Assessing infection prevention and control programs in residential aged care in Australia: A multi‐methods cross‐sectional study

Author:

Tropea Joanne12ORCID,Francis Jill J3456,Bennett Noleen789,Lim Lyn‐li710,Fetherstonhaugh Deirdre11,Buising Kirsty L1012,Marshall Caroline1013,Flynn Madelaine14,Lim Wen K12,Peters Sanne315

Affiliation:

1. Department of Aged Care Royal Melbourne Hospital Melbourne Victoria Australia

2. Department of Medicine RMH, University of Melbourne Melbourne Victoria Australia

3. Melbourne School of Health Sciences University of Melbourne Melbourne Victoria Australia

4. Department of Health Services Research Peter MacCallum Cancer Center Melbourne Victoria Australia

5. Department of Oncology, Sir Peter MacCallum University of Melbourne Melbourne Victoria Australia

6. Ottawa Hospital Research Institute, Center for Implementation Research Ottawa Ontario Canada

7. Victorian Healthcare Associated Infection Surveillance System (VICNISS) Coordinating Center, Royal Melbourne Hospital Melbourne Victoria Australia

8. National Center for Antimicrobial Stewardship University of Melbourne Melbourne Victoria Australia

9. Department of Nursing, Melbourne School of Health Sciences University of Melbourne Melbourne Victoria Australia

10. Department of Infectious Diseases University of Melbourne at the Peter Doherty Institute for Infection and Immunity Melbourne Victoria Australia

11. Australian Center for Evidence Based Aged Care (ACEBAC) La Trobe University Melbourne Victoria Australia

12. Victorian Infectious Diseases Service, Royal Melbourne Hospital Melbourne Victoria Australia

13. Infection Prevention and Surveillance Service, Royal Melbourne Hospital Melbourne Victoria Australia

14. Infection Prevention, Northern Health Melbourne Victoria Australia

15. Department of Public Health and Primary Care University of Leuven, KU Leuven Louvain Belgium

Abstract

AimTo assess infection prevention and control programs in residential aged care facilities.MethodsA cross‐sectional survey and structured interviews from 10 residential aged care facilities in Victoria, Australia, were used. Infection prevention and control nurse leads from each facility completed a purpose‐built survey based on best practice infection prevention control program core components, including staff training, policies and procedures, governance, and surveillance. Follow‐up interviews with residential aged care staff, residents and family visitors were carried out to elaborate and verify survey data.ResultsSurveys from all 10 facilities were received and 75 interviews carried out. All facilities had an infection prevention and control lead nurse who had undergone additional training, and 60% of facilities had an infection prevention and control lead position description. All facilities had a committee to oversee their infection prevention and control program, and all had policies and procedures for standard and transmission‐based precautions. One facility did not have a policy on healthcare‐associated infection surveillance, and two facilities did not have an antimicrobial stewardship policy. All facilities provided staff training in hand hygiene and personal protective equipment use, but not all routinely assessed competency in these.ConclusionsThe residential aged care facilities' infection prevention and control programs were generally in a strong position, although there were some areas that require improvement. Further assessment of the quality of infection prevention and control program components, such as content of education and training, and policies and procedures, and ongoing evaluation of programs is recommended. Geriatr Gerontol Int 2024; 24: 358–363.

Publisher

Wiley

Reference19 articles.

1. Aged Care Quality and Safety Commission."We Saw the Best in People" Lessons learned by aged care providers experiencing outbreaks of COVID‐19 in Victoria Australia 2020. Available from:https://www.agedcarequality.gov.au/media/89099.

2. Australian Government Department of Health.COVID‐19 Outbreaks in Australian Residential Aged Care Facilities 2022. [Cited 16 March 2023]. Available from:https://www.health.gov.au/resources/publications/covid‐19‐outbreaks‐in‐australian‐residential‐aged‐care‐facilities‐22‐april‐2022.

3. Centers for Disease Control and Prevention (CDC).Infection Control Assessment and Response (ICAR) Tool for General Infection Prevention and Control (IPC) across Settings: Long‐Term Care [Cited 16 March 2023]. Available from:https://www.cdc.gov/infectioncontrol/pdf/icar/IPC‐demo‐LTC‐508.pdf.

4. World Health Organisation (WHO).Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level 2016. [Cited 16 March 2023] Available from:https://www.who.int/publications/i/item/9789241549929.

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