THE IMPORTANCE OF INFECTION CONTROL IMPLEMENTATION IN MEDICAL INSTITUTIONS OF THERAPEUTIC AND SURGICAL PROFILES: UKRAINIAN AND WORLD EXPERIENCE
UKRAINIAN AND WORLD EXPERIENCE
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2021.3.12430Keywords:
health care-associated infections, infection control, prevention, hand hygieneAbstract
Summary. The most common adverse events observed in hospitalized patients are adverse drug reactions, health-care associated infections (HCAIs), and surgical complications. The widespread incidence of HCAIs is reflected in many scientific studies, but data on HCAIs levels are conflicting and depend on the country where the study was conducted, the profile of the hospital or ward, the efficiency and impartiality of the registration system, etc.
The aim of the study – to learn the world and Ukrainian experience of the infection control system implementation in medical institutions of therapeutic and surgical profiles by analyzing the available information and literature sources.
Materials and Methods. The analysis of information resources of the Internet, international professional publications, medical database MEDLINE/PubMed for the last ten years is carried out. The method of information retrieval and analytical-comparative is applied.
Results. Health-care associated infections are infections that first appear 48 hours or more after hospitalization or within 30 days after medical care. Studies conducted in high-income countries have shown that 5–15 % of hospitalized patients acquire HCAIs, which can affect between 9 and 37 % of those admitted to intensive care units, and in Europe the prevalence of HCAIs in general hospitals profile range from 4.6 to 9.3 %. Prevention of HCAIs depends on careful implementation and adherence to infection control methods. Numerous domestic and foreign researchers point to the importance of implementing an infection control system to improve the quality and safety of medical care in hospitals.
Conclusions. Despite the development of many high-tech methods, hand washing with soap or alcohol still remains the most important means of maintaining personal hygiene and preventing HCAIs. However, due to the growing number of antibiotic-resistant bacteria and the reluctance of some health professionals to implement best practices in infection control, HCAIs remain one of the leading causes of death in most countries. It is therefore important that strategic, policy and educational initiatives continue to focus on the treatment and control of these infections. This requires further practical efforts to implement the proposed measures in practice, and research that would provide evidence to justify the introduction of more effective and innovative methods of infection control.
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