Naslov
Praćenje bolničkih infekcija u zemljama s ograničenim sredstvima: hrvatsko iskustvo
(Surveillance of hospital infections in settings with limited resources: Croatian experience)

Autori
Kalenić, Smilja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Sixth Congress of the International Federation for Infection Control, Istanbul, Turkey, 2005. programme adn Abstract Book / Ang, Ozdem ; Borg, Michael ; Derbenti, Sengul ; Kalaenic, Smilja, Kucuker, Mine - Istanbul : Turkish Microbiological Society, 2005

Skup
Sixth Congress of the International Federation for Infection Control

Mjesto i datum
Istanbul, Turska, 13.10.2005. - 16.10.2005

Vrsta sudjelovanja
Pozvano predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
hospital infections/surveillance/limited resources

Sažetak
Surveillance of hospital infections is a continuous process of monitoring, analysing and timely reporting infection rates to those who should and might change things in hospital. By the surveillance we usually mean outcome surveillance (infections) but we also can perform process surveillance, which is actually an audit. In the PubMed search for surveillance of hospital infections, we have found about 270 references in first 8 months of 2005 ; only very few of them were from nonindustrialized countries. In Croatia we have had sporadic infection control in hospitals for more then 30 years, but only in 2001 we had a bylaw demanding every hospital to have full time infection control nurse and part time infection control doctor. Some 10-15 years ago we had no standardization in sterilization and haemodialysis, no protocols for disinfection nor hand hygiene. When introducing new practices, we have started to audit it. We have found that microbiological control of sterilization and haemodialysis water is very easy to perform, while auditing hand hygiene was very troublesome. In the largest hospital we have started the surveillance of CVC-related bacteraemia after we had an outbreak of CVC-related MRSA bacteraemia in medical ICU, after proper staff education, which was a clear success. Then we decided to perform a surveillance of SSI, to be aware of our hospital rates (within a project of Ministry of Sciences). It was a huge effort during three months (duration of the project), with minor benefit: we have registered 6.2% of infections among 960 patients, but when we stratified patients according to the procedure, numbers were to small for any conclusion. Conclusion: If microbiology laboratory is available, low cost very effective surveillance of sterilization and haemodialysis water is recommended. Furthermore, periodic surveillance of severe infections in ICU connected with staff education is also cost effective for settings with limited resources.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti

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