Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study

Mbapah, Leslie Tasha, Tsague, Midrelle Syntyche, Teuwafeu, Denise Georges, Ngwanui, Mbapah Tracy, Etaka, Sandra Tabe, Jabbossung, Fombo Enjeh, Pouekoua, Brandon, Enanga, Longsti Scarlet Tabot and Jantjie, Taljaard (2025) 'Compliance with transmission-based precautions, and associated factors among healthcare providers in Cameroon: a cross-sectional study'. Antimicrobial Resistance & Infection Control, Vol 14, Issue 21.

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Abstract

Background
Transmission-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.

Method
This 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.

Results
The 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).

Conclusion
Compliance 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.

Item Type:	Article
Subjects:	WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases WC Communicable Diseases > Virus Diseases > Viral Respiratory Tract Infections. Respirovirus Infections > WC 506 COVID-19
Faculty: Department:	Education
Digital Object Identifer (DOI):	https://doi.org/10.1186/s13756-025-01523-8
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	31 Mar 2025 09:33
Last Modified:	31 Mar 2025 09:33
URI:	https://archive.lstmed.ac.uk/id/eprint/26350

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