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Eight rules to fight hospital infections



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

Appropriate use

To combat the mortality caused by infections, rules are required to control infections related to care, optimization of antibiotic use and rapid and accurate management of infections. The Manifesto for Prevention of Auxiliary Infections (ICA) It was presented at the Niguarda Hospital in Milan and establishes the eight best practices for reducing the spread of hospital infections. The work is the result of the Nella Nostre Mani project, which saw the hospital's voluntary associations dialogue – and not just. And it stems from the willingness of volunteers who work in hospitals to support "fragile topics" to inform important public health issues and to do so in a language that everyone can understand. The project was carried out under the auspices of GISA (Italian Stewardship Antimicrobial Group), Cittadinanzattiva, ANIPIO (National Scientific Society for Nursing Specialized Infectious Risk) and MSD's non-conditioning grant. "Estimates of mortality related to antibiotic resistance in Italy are above the European average." We are pleased to have worked with voluntary associations working in the hospital and on the territory to promote infection control among all major stakeholders. Establishing the rules is important, but it is even more important to make them known and respected. working in contact with patients, healthcare professionals and volunteers must be aware of their health and hygiene, and the proportion of healthcare professionals undergoing influenza vaccine is still too low.

Good practice

The eight good routines
1. Attention to your health and personal hygiene.
2.Handtvätt.
3. Attention to rings, watches and bracelets.
4. Attention to smartphones, keys and coins.
5. Use of personal protective equipment and medical equipment.
6. Management and monitoring of the customer's eating habits. Autonomy in food is preferred.
7. Hygiene and transport precautions. Non-refurbished vehicles are a risk environment.
8. Monitoring of water and conditioning heating systems.
"The associations provide support to help the sick and the volunteers must be prepared and have tools," informs Rosapaola Metastasio of Cittadinanzattiva. We believe that an informed and aware citizen favors good governance of the systems and a better decision-making process in the interest of society ".
"Small and simple measures, such as careful washing of hands, not using rings and bracelets and using new gloves for each patient, avoiding the use of a smartphone can make the difference when it comes to protecting against infections in the hospital – explains Caterina Masia, board member The goal is to protect and protect yourself. Good personal behavior is the basis for prevention. " And the associations' cooperation is fundamental in the dissemination and transmission of the manifesto.
"Along with these tools – adds Massimo Puoti, director of the complex structure for infectious diseases at the Socio-Territorial Health Agency at Great Niguarda Metropolitan Hospital – there is room to optimize the use of antibiotic-based education, the comparison of specialists in the form of audit, definition and compliance of shared rules, and "systematization" of rapid and effective interdisciplinary responses in cases where these infections are established, thanks to this strategy, we have reduced mortality in the presence of all sepsis to 22% and to 15-21 at this hospital % in the presence of health-related infections, which is a goal for the entire Niguarda "community" that we are very proud of.

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

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