Nosocomial infections as one of the most important problems of healthcare system.

Lemiech-Mirowska, Ewelina; Kiersnowska, Zofia; Michałkiewicz, Michał; Depta, Adam; Marczak, Michał

doi:10.26444/aaem/122629

Cited by 30 publications

(23 citation statements)

References 20 publications

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“…Analysis of a microbiological map defining the microorganisms causing the greatest number of infections indicates that intensive care units are characterized by a highest percentage of multi-drug-resistant strains, which require treatment with antibiotics and chemotherapeutic agents, often referred to as drugs of the last resort [ 8 , 27 ]. Broad-spectrum antibiotic therapy contributes to the selection of resistant strains, leads to the elimination of natural microbiota, which creates space for pathogens, especially in relation to C. difficile [ 2 ]. It should be emphasized that vancomycin is most often used in the treatment of full-blown CDI, which in turn leads to the occurrence of vancomycin-resistant Enterococcus (VRE) in the patient, hence each action taken has specific effects impacting the patient’s medical condition.…”

Section: Discussionmentioning

confidence: 99%

“…According to scientific literature, there is a certain group of reasons (events or factors) which contribute to deviations from the assumed requirements [ 2 , 4 , 10 , 12 , 13 , 14 , 15 , 19 , 20 , 21 ]. Publications focused on the identification of the hazard risk and exposure to the risk of infection allow to distinguish several basic, general determinants which cause patient safety breaches.…”

Section: Methodsmentioning

confidence: 99%

“…Many times, problems occur with providing basic duty personnel. Staffing shortages are supplemented with contracts signed for single shifts [ 2 ]. External employees who perform tasks frequently do not demonstrate sufficient knowledge of the work organization procedures and principles in force at the facility.…”

Section: Methodsmentioning

confidence: 99%

“…Healthcare Associated Infections (HAI) caused mainly by multi-drug resistant microorganisms are currently a global problem which affects up to 25% of hospitalized patients in developing countries [ 1 , 2 , 3 , 4 ]. HAI affect primarily the respiratory system, the urinary tract, surgical sites and the gastrointestinal tract, in which infections are primarily caused by the Clostridioides difficile ( C. difficile ) bacterium.…”

Section: Introductionmentioning

confidence: 99%

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Application of a Novel PM Model to Assess the Risk of Clostridioides difficile Infections in Medical Facilities as a Tool for Improving the Quality of Health Services and the Safety of Patients

Kiersnowska

Lemiech-Mirowska

Sierocka

et al. 2021

IJERPH

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Infections with multi-drug resistant microorganisms associated with the provision of health services have become an acute problem worldwide. These infections cause increased morbidity as well as mortality and are a financial burden for the healthcare system. Effective risk management can reduce the spread of infections and thus minimize their number in hospitalized patients. We have developed a new approach to the analysis of hazards and of exposure to the risk of adverse events by linking the patient’s health record system to the entire infrastructure of the hospital unit. In this study, using the developed model, we focused on infections caused by the Clostridioides difficile bacterium, as they constitute a significant number of nosocomial infections in Poland and worldwide. The study was conducted in a medical facility located in the central part of Poland which provides tertiary care. In the proposed PM model, a risk analysis of hospital acquired infections at the Intensive Care and Anesthesiology Unit combined with the hospital’s technical facilities and organizational factors was conducted. The obtained results indicate the most critical events which may have an impact on potential hazards or risks which may result from the patient’s stay at the specific ward. Our method can be combined with an anti-problem approach, which minimizes the critical level of infection in order to determine the optimal functioning of the entire hospital unit. Research has shown that in most situations the spread dynamics of nosocomial infections can be controlled and their elimination may be attempted. In order to meet these conditions, the persons responsible for the daily operation of the medical facility and its individual wards have to indicate potential events and factors which present a risk to the hospitalized patients. On the basis of a created spreadsheet directions for improvement may be finally established for all potential events, their frequency may be minimized, and information may be obtained on actions which should be undertaken in a crisis situation caused by the occurrence of a given phenomenon. We believe that the proposed method is effective in terms of risk reduction, which is important for preventing the transmission of multi-drug resistant microorganisms in the hospital environment.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Application of a Novel PM Model to Assess the Risk of Clostridioides difficile Infections in Medical Facilities as a Tool for Improving the Quality of Health Services and the Safety of Patients

Kiersnowska

Lemiech-Mirowska

Sierocka

et al. 2021

IJERPH

Self Cite

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“…It should be emphasized that hospitalization of the patient is nothing other than placing him or her in a potentially contaminated environment. The patient is exposed to viruses, microscopic fungi and bacteria [ 5 , 6 , 7 ]. Among nosocomial pathogens, C. difficile is the leading bacterium, which accounts for over 40% of all infections in inpatient treatment, followed by the following pathogenic microorganisms: Acinetobacter baumannii (8.56%), Klebsiella pneumoniae MBL (7.27%), Noroviruses (6.95%), Rotaviruses (6.62%) and Staphylococcus aureus MRSA (1.94%) [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Level of Knowledge of Medical Staff on the Basis of the Survey in Terms of Risk Management, Associated with Clostridioides difficile Infections

Kiersnowska

Lemiech-Mirowska

Semczuk

et al. 2021

IJERPH

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Infections caused by the toxigenic strains of Clostridioides difficile in the hospital environment pose a serious public health problem. The progressive increase in hospital infections in Poland indicates that risk management is a tool that is not used in an effective way and significantly differs from the goals set by the Leading Authorities, the Ministry of Health and its subordinate units. Systematic education of medical personnel constitutes the basic element of rational risk management aimed at reducing the number of infections as it allows for the transfer of knowledge, development of appropriate organizational procedures, and improves internal communication. This paper presents the results of a survey conducted in hospital facilities throughout Poland. The study dealt with what medical personnel know about channels of transmission and prevention of Clostridioides difficile infections in the hospital setting, professional training and risk management in terms of reducing the number of infections. The survey reveals that Clostridioides difficile continues to be a serious problem in the inpatient care system. Procedures and management strategies implemented by hospitals in order to limit the spread of the pathogen are predominantly focused on short-term action, which does not lead to a real improvement in terms of hospitalized patients’ safety. The infection risk management system was assessed at a fairly low level. The obtained research results confirmed the research hypotheses that had been formulated.

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Fabrication methodologies for antimicrobial polypropylene surfaces with leachable and nonleachable antimicrobial agents

Alkarri,

Sharma,

Bergholz

et al. 2023

J of Applied Polymer Sci

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Reported herein is the fabrication of antimicrobial polypropylene (PP) surfaces with nonleachable magnesium hydroxide biocides and compares its performance with leachable copper (II) chloride dihydrate. Two methods were used for creating PP‐bearing biocides. One way involves melt‐blending of biocides and PP and subsequent injection molding to create the desired antimicrobial PP surface. Another technique consists of thermal embossing of antimicrobial agents on the PP surface. The biocide‐bearing PP surfaces were evaluated against Escherichia coli (E. coli) K‐12 MG1655) for up to 24 h. In the case of injection‐molded PP system, leachable CuCl2·2H2O showed a 5.87 ± 0.01 log reduction after 24 h, but only 0.47 ± 0.03 log reduction for PP bearing nonleachable Mg(OH)2. On the contrary, thermally embossed PP with CuCl2·2H2O and Mg(OH)2 showed 2.28 ± 0.03 and 3.78 ± 0.03 log reductions, respectively, after 24 h. The nonleachable Mg(OH)2 imparted antimicrobial properties only to the PP surface prepared via thermal embossing. In contrast, owning to the leachable copper ions, leachable CuCl2·2H2O biocides imparted PP surfaces antimicrobial irrespective of the molding or surface embossing approach. This approach provides an advantage for nonleachable PP‐based antimicrobial surfaces in overcoming the toxicity concern associated with plastics bearing leachable biocides.

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Nosocomial infections as one of the most important problems of healthcare system.

Abstract: infections as one of the most important problems of the healthcare system. Ann Agric Environ Med.

Cited by 30 publications

References 20 publications

Application of a Novel PM Model to Assess the Risk of Clostridioides difficile Infections in Medical Facilities as a Tool for Improving the Quality of Health Services and the Safety of Patients

Application of a Novel PM Model to Assess the Risk of Clostridioides difficile Infections in Medical Facilities as a Tool for Improving the Quality of Health Services and the Safety of Patients

Level of Knowledge of Medical Staff on the Basis of the Survey in Terms of Risk Management, Associated with Clostridioides difficile Infections

Fabrication methodologies for antimicrobial polypropylene surfaces with leachable and nonleachable antimicrobial agents

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