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Administrative Infection Control Intervention to Improve Clinical Outcomes for Pulmonary Tuberculosis in South African Hospitals

Administrative Infection Control Intervention to Improve Clinical Outcomes for Pulmonary Tuberculosis in South African Hospitals
Publication date: 
Nov 2019

Lessons learnt

Successes 

  • Time to commencement of treatment reduced from 42 hours to less than 12 hours among DS-TB patients.
  • Integration of Continuous Quality Improvement (CQI) Model.
  • Expanding access to U-LAM has improved time to effective treatment.
  • Surveillance of TB among HCWs improved; hospitals have active surveillance programme.
  • Monitoring of IPC activities improved; facilities reporting on IPC indicators.

Key challenges 

  • Predominance of X-Ray testing vs GeneXpert testing.
  • Infrastructural problem for separation. 
  • Lack of dedicated data capturers, which results in late recording and reporting.