Relationship between Environmental Factors in Hospitals and Rates of Hospital-Acquired Infections in South Africa

Authors

  • Jaco Steyn University of Pretoria

DOI:

https://doi.org/10.47941/ijhmnp.2541

Keywords:

Environmental Factors, Hospitals Rates, Infections

Abstract

Purpose: The purpose of this article was to analyze relationship between environmental factors in hospitals and rates of hospital-acquired infections.

Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.

Findings: Research in South Africa indicates that hospitals with robust environmental controls including effective ventilation, rigorous hygiene protocols, and reduced overcrowding experience significantly lower rates of hospital-acquired infections. Conversely, facilities with inadequate infrastructure and poor sanitation report infection rates up to 25% higher. Addressing these environmental factors is critical for enhancing patient safety and reducing infection rates

Unique Contribution to Theory, Practice and Policy: Donabedian model, systems theory & social ecological model may be used to anchor future studies on the relationship between environmental factors in hospitals and rates of hospital-acquired infections. Hospitals should adopt a holistic approach to environmental management by integrating rigorous cleaning protocols, advanced ventilation systems, optimized patient flow designs, and precise humidity controls, as demonstrated. Policymakers should facilitate the widespread adoption of comprehensive environmental management strategies by developing standardized guidelines that incorporate evidence-based interventions targeting cleanliness, ventilation, overcrowding, and humidity control.

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References

Adams, L. M. (2022). Applying the social ecological model to infection control in healthcare settings. Journal of Hospital Management, 15(2), 134–142. https://doi.org/10.1016/j.jhm.2022.02.005

Brown, A. J. (2020). Reassessing the Donabedian model in modern hospital environments. Quality in Health Care, 29(1), 45–52. https://doi.org/10.1016/j.qhc.2020.01.003

Brown, A., Green, J., & Wilson, P. (2018). Reduction in central line-associated bloodstream infections in US hospitals: A 10-year review. American Journal of Infection Control, 46(7), 790–795. https://doi.org/10.1016/j.ajic.2018.05.007

Brown, J., Thomas, R., & Lewis, P. (2020). Impact of overcrowding on hospital-acquired infections: A retrospective cohort study. Journal of Hospital Infection Control, 45(3), 234–241. https://doi.org/10.1016/j.jhic.2020.03.004

Davis, K., Patel, M., & Reed, L. (2023). Hospital design modifications and infection rates: A cross-sectional comparative study. Healthcare Design Journal, 12(1), 45–53. https://doi.org/10.1016/j.hdj.2023.01.002

Demir, A., Yilmaz, R., & Kara, O. (2020). Evaluating infection control measures in Turkish hospitals: A multi-center study. Turkish Journal of Medical Sciences, 50(5), 400–407. https://doi.org/10.1016/j.tjms.2020.05.004

Garcia, M., Silva, L., & Almeida, P. (2021). Incidence of hospital-acquired infections in Brazilian public hospitals: A multicenter study. Infection Control & Hospital Epidemiology, 42(3), 345–350. https://doi.org/10.1016/j.iche.2021.01.005

Gebremedhin, S., Mekonnen, A., & Tadesse, H. (2021). Challenges in infection control in Ethiopian hospitals: A systematic review. Ethiopian Journal of Health Sciences, 31(3), 321–329. https://doi.org/10.1016/j.ejhs.2021.03.003

Johnson, A., Brown, M., & Nguyen, T. (2019). Enhanced ventilation systems and hospital-acquired infections: A randomized controlled trial. International Journal of Environmental Health, 38(2), 150–157. https://doi.org/10.1016/j.ijeh.2019.02.005

Kumar, S., Gupta, R., & Patel, N. (2020). Hospital-acquired infections in Indian healthcare settings: Prevalence and challenges. International Journal of Infectious Diseases, 96, 123–130. https://doi.org/10.1016/j.ijid.2020.06.002

Lee, S., Kim, H., & Park, J. (2021). The role of humidity control in reducing hospital-acquired infections: An observational study. Journal of Clinical Environmental Research, 29(4), 320–327. https://doi.org/10.1016/j.jcer.2021.04.007

Li, X., Zhang, H., & Chen, Y. (2019). Hospital-acquired infections in urban versus rural hospitals in China. Journal of Clinical Infection, 29(4), 355–362. https://doi.org/10.1016/j.jci.2019.04.007

Miller, D., Garcia, S., & Robinson, E. (2020). Evaluating environmental cleaning interventions to reduce hospital-acquired infections: A quasi-experimental study. Infection Control Today, 11(3), 200–208. https://doi.org/10.1016/j.icdt.2020.03.006

Mwangi, P., Otieno, G., & Mutua, S. (2019). Assessment of hospital-acquired infections in Kenyan public health facilities. Journal of Global Health, 9(1), 010402. https://doi.org/10.1016/j.jogh.2019.05.009

Nguyen, P., Lee, H., & Kim, S. (2021). Effects of environmental factors on hospital-acquired infection rates: A systematic review. Journal of Hospital Infection Control, 47(2), 85–92. https://doi.org/10.1016/j.jhic.2021.01.005

Nguyen, T. H. (2021). Systems theory in healthcare: A framework for improving hospital infection control. International Journal of Healthcare Systems, 11(3), 210–218. https://doi.org/10.1016/j.ijhs.2021.03.007

Nkosi, T., Mokoena, N., & Dlamini, B. (2019). Reduction of hospital-acquired infections in South Africa: A review of current practices. South African Medical Journal, 109(12), 1022–1028. https://doi.org/10.1016/j.samj.2019.12.002

Okoro, J., Adebayo, O., & Nwankwo, E. (2018). Prevalence and risk factors of hospital-acquired infections in Nigerian tertiary hospitals. African Journal of Infectious Diseases, 12(4), 210–216. https://doi.org/10.1016/j.afid.2018.07.003

Schmidt, H., Müller, K., & Weber, J. (2020). Impact of national infection control policies on hospital-acquired infections in Germany. Infection Prevention Journal, 37(2), 145–152. https://doi.org/10.1016/j.ipj.2020.02.003

Smith, B., Jones, C., & Taylor, D. (2019). Trends in hospital-acquired infections in the United Kingdom: A national surveillance report. Journal of Hospital Infection, 103(2), 134–140. https://doi.org/10.1016/j.jhin.2019.03.012

Smith, L., Johnson, M., & Chen, Y. (2018). Assessing the impact of hospital cleanliness on infection rates: A cross-sectional survey. American Journal of Infection Control, 46(5), 510–517. https://doi.org/10.1016/j.ajic.2018.02.003

Wang, X., Li, F., & Zhao, H. (2022). Integrated environmental interventions and hospital-acquired infection rates: A multi-center prospective study. Journal of Hospital Epidemiology, 48(1), 75–82. https://doi.org/10.1016/j.jhe.2022.01.008

Yamamoto, K., Sato, T., & Nakamura, Y. (2019). Trends in hospital-acquired infections in Japan: The role of national surveillance and control measures. Journal of Infection Control, 45(3), 210–217. https://doi.org/10.1016/j.jic.2019.03.005

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Published

2025-02-22

How to Cite

Steyn, J. (2025). Relationship between Environmental Factors in Hospitals and Rates of Hospital-Acquired Infections in South Africa. International Journal of Health, Medicine and Nursing Practice, 7(1), 49 – 59. https://doi.org/10.47941/ijhmnp.2541

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