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Eight rules for fighting infections in hospitals



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In Europe, 600,000 people suffer from infections caused by antibiotic-resistant bacteria, and 33,000 deaths are estimated to be a year. In Italy, the first country in Europe, there were more than 200,000 infections and 11,000 died. And also among European countries which consume more antibiotics in the human environment and the third for use on animals on intensive farms, according to the European Medicines Agency (EMA). Data from the Higher Institute of Health shows that in Italy the level of antibiotic resistance is the highest in Europe with an annual percentage of infected patients between 7 and 10 percent. What's more, every year 450-700 thousand infections occur in patients who are hospitalized (mainly urinary tract infections, followed by infections of surgical wounds, pneumonia, and sepsis). Antibiotics have greatly reduced the number of deaths caused by infections and improved public health along with vaccines. But at the same time bacterial resistance has occurred, and no antibiotics are excluded.

Proper use

To combat deaths caused by infections, rules are needed to control infections associated with treatment, optimizing the use of antibiotics, and timely and correct management of infections. The Manifesto for Prevention of Infection-Related Infection (ICA) It was presented at Niguarda Hospital in Milan, and established eight best practices for reducing the spread of hospital infections. This work is the result of the Nella Nostre Mani project which saw the dialogue of the voluntary associations of hospitals – and not only. And that arises from the willingness of volunteers who work in hospitals to support "fragile subjects" to inform about important issues for public health and do so in a language that everyone can understand. The project was implemented under the protection of GISA (Italian Antimicrobial Stewardship Group), Cittadinanzattiva, ANIPIO (National Scientific Association for Nursing Special Infection Risk) and contributions without MSD conditioning. "Estimates of deaths related to antibiotic resistance in Italy are above the European average. – explains Francesco Menichetti President of GISA (Italian Group for Antimicrobial Surveillance) and Professor of Infectious Diseases at the University of Pisa – The basic action to be taken is to prevent antibiotic resistance, increasing the use of appropriate antibiotics in humans and reduce their use in farm animals and control the spread of infection from patient to patient. We are happy to have worked together with volunteer associations operating in hospitals and in the region to promote infection control among all major actors ». important but even more important to make it known and respected.All those who work in contact with patients, health professionals and volunteers must pay attention to their health and hygiene.The percentage of health professionals who undergo anti-flu vaccinations is still too low h.

Good practice

Eight good practices
1. Attention to your personal health and hygiene.
2. wash your hands.
3. Attention to rings, watches and bracelets.
4. Attention on smartphones, keys and coins.
5. Use of personal protective equipment and medical devices.
6. Management and monitoring of client's eating habits. Autonomy in food is preferred.
7. Precautions for hygiene and transportation. Vehicles that are not cleaned are a risky environment.
8. Monitoring of water heating and air conditioning systems.
"The association provides support to help the sick and volunteers must be prepared and have the tools," Rosapaola Metastasio from Cittadinanzattiva informed. We believe that informed and conscious citizens support good system governance and better decision-making processes for the benefit of society ".
"Small and simple actions, such as washing hands carefully, not using rings and bracelets and using new gloves for each patient, avoiding the use of smartphones can make a difference in protecting against infections in hospitals – explains Caterina Masia, a member of the board of directors of ANIPIO – The aim is to protect and protect yourself. Good personal behavior is the basis of prevention ". And collaborative association is fundamental to the spread and transmission of the Manifesto.
"Along with these tools – added Massimo Puoti, Director of the Structure of Communicable Diseases Complex of the Territorial Social Health Board of the Niguarda Metropolitan Hospital – there is room to optimize the use of antibiotics based on training, comparison between specialists in the form of audits, definitions, and compliance with shared rules And "systemization" of timely and effective multidisciplinary responses in cases where the infection was established.Thanks to this approach, in 2017 in this hospital we have reduced the mortality rate in the presence of all sepsis to 22% and to 15-21% in the presence care-related infections, this is the goal of the entire Niguarda "community" that we are very proud of.

18 November 2019 (modified 18 November 2019 | 18:13)

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