Infection Control in a Country with Annual Inflation of 3,600%

1995 ◽  
Vol 16 (3) ◽  
pp. 175-178
Author(s):  
Sergio B. Wey

AbstractThe economic crisis that has been seen worldwide affects developing countries such as Brazil even more severely. Worsening budget shortfalls for the healthcare system progressively threaten patient care. Infection control programs also are affected, and basic preventive policies are not implemented. Infection control practitioners face lack of equipment and poor microbiological support. In contrast, the motivation of the infection control people can be maintained through training courses, conferences, and meetings. Administrative support may be the most important single factor determining success in decreasing the infection control rate and should be (but is not always) provided, given that several infection control measures are cost effective.

2018 ◽  
Vol 10 (1) ◽  
pp. 101-110
Author(s):  
Inaam Abdelati ◽  
Maha Ali ◽  
Yousif A ◽  
Amany El-berdan

Background: Nurses play crucial role in avoiding hospital procured infections, by guaranteeing that all viewpoints of their nursing practice is prove based, and also through nursing inquire research and understanding instruction. Aim: The study aimed to evaluate the nurse's compliance with infection control measures and-barrier precautions in delivery room. Methods: Research design: An exploratory design had been chosen for carrying out our paper. Setting: The study was carried out in four hospitals in Damietta governorate. Subjects: 51 on duty nurses were taken at the time of the study. Tools of data collection: Data were collected using self-administers questioners. Results: Findings revealed the existence of poor standard precautions (100%). There is connection between age, education level, work involvement experience, and compliance with standard safety measures and precautions at p<0.05. At the same time significant relation between training courses and compliance to standard precautions was p<0.05. Conclusion: The nurses in the current study faced a lot of barriers that posed a hindrance in implementing the infection control measures, such as in situations like: emergency situation, lack of equipment & supplies, lack of infection control measures, lack of periodical infection and control training course. Recommendations: Strategic plan to overcome obstacles & barriers that hinder nurses to compliance with infection control measures should be conducted. It is essential to consider the national standards of infection prevention adopted by the ministry of health in delivery room of all hospital in Damietta governorate.


1986 ◽  
Vol 7 (10) ◽  
pp. 506-507 ◽  
Author(s):  
Peter C. Fuchs ◽  
Marie E. Gustafson

Nosocomial infection rates, as determined by either incidence or prevalence methods, are considered important data in infection control programs. Many factors besides infection control measures affect infection rates— eg, illness acuity of the patient population. However, there is evidence that when these factors remain constant, a lowering of the infection rate can be the result of infection control efforts. We wish to illustrate how a dramatic drop in infection rate may mislead infection control personnel into a false sense of accomplishment, when in reality it is an effect of changing medical practices.


1991 ◽  
Vol 12 (11) ◽  
pp. 649-653 ◽  
Author(s):  
M.D.A. Cavalcante ◽  
O.B. Braga ◽  
C.H. Teofilo ◽  
E.N. Oliveira ◽  
A. Alves

AbstractObjectives:To review procedures currently practiced in a Brazilian general hospital and to eliminate ineffective and inefficient practices. To measure the resulting cost improvements based on rigid hospital financing control.Design:Implementation of surveillance and control programs and prevalence surveys to detect ineffective and inefficient practices.Participants:The study institution is a 130-bed general care facility affiliated with the Brazilian federal government. There were approximately 4,600 admissions per year during the study period (1986- 1989).Results:Instituting infection control measures and eliminating ineffective practices resulted in the following: an overall decrease in wound infection rates from 24.4% in 1987 to 3.45% in 1989; a 71% reduction in the global incidence of infection in the intensive care unit; a 74% reduction in the surgical prophylactic use of antibiotics; and a total savings of approximately $2 million (US dollars).Conclusions:During the period from 1986 to 1989, the infection control committee was able to decrease the overall wound infection rate from 24.4% in 1987 to 3.45% in 1989. This eliminated special health problems and improved patient care and cost-effectiveness for our hospital.


2013 ◽  
Vol 6 (4) ◽  
pp. 27-52 ◽  
Author(s):  
Torsten Holmdahl ◽  
Peter Lanbeck

OBJECTIVE: To describe the experience of planning and designing a new facility for infectious diseases in Sweden and to discuss underlying theories relating to infection prevention and evidence-based design. BACKGROUND: Departments of Infectious Diseases are common in healthcare facililties in Sweden. In 2005, a decision was made to build a new facility. The program required spacious single rooms, with a high ventilation standard, and anterooms. METHODS: In this article we present an analysis of the future of infectious diseases. Underlying theories are discussed. We also describe how a program was outlined using literature studies, including evidence-based healthcare design, focus groups of staff, and study visits. RESULTS: Active involvement of users and infection control specialists was important in the building process. A full-scale patient room mock-up was built with ventilation, electrical, and other systems. The mock-up was cost effective because it avoided costly mistakes during the building process. The mock-up also was a place where staff could assess and begin adapting to their future work environment. Separate ventilation and separate entrances to patient rooms from the building exterior allowed placement of isolation units in the main hospital area. CONCLUSIONS: Antimicrobial resistance, emerging diseases, healthcare associated infections, and outbreaks highlight the need for infection control measures in all hospital design. Infection control should be integrated in all hospital planning and be part of contracts. In this study we describe a specialized unit where a high degree of standardization and flexibility has made it possible to have a unique standard of preparedness for the post-antibiotic era.


2004 ◽  
Vol 25 (5) ◽  
pp. 395-401 ◽  
Author(s):  
John M. Boyce ◽  
Nancy L. Havill ◽  
Cynthia Kohan ◽  
Diane G. Dumigan ◽  
Catherine E. Ligi

AbstractObjective:To review evidence regarding the effectiveness of control measures in reducing transmission of methicillin-resistantStaphylococcus aureus(MRSA) in hospitals.Design:Literature review and surveillance cultures of hospitalized patients at high risk for MRSA colonization or infection.Setting:A 500-bed, university-affiliated, community teaching hospital.Results:The percentage of nosocomialS. aureusinfections caused by MRSA increased significantly between 1982 and 2002, despite the use of various isolation and barrier precaution policies. The apparent ineffectiveness of control measures may be due to several factors including the failure to identify patients colonized with MRSA For example, cultures of stool specimens submitted forClostridium difficiletoxin assays at one hospital found that 12% of patients had MRSA in their stool, and 41% of patients with unrecognized colonization were cared for without using barrier precautions. Other factors include the use of barrier precaution strategies that do not account for multiple reservoirs of MRSA, poor adherence of healthcare workers (HCWs) to recommended barrier precautions and handwashing, failure to identify and treat HCWs responsible for transmitting MRSA, and importation of MRSA by patients admitted from other facilities. Control programs that include active surveillance cultures (ASCs) of high-risk patients and use of barrier precautions have reduced MRSA prevalence rates and have been cost-effective. Using a staged approach to implementing ASCs can minimize logistic problems.Conclusion:MRSA control programs are effective if they include ASCs of high-risk patients, use of barrier precautions when caring for colonized or infected patients, hand hygiene, and treating HCWs implicated in MRSA transmission.


2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Muhammad Mohsin Ali ◽  
Qudsia Anwar Dar ◽  
Zahid Kamal ◽  
Alishba Khan

This is a brief review covering the currently available literature on ocular manifestations of COVID-19, andprevention strategies for ophthalmologists. A literature search was carried out of Pubmed, Google Scholar andWHO database of publications on COVID. Keywords used in the search were eye, ocular manifestations,ophthalmology, COVID-19, nCoV-2019, and coronavirus disease. All available articles were reviewed and thosepertinent to the study topic were included. Considering the dearth of information available, ophthalmology journals were also searched separately for relevant articles. Major ocular manifestation of COVID reported in literature is red eye, which usually presents before the onset of respiratory symptoms. Since the eye can be a possible transmission route for SARS-CoV-2, infection control measures should be undertaken by ophthalmologists, including use of personal protection equipment and eye/face covering. A framework for structuring ophthalmological services during the COVID pandemic is also presented in this review.


2021 ◽  
pp. 140349482110314
Author(s):  
Nils Henrik Kolnes ◽  
Snorre Nilsen Eikeland ◽  
Tor Albert Ersdal ◽  
Geir Sverre Braut

A stochastic model estimated the consequences of a COVID-19 super spreader event occurring in the local municipality of Stavanger, Norway as a result of a night on the town. The model imposed different infection control regulations and compared these different scenarios. For Stavanger’s 161 locations of service, secondary transmissions from a super spreader event was estimated to infect a median of 37, requiring the quarantining of 200 guests given no infection control regulations, 23 and 167 when imposing social distancing regulations and other hygienic infection control measures, 7 infected and 63 quarantined guests with restrictions placed on the guest capacity, and 4 infected and 57 quarantined guests with both forms of restriction in use.


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