Public Health Response to a Human Immunodeficiency Virus
Morbidity and Mortality Weekly Report Notes from the Field Public Health Response to a Human outbreak. A World Health Organization (WHO) standardized Immunodeficiency Virus Outbreak Associated injection practices assessment tool (6) was used to interview with Unsafe Injection Practices — Roka licensed health care workers, including physicians, nurses, and Commune, Cambodia, 2016 laboratory technicians, and observe all injections administered. Ugonna C. Ijeoma, MD1,2; Sin Sansam, MD3; Sok Srun, MD3; Hoy Injection technique was evaluated using a standardized check- Vannara, MD3; Sou Sanith, MD3; Tek Sopheap, MD3; Robert D. list. The interview questions ascertained knowledge, attitudes, Newman, MD2; Renuka Gadde, MBA4; Selenic Dejana, MD2; Ahmed and practices regarding injection use and safety. Frequencies 2 2 2 Saadani Hassani, MD ; Vanthy Ly, MD ; Bakary Drammeh, DrPH ; were calculated, and, given the limited sample size, exact 95% Anindya De, PhD2; Johnita Byrd, MS2; Naomi Bock, MD2 confidence intervals were estimated using statistical software. Cambodians receive 0.8–5.9 therapeutic injections per A total of 115 injection events were observed, and 39 health person per year, one of the highest reported rates worldwide care workers were interviewed (Table); 99% of injections were (1,2). Appropriate medical injections and infusions can be administered with needles and syringes taken from unopened, health sustaining or lifesaving; however, improper adminis- sterile packs. However, patient identification was not con- tration can have detrimental health consequences, including firmed before injection in 54% of events, hand hygiene pro- infectious disease transmission (3). In 2000, it was estimated cedures did not precede injection in 79% of events, and a new that worldwide, unsafe injection and waste disposal practices cotton swab was used in only 36% of events.
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