TY - JOUR
T1 - Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study
AU - Mbapah, Leslie Tasha
AU - Tsague, Midrelle Syntyche
AU - Teuwafeu, Denise Georges
AU - Ngwanui, Mbapah Tracy
AU - Etaka, Sandra Tabe
AU - Jabbossung, Fombo Enjeh
AU - Pouekoua, Brandon
AU - Enanga, Longsti Scarlet Tabot
AU - Jantjie, Taljaard
PY - 2025/3/11
Y1 - 2025/3/11
N2 - BackgroundTransmission-based precautions (TBP) and the proper use of personal protective equipment (PPE) are essential in preventing hospital-acquired infections (HAIs) and in controlling the emergence and spread of antimicrobial resistance (AMR). This study, therefore, aimed to determine healthcare providers’ compliance with TBP and its determinants in healthcare settings to help curb the burden of HAIs and AMR.MethodThis study was a cross-sectional, hospital-based research conducted among healthcare providers at four health facilities in the Fako division of Cameroon, from January 1 to May 31, 2024. A standardized observation form, adapted from the World Health Organization’s checklist for hand hygiene practices, was used to assess compliance with Transmission-Based Precautions (TBP) among healthcare providers when interacting with patients known or suspected of having infectious pathogens. Multivariable logistic regression analysis was performed to identify factors independently associated with TBP compliance, with significance set at a p-value of less than 0.05.ResultsThe proportion of participants with good TBP compliance was 75.4% (95%CI: 67.4–82.2). Contact precaution compliance was 94.2%, while that for droplet /airborne was 12.8%. Factors independently associated with good TBP compliance were healthcare providers trained in IPC (aOR: 2.89, 95%CI: 1.16—7.22), the availability of PPE in the facility’s departments (aOR: 6.00, 95%CI: 1.24–29.17), and working in the facility; Mount Mary Hospital (aOR: 22.47, 95%CI: 2.21–228.08).ConclusionCompliance with transmission-based precautions was suboptimal. The determinants of good compliance with TBP among healthcare providers were making PPE available in the facility and training healthcare providers on IPC. Tailored public health measures should be implemented to improve and sustain healthcare providers’ compliance with TBP.
AB - BackgroundTransmission-based precautions (TBP) and the proper use of personal protective equipment (PPE) are essential in preventing hospital-acquired infections (HAIs) and in controlling the emergence and spread of antimicrobial resistance (AMR). This study, therefore, aimed to determine healthcare providers’ compliance with TBP and its determinants in healthcare settings to help curb the burden of HAIs and AMR.MethodThis study was a cross-sectional, hospital-based research conducted among healthcare providers at four health facilities in the Fako division of Cameroon, from January 1 to May 31, 2024. A standardized observation form, adapted from the World Health Organization’s checklist for hand hygiene practices, was used to assess compliance with Transmission-Based Precautions (TBP) among healthcare providers when interacting with patients known or suspected of having infectious pathogens. Multivariable logistic regression analysis was performed to identify factors independently associated with TBP compliance, with significance set at a p-value of less than 0.05.ResultsThe proportion of participants with good TBP compliance was 75.4% (95%CI: 67.4–82.2). Contact precaution compliance was 94.2%, while that for droplet /airborne was 12.8%. Factors independently associated with good TBP compliance were healthcare providers trained in IPC (aOR: 2.89, 95%CI: 1.16—7.22), the availability of PPE in the facility’s departments (aOR: 6.00, 95%CI: 1.24–29.17), and working in the facility; Mount Mary Hospital (aOR: 22.47, 95%CI: 2.21–228.08).ConclusionCompliance with transmission-based precautions was suboptimal. The determinants of good compliance with TBP among healthcare providers were making PPE available in the facility and training healthcare providers on IPC. Tailored public health measures should be implemented to improve and sustain healthcare providers’ compliance with TBP.
KW - Antimicrobial resistance
KW - Cameroon
KW - Compliance
KW - Healthcare providers
KW - Healthcare-associated infection
KW - Infection prevention and control
KW - Personal protective equipment
U2 - 10.1186/s13756-025-01523-8
DO - 10.1186/s13756-025-01523-8
M3 - Article
SN - 2047-2994
VL - 14
JO - Antimicrobial Resistance and Infection Control
JF - Antimicrobial Resistance and Infection Control
IS - 1
M1 - 21
ER -
