Practice and System Factors Impact on Infection Prevention and Control in General Practice during COVID-19 across 33 Countries: Results of the PRICOV Cross-Sectional Survey

Claire Collins*, Esther Van Poel, Milena Šantrić Milićević, Katica Tripkovic, Limor Adler, Torunn Bjerve Eide, Liubove Murauskiene, Adam Windak, Katarzyna Nessler, Bernard Tahirbegolli, Sara Willems

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Infection prevention and control (IPC) is an evidence-based approach used to reduce the risk of infection transmission within the healthcare environment. Effective IPC practices ensure safe and quality healthcare. The COVID-19 pandemic highlighted the need for enhanced IPC measures and the World Health Organization (WHO) emphasized the need for strict adherence to the basic principles of IPC. This paper aims to describe the IPC strategies implemented in general practice during the COVID-19 pandemic and to identify the factors that impact their adoption. Data were collected by means of an online self-reported questionnaire among general practices. Data from 4466 practices in 33 countries were included in the analysis. Our results showed a notable improvement in IPC during COVID-19 with more practices reporting that staff members never wore nail polish (increased from 34% to 46.2%); more practices reporting that staff never wear a ring/bracelet (increased from 16.1% to 32.3%); and more practices using a cleaning protocol (increased from 54.9% to 72.7%). Practice population size and the practice payment system were key factors related to adoption of a) range of IPC measures including patient flow arrangements and infrastructural elements. An understanding of the interplay between policy, culture, systemic supports, and behavior are necessary to obtain sustained improvement in IPC measures.

Original languageEnglish
Article number7830
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number13
DOIs
StatePublished - 1 Jul 2022

Funding

FundersFunder number
Irish College of General Practitioners
Association of Pathology Chairs
Universiteit Gent

    Keywords

    • COVID-19
    • general practice/family medicine
    • health system
    • infection prevention and control
    • interventions
    • organizational

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