Infection prevention and control practices in the radiology department: An Asia-Oceania survey

Abstract

ABSTRACT

Objective: To evaluate the current infection prevention and control (IPC) practices in radiology departments (RDs) across the Asia-Oceania region (AOR) and identify strengths and improvement areas to promote the development of standardized IPC guidelines tailored to diverse local contexts.

Materials and Methods: In November 2023, the Asian Oceanian Society of Radiology (AOSR) Quality, Safety, and Standards Committee distributed a structured survey to radiology professionals across 22 countries, special administrative regions (SAR), or territories. The survey assessed five key areas: demographics, policy implementation, room assessment, departmental IPC practices, and recent measures. Descriptive statistics were used to analyze the responses. Ethical approval was obtained, and participation was voluntary.

Results: We received 122 responses from 22 countries, regions, or territories in reply to the survey. While 74.6% (88/118) of countries had national IPC programs, only 68.9% (84/122) of RDs had department-specific IPC policies, with 50.8% (62/122)  adhering to WHO guidelines. 96.7% (118/122)  of RDs reported adequate hand hygiene facilities, and 82.0% (100/122) had sufficient personal protective equipment. However, practices such as patient screening and disinfection after use were inconsistent. The COVID-19 pandemic prompted 85.2% (104/122) of RDs to enhance infection prevention and control (IPC) measures, including audits and new isolation protocols. Staff training and IPC adherence varied widely, with only 62.3% (76/122) of RDs reporting consistent adherence to IPC.

Conclusion: The survey highlights that, despite significant progress in IPC practices across RDs in the AOR, gaps in policy standardization, staff training, and resource allocation remain. Enhancing education, promoting a no-blame culture, and aligning departmental policies with international guidelines are essential for improving patient safety and reducing healthcare-associated infections. Tailored AOSR guidelines could address regional disparities and foster consistent IPC implementation.