What are the main drivers for public policies to prevent healthcare-associated infections?

Padoveze, Maria Clara; Nogueira-Jr, Cassimiro; Tanner, Judith; Timmons, Stephen

doi:10.1016/j.jhin.2018.07.047

Cited by 2 publications

(5 citation statements)

References 16 publications

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“…Implementing evidence-based practices using bundles in infection prevention can improve patient safety and reduce HAIs related to invasive devices. 22,23 The most frequently identified sites of infection in our study, were urinary tract infections, pneumonia and superficial surgical site infections. This result joins that found in several other studies in Europe, [24][25][26] Asia and Africa.…”

Section: Cardiovascular Infectionmentioning

confidence: 70%

Prevalence of health care associated infections and antibiotic use among adult patients: Results of a cross-sectional survey at a tertiary university hospital in Tunisia

Nouira,

Maatouk,

Ben Youssef

et al. 2023

F1000Res

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Background: Healthcare-associated infections (HAIs) represent a major public health problem concern with a high attributable morbidity and mortality. This study aimed to estimate the prevalence of HAIs among adult patients at the Charles Nicolle Hospital (CNH) of Tunis and to identify the main associated factors as well as to estimate the frequency of antibiotic use. Methods: This was a cross sectional study at the CNH with a unique passage per department (October-December 2018). All patients present at the wards for more than 48 hours were included. The site definitions of infections proposed by the Centers for Disease Control and Prevention were used. Results: A total of 261 patients were included with a mean age of 52.4 years SD (±16.1) and a sex ratio (Female/Male) of 1.25. Overall, 34 patients having at least one active HAI were identified which represent a prevalence of 13% (95% CI [9.2 %–17.0 %]). The most common type of reported infections were urinary tract infections (33.3%) followed by surgical site infections (19.4%) and pneumonia (19.4%). Independent risk factors of high prevalence of HAIs among adults above 18 years old were: having hypertension (ORadjusted=3.3;p=0.008), alcohol use (ORadjusted=5.2; p=.01), being infected at admission (ORadjusted=2.8;p=0.01), having at least one invasive device inserted during last 7 days prior to the survey date (ORadjusted=3.5;p=0.004) and undergoing a surgery 30 days prior to the study date (ORadjusted=2.6;p=0.03). The antibiotic use prevalence was 32.2%. Conclusions: An infection prevention and control committee, as well as the development of an Antibiotic stewardship program with continuous monitoring using repeated prevalence surveys, must be implemented to limit the frequency of these infections effectively.

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Section: Cardiovascular Infectionmentioning

confidence: 70%

Prevalence of health care associated infections and antibiotic use among adult patients: Results of a cross-sectional survey at a tertiary university hospital in Tunisia

Nouira,

Maatouk,

Ben Youssef

et al. 2023

F1000Res

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“…Furthermore, the fact that PPE is frequently uncomfortable is an additional complicating factor. HWs may consider IPC measures as unwanted intrusion because they interfere with their ability to perform their work 5 . This might represent a challenge for usability engineers and PPE manufacturers that have to balance comfort and integrated PPE designs while maintaining inherent functionality.…”

Section: Discussionmentioning

confidence: 99%

“…7 In countries where residents' right to health care access is not yet established, the quality of care provided can be seen not as a priority and the awareness of the HWs rights to safe work may be secondary. 5 The burden of infectious diseases including COVID-19 is higher in LMICs than in other countries and is still increasing. 3,105 It is critical that local technical issues in HF such as policy development and enforcement for IPC be aligned to national policies and guidance from international health bodies.…”

Section: Discussionmentioning

confidence: 99%

“…The balance between evidence-based implementation strategies and context is critical to implementation effectiveness and sustainability. 5,97 The bulk of the analysis of health in the LMICs countries allocate effort on the technical issues. 105 However, politics, demography, and economy are the major structural factors that need to be taken into account for the universal health coverage 105 and IPC effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…7 Nonetheless, the literature reports that PPE adherence in health care remains low. 9−11 The COVID-19 pandemic and outbreaks of Ebola virus disease (EVD) represent an opportunity to reinforce standard precautions 5 and collect evidence on additional transmission-related measures.…”

mentioning

confidence: 99%

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