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Implementation, Obstacles and Needs of Hospitals in Thailand in Preventing Tuberculosis Transmission

อะเคื้อ อุณหเลขกะ; Akeau Unahalekhaka; สุชาดา เหลืองอาภาพงศ์; Suchada Lueang-a-papong; จิตตาภรณ์ จิตรีเชื้อ; Jittaporn Chitreecheur;
Date: 2560-12
Abstract
Transmission of tuberculosis (TB) has a negative impact on patients, personnel and hospitals. This descriptive study aimed to determine implementation, obstacles and supporting needs of Thai hospitals in preventing TB transmission. Data were collected by using self-administered questionnaire developed by the researchers from the Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings 2005 of the US Centers for Disease Control and Prevention. The questionnaire was sent to an infection control nurse of 524 hospitals, including 93 regional and general government hospitals, 316 community hospitals randomly selected from 45% of all community government hospitals, 8 university government hospitals, 33 other government hospitals and 74 private hospitals randomly selected from 111 private hospitals with 100 beds and more in all regions of the country. The study was conducted during May to September 2009. The response rate was 72.5%. The study results revealed that 93.6%, 73.9% and 47.3% of hospitals have implemented measures of respiratory tract disease prevention, administrative controls, and environmental controls, respectively. The most important obstacle in preventing TB transmission in hospitals was an insufficient number of isolation rooms (80.2%), other obstacles were having an inappropriate area to conduct the physical examination for TB patients (51.8%) and insufficient time for screening suspected TB patients (50.2%). Most hospitals needed technical support for their ventilation system (86.3%), training for personnel in charge of TB patients (76.8%), guidelines for preventing TB transmission in hospitals (71.3%), guidelines for screening TB patients in the outpatient department (69.7%) and screening forms for TB patients (60.2%). Relevant organization should provide guidelines for preventing TB transmission, including guideline for educating hospital personnel on caring for TB patients and preventing TB transmission for every hospital and support expert consultation on hospital environment, especially ventilation system, so that the hospitals can prevent TB transmission efficiently.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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