ReacciónThis checklist is based on one produced by Médecins Sans Frontières (1).
Instructions: This tool provides an idea of the risk of transmission of M. tuberculosis in a health-care facility or congregate setting. The results should be completed by the IPC focal person and interpreted by the IPC committee. For the Yes/No questions, a Yes answer indicates good TB IPC practices. Any pertinent information on No answers is noted in the Comments section below each table.
a If possible, obtain a copy of the minutes of the last IPC meeting and TB IPC plan.
b Review and note number (%).
Comments________________________________________________________________________________________
Administrative measures (risk identification and segregation)
Comments________________________________________________________________________________________
Waiting areas
Observe behaviour for 1 hour, ideally in the main (or in the specific TB) waiting area during busy early morning hours.
Comments________________________________________________________________________________________
Management of people with presumptive or confirmed TB
Interview health-care workers.
Comments________________________________________________________________________________________
Sputum specimen collection and preparation
Witness collection and preparation of a sputum sample.
Comments________________________________________________________________________________________
Staff measures
Interview facility manager.
Comments________________________________________________________________________________________
Environmental measures
If possible, make rough estimates of ventilation with a vaneometer and with smoke tube or incense stick.
a If mechanical or germicidal ultraviolet fixtures are used, explain their functioning and maintenance in detail on a separate sheet
Obtain a scale drawing of the floor plan of the whole facility, including doors and windows. If this is not available, make a sketch. Shade the different areas according to the level of risk according to environmental measures:
- high risk of TB transmission – dark grey
- limited risk of TB transmission – grey
- low risk of TB transmission – white
Include patients, staff flow and environmental measures (e.g. ventilation fans and germicidal ultraviolet fixtures).
Comments________________________________________________________________________________________
Personal protective measures
Walk unannounced around the facility and observe, then discuss with staff.
Comments________________________________________________________________________________________
Conclusions
Debrief the health facility manager after completing the assessment.
According to the assessor and the facility manager, what are the current main issues and barriers in implementation of TB IPC?
___________________________________________________________________________________________________
___________________________________________________________________________________________________
According to the assessor and the facility manager, what are the priority actions for TB IPC in this facility within the next 6–12 months?
Reference
1. Varaine F, Rich M. Basic TB infection control risk assessment tool. In: Tuberculosis. Paris: Médecins Sans Frontières, Partners In Health; 2023 (https://medicalguidelines.msf.org/sites/default/files/TB-Appendix%2B16.pdf, accessed on 11 September 2024).