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

J. Yang; Kasereka Masumbuko Claude; Emily Kimani; Michael Hawkes

doi:10.1093/cid/ciag192

March 18, 2026Clinical Infectious DiseasesOpen Access

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

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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.

Implication

Assessing intervention impact on infection prevention in healthcare settings implies ongoing vulnerabilities to transmission.

Abstract

We assessed impact and durability of an infection prevention and control (IPC) bundle intervention during the Kivu/Ituri Ebolavirus outbreak (2018-2020). IPC scores increased initially, then declined 6 months post-intervention (median 19/36, 30/36, and 28/36, p<0.0001). Without sustained IPC practices, health facilities remain vulnerable to nosocomial transmission in future Ebolavirus outbreaks.

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Cite This Study

Yang et al. (2026) studied this question.

synapsesocial.com/papers/69bb9257496e729e6297f8a1 https://doi.org/10.1093/cid/ciag192

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

Key Points

Implication

Abstract

Discussion

Cite This Study

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

Key Points

Implication

Abstract

Discussion

Cite This Study

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