay port, Lungi International Airport, and the Jendema and Gbalamuya ground crossings) since the last Ebola outbreak in 2014–2015. We adapted the World Health Organization IPC Assessment Framework tool to assess these measures and identify any gaps in their components at each PoE through a cross-sectional study in May 2021. IPC measures were Inadequate (0–25%) at Queen Elizabeth II Quay port (21%; 11/53) and Jendema (25%; 13/53) and Basic (26–50%) at Lungi International Airport (40%; 21/53) and Gbalamuya (49%; 26/53). IPC components with the highest scores were: having a referral system (85%; 17/20), cleaning and sanitation (63%; 15/24), and having a screening station (59%; 19/32). The lowest scores (0% each) were reported for the availability of IPC guidelines and monitoring of IPC practices. This was the first study in Sierra Leone highlighting significant gaps in the implementation of IPC measures at PoEs. We call on the AMR multisectoral coordinating committee to enhance IPC measures at all PoEs.
Countries
Sierra Leone
Subject Area
SORT-ITinfections, otherantimicrobial resistance
DOI
10.3390/ijerph19105936
Published Date
13-May-2022
PubMed ID
35627473
Languages
English
Journal
International Journal of Environmental Research and Public Health
Volume / Issue / Pages
Volume 19, Issue 10, Pages 5936
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