Limited durability of improvements in infection prevention and control practices following reactive interventions leaves healthcare facilities vulnerable to Ebola virus transmission

Key Points

• The aim is to evaluate the impact and long-term sustainability of infection prevention practices during the Ebolavirus outbreak.
• Assessed infection prevention and control (IPC) practices during the Kivu/Ituri Ebolavirus outbreak.
• Measured IPC scores before and after the intervention, specifically at baseline and at 6 months post-intervention.
• Analyzed the decline in IPC scores to determine the durability of intervention effects.
• IPC scores initially increased post-intervention but had a significant decline after 6 months.
• Median IPC scores were 19/36 before intervention, 30/36 immediately after, and dropped to 28/36 after 6 months (p<0.0001).
• Facilities remain at risk for nosocomial transmission due to lack of sustained IPC practices.