Preventing healthcare‐associated infection: risks, healthcare systems and behaviour
Identifieur interne : 000B33 ( Istex/Curation ); précédent : 000B32; suivant : 000B34Preventing healthcare‐associated infection: risks, healthcare systems and behaviour
Auteurs : J. K. Ferguson [Australie]Source :
- Internal Medicine Journal [ 1444-0903 ] ; 2009-09.
English descriptors
- Teeft :
- Active failures, Active screening, Airborne spread, Antibiotic, Antibiotic resistance, Antibiotic stewardship, Antibiotic treatment, Antimicrobial, Aureus, Australasian, Australian commission, Australian health care study, Australian hospitals, Author journal compilation, Clinical care, Clinical teams, Contact spread, Control hosp epidemiol, Culture change, Droplet, England health, Ferguson table, Guideline, Hand hygiene, Health care settings, Healthcare, Healthcare settings, Healthcare staff, Healthcare systems, Highest risk, Human error, Hygiene, Immune status, Immunization, Infection, Infection control, Infection control practice, Infection prevention, Infectious dose, Invasive, Invasive devices, Invasive procedures, John hunter hospital, Medical staff, Medium medium medium, Microorganism, Mrsa, Negative light, Other healthcare staff, Pathogen, Patient advocates, Patient care, Patient environment, Poor infection control practice, Programme, Quality improvement, Respiratory syncytial virus, Respiratory syndrome, Risk assessment, Risk factor, Role models, Royal australasian college, Safe practice, Safer care, Skin infections, Standard precautions, Staphylococcus, Staphylococcus aureus, Sterile body sites, Stewardship, Therapeutic guidelines, Ward rounds, World health organization.
Abstract
More than 177 000 potentially preventable healthcare‐associated infections (HAIs) occur per annum in Australia with sizable attributable mortality. Organizational systems to protect against HAI in hospitals in Australia are relatively poorly developed. Awareness and practice of infection control by medical and other healthcare staff are often poor. These lapses in practice create significant risk for patients and staff from HAI. Excessive patient exposure to antimicrobials is another key factor in the emergence of antibiotic‐resistant bacteria and Clostridium difficile infection. Physicians must ensure that their interactions with patients are safe from the infection prevention standpoint. The critical preventative practice is hand hygiene in accord with the World Health Organization 5 moments model. Improving the use of antimicrobials, asepsis and immunization also has great importance. Hospitals should measure and feed back HAI rates to clinical teams. Physicians as leaders, role models and educators play an important part in promoting adherence to safe practices by other staff and students. They are also potentially effective system engineers who can embed safer practices in all elements of patient care and promote essential structural and organizational change. Patients and the public in general are becoming increasingly aware of the risk of infection when entering a hospital and expect their carers to adhere to safe practice. Poor infection control practice will be regarded in a negative light by patients and their families, regardless of any other manifest skills of the practitioner.
Url:
DOI: 10.1111/j.1445-5994.2009.02004.x
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Ferguson</name><affiliation><mods:affiliation>Division of Medicine, John Hunter Hospital,</mods:affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation><affiliation><mods:affiliation>Hunter Area Pathology Service, and</mods:affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>University of Newcastle, Newcastle, New South Wales, Australia</mods:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>University of Newcastle, Newcastle, New South Wales</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>E-mail: john.ferguson@hnehealth.nsw.gov.au</mods:affiliation><country wicri:rule="url">Australie</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:C061D5A06A8C4230B5125EEDB61BD11137B1B30F</idno><date when="2009" year="2009">2009</date><idno type="doi">10.1111/j.1445-5994.2009.02004.x</idno><idno type="url">https://api.istex.fr/ark:/67375/WNG-3W9LQGW2-K/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000B33</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000B33</idno><idno type="wicri:Area/Istex/Curation">000B33</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Preventing healthcare‐associated infection: risks, healthcare systems and behaviour</title><author><name sortKey="Ferguson, J K" sort="Ferguson, J K" uniqKey="Ferguson J" first="J. 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Organizational systems to protect against HAI in hospitals in Australia are relatively poorly developed. Awareness and practice of infection control by medical and other healthcare staff are often poor. These lapses in practice create significant risk for patients and staff from HAI. Excessive patient exposure to antimicrobials is another key factor in the emergence of antibiotic‐resistant bacteria and Clostridium difficile infection. Physicians must ensure that their interactions with patients are safe from the infection prevention standpoint. The critical preventative practice is hand hygiene in accord with the World Health Organization 5 moments model. Improving the use of antimicrobials, asepsis and immunization also has great importance. Hospitals should measure and feed back HAI rates to clinical teams. Physicians as leaders, role models and educators play an important part in promoting adherence to safe practices by other staff and students. They are also potentially effective system engineers who can embed safer practices in all elements of patient care and promote essential structural and organizational change. Patients and the public in general are becoming increasingly aware of the risk of infection when entering a hospital and expect their carers to adhere to safe practice. Poor infection control practice will be regarded in a negative light by patients and their families, regardless of any other manifest skills of the practitioner.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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