ABSTRACT
BACKGROUND: Surveillance programmes have become the most effective tool for controlling catheter-related bloodstream infections (CRBSI). However, few studies have investigated programmes covering all hospital settings. AIM: To describe the results of a control and prevention programme for CRBSI based on compliance with recommendations for insertion and maintenance, using annual burden of disease in a tertiary level hospital. METHODS: A CRBSI control and prevention programme involving all hospital settings was implemented. The programme consisted of CRBSI surveillance, direct observation of insertion and maintenance of catheters to determine performance, and education for healthcare workers. FINDINGS: In total, 2043 short-term catheters were inserted in 1546 patients for 18,570 catheter-days, and 279 long-term catheters were inserted in 243 patients for 40,440 catheter-days. The annual incidence density was 5.98 (first semester 6.40, second semester 5.64) CRBSI per 1000 catheter-days for short-term catheters, and 0.57 (first semester 0.66, second semester 0.43) CRBSI per 1000 catheter-days for long-term catheters. One hundred and forty insertion procedures were observed, with an average insertion time of 13 (standard deviation 7) min. Compliance with recommendations was as follows: hand hygiene, 86.8%; use of alcoholic chlorhexidine solution for skin disinfection, 35.5%; use of mask, 93.4%; use of gloves, 98.7%; use of gown, 75.0%; use of sterile cloth, 93.8%; use of cap, 92.2%; bandage application, 62.7%; and use of aseptic technique, 89.5%. Forty-five maintenance procedures were observed, and compliance rates were as follows: hand hygiene, 42.1%; use of gloves, 78.1%; and port disinfection with alcoholic chlorhexidine solution, 32.5%. CONCLUSION: The CRBSI control and prevention programme implemented at the study hospital has decreased the rate of CRBSI, provided important information about the total burden of disease, and revealed possible ways to improve interventions in the future.
Subject(s)
Catheter-Related Infections/epidemiology , Epidemiological Monitoring , Infection Control/methods , Sepsis/epidemiology , Tertiary Care Centers , Adult , Aged , Humans , Incidence , Male , Middle AgedABSTRACT
INTRODUCCIÓN: El objetivo del trabajo, es conocer el nivel de conocimientos sobre la Gripe y sus determinantes en el personal sanitario (PS) que se vacuna de la gripe. Material y MÉTODOS: Estudio transversal, en el que se incluyó al PS que se vacunó de la gripe en la temporada 2011-12, y cumplimentó un cuestionario de 10 preguntas. Se consideró nivel adecuado de conocimientos cuando se contestaron correctamente cinco o más preguntas. Para cuantificar la magnitud de la asociación se calculó la Odds Ratio con sus IC al 95%. RESULTADOS: Se encuestaron 634 trabajadores sanitarios. El 75,7% tenía un nivel adecuado de conocimientos. El tener menos de 45 años OR: 3,3 (2,1-5,2), el ser facultativo o personal de enfermería, OR: 4,1 (2,3-7,3) y OR: 3,1 (1,8-5,3) respectivamente, se asociaron con disponer de un nivel adecuado de conocimientos. CONCLUSIONES: La edad y el estamento son las variables que se asocian de manera independiente con el nivel de conocimientos sobre la Gripe en el PS. Un número importante del personal sanitario, desconoce aspectos relevantes acerca de la Gripe
BACKGROUND: The objective of this work is to know the level knowledge on Influenza and its determinants on health personnel (HP). METHODS: Observational study, in which it included the PS that was vaccinated of the influenza in season 2011-12, and complimented a of 10 questions. Suitable level of knowledge, which was considered when well, answered five or more questions. For quantify the magnitude of the association was calculated Odds Ratio with its 95% CI. RESULTS: 634 HP surveyed them. 75.7% had a suitable level f knowledge. Having less than 4 years, OR: 3,3 (2,1-5,2), be physicians or nursing, OR: 4,1 (2,3-7,3) and OR: 3,1 (1,8-5,3) respectively, they were associated with having an suitable level of knowledge. Conclusions,: the age and the professional category are the variables that are associated of independent way, with the level of knowledge on Influenza in the HW. A significant number of health workers not known about important aspects of influenza
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Influenza, Human/epidemiology , Influenza, Human/prevention & control , Influenza, Human/therapy , Health Personnel/statistics & numerical data , Health Personnel/trends , Information Literacy , Influenza, Human/diagnosis , Health Personnel/standardsABSTRACT
Objetivo: Describir un brote nosocomial de gripe A. Material y métodos: Se describe el Servicio de Medicina Digestiva donde aparecieron los casos. A los pacientes ingresados (n=47), entre el 17 de febrero y el 10 de marzo de 2012, se les realizó una encuesta epidemiológica, y a partir de esta, se describen sus características clínico-epidemiológicas (motivo de ingreso, días de hospitalización hasta el inicio de los síntomas, etc.) de los casos de gripe. Se evaluó la cobertura vacunal y la presencia de sintomatología respiratoria entre el personal sanitario (n=44), y se describen las medidas de control de infecciones puestas en marcha. Resultados: Hubo 10 pacientes con sospecha de gripe (seis de ellos confirmados) y 12 profesionales sanitarios con sospecha (dos confirmados). La cobertura vacunal en el personal sanitario de la unidad era del 18,2% (8/44). Conclusión: Se ha producido una asociación temporo-espacial de casos de gripe de adquisición nosocomial, donde la baja cobertura de la vacunación antigripal y la escasa adherencia a las Precauciones Estándar por parte del personal sanitario han podido ser factores determinantes para su aparición
Objective: Describe a nosocomial flu outbreak. Material and methods: The Service of Digestive Medicine where cases appeared is here described. Patients admitted (n=47) between February 17 and March 10, 2012 an epidemiological survey was does to each of them, obtaining their clinical and epidemiological characteristics (entry reason number of hospitalization days until the beginning of the symptoms, etc.) of the influenza cases. The vacunal coverage and the presence of respiratory symptoms in the health personnel were evaluated (n- 44). Moreover, the descriptions of all the infectious diseases control measures that were initiated are also described. Results: There were 10 patients (six of them confirmed) and 12 health professionals (two of them confirmed) with flu suspicion. The vaccination coverage in the health care workers of the unit was 18, 2% (8/44). Conclusions: An association was established between those cases of nosocomial influenza and the low influenza vaccination coverage of healthcare workers, which also had poor adherence to Standard Precautions. This may have been decisive risk factors for the emergence of this nosocomial outbreak of influenza