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Eight rules for fighting hospital infections



In Europe, 600,000 people suffer from infections caused by antibiotic-resistant bacteria, and about 33,000 die every year. Italy, the first country in Europe, has 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 on animals on intensive farms, according to the European Medicines Agency (EMA). Data from the Higher Institute of Health indicates that in Italy, antibiotic resistance is one of the highest in Europe, with an annual percentage of infected patients ranging from 7 to 10 percent. Moreover, 450-700 thousand infections are hospitalized annually (especially urinary tract infections, followed by surgical wound infections, pneumonia and sepsis). Antibiotics have significantly reduced the number of deaths caused by infections and improved people's health along with vaccines. But at the same time, bacterial resistance arose, and not a single antibiotic was released.

Proper use

In order to combat mortality caused by infections, rules are needed to combat infections associated with care, optimizing the use of antibiotics and treating infections in a timely and proper manner. Assistance-Related Infections Prevention (ICA) Manifesto It was presented at the Niguarda Hospital in Milan and contains eight best practices for reducing the spread of nosocomial infections. The work is the result of the Nella Nostre Mani project, within the framework of which a dialogue of voluntary associations of the hospital took place – and not only. And this follows from the desire of volunteers who work in hospitals to support “fragile subjects” in informing about important public health problems and to do it in a language that everyone understands. The project is carried out under the patronage of GISA (Italian Antimicrobial Group Stewardship), Cittadinanzattiva, ANIPIO (National Scientific Society for Specialized Infectious Risk for Nurses) and the unconditional contribution of MSD. “The mortality rate associated with antibiotic resistance in Italy is higher than the European average. explains Francesco Menichetti, president of GISA (Italian Microbes Control Group) and professor of infectious diseases at the University of Pisa. – The main actions that need to be taken are the prevention of antibiotic resistance, improving the proper use of antibiotics in humans. and reducing its use in farm animals and controlling the spread of infections from patient to patient. We are glad that we worked together with volunteer associations operating in the hospital and on the territory to promote infection control among all the main actors. ” Setting rules is important, but more importantly, make them known and respected. All those who work in contact with patients, healthcare providers and volunteers should pay attention to their health and hygiene. The percentage of health workers receiving influenza vaccination remains too low.

Good practice

Eight Good Practices
1. Attention to your health and personal hygiene.
2. Hand wash.
3. Attention to rings, watches and bracelets.
4. Attention to smartphones, keys and coins.
5. Use of personal protective equipment and medical devices.
6. Management and monitoring of food habits of customers. Autonomy in food is preferred.
7. Hygiene and transport precautions. Uninfected vehicles are a hazardous environment.
8. Monitoring of water supply and air conditioning-heating systems.
“Associations provide care to patients, and volunteers need to be trained and have the tools,” says Rosapaola Metastasio of Cittadinanzattiva. We believe that an informed and informed citizen advocates for good systems management and a more efficient decision-making process for the benefit of the community. "
“Small and simple actions, such as thorough washing of hands, not using rings and bracelets and using new gloves for each patient, refusing to use a smartphone, can be important for protecting against infections in the hospital,” explains Katerina Masiya, member of the board of directors of ANIPIO- . The goal is to protect and protect yourself. Good personal behavior is the basis of prevention. ” And association cooperation is fundamental to the dissemination and transmission of the manifesto.
“Along with these tools,” adds Massimo Puoti, director of the comprehensive structure of infectious diseases of the Social-Territorial Health Agency of the capital's hospital. Great Niguard, – it is possible to optimize the use of antibiotics based on training, a comparison between specialists in the form of an audit, determination and observance of general rules. And the “systematization" of timely and effective multidisciplinary responses when these infections are established. Thanks to this approach, in 2017 in this hospital we reduced mortality in all sepsis to 22% and to 15-21% in the presence of infections associated with care. This is the goal of the whole Niguard "community", of which we are very proud. "

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

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