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National Infection Control Program in Turkey: The healthcare associated infection rate experiences over 10 years.
Gozel, Mustafa Gokhan; Hekimoglu, Can Huseyin; Gozel, Emine Yildirim; Batir, Esen; McLaws, Mary-Louise; Mese, Emine Alp.
Afiliación
  • Gozel MG; Department of Microbiology Reference Laboratories, General Directorate of Public Health, Ankara, Turkey. Electronic address: ggozel@yahoo.com.
  • Hekimoglu CH; Department of Microbiology Reference Laboratories, General Directorate of Public Health, Ankara, Turkey.
  • Gozel EY; Department of Communicable Diseases, General Directorate of Public Health, Ankara, Turkey.
  • Batir E; Department of Microbiology Reference Laboratories, General Directorate of Public Health, Ankara, Turkey.
  • McLaws ML; School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, Sydney, Australia.
  • Mese EA; Turkish Ministry of Health, Deputy Minister, Ankara, Turkey.
Am J Infect Control ; 49(7): 885-892, 2021 07.
Article en En | MEDLINE | ID: mdl-33359550
BACKGROUND: The prevalence of healthcare associated infection (HAI) is generally higher in countries with limited resources than developed countries. To address the high prevalence of HAI, Turkish Ministry of Health introduced a national infection control program in 2005. METHODS: Device associated (DA)-HAIs routinely surveyed included ventilator associated events, urinary catheter associated urinary tract infection and central line associated blood stream infection. Rates in DA-HAI were examined from 2008 to 2017 by type of hospitals, bed capacity, and geographic location of hospitals. RESULTS: All DA-HAIs declined significantly from 2008 to 2017 nationally for ventilator associated events from 16.69 to 4.86 per 1,000 device days (IRR = 0.29, P < .0001), catheter associated urinary tract infection from 4.98 to 1.59 per 1,000 catheter days (IRR = 0.31, P < .0001) and central line associated blood stream infection from 5.65 to 2.82 per 1,000 catheter days (IRR = 0.47, P < .0001). The rates for DA-HAIs declined significantly in hospitals with ≥200 beds and <200 bed capacity and in all 4 type of hospitals. By 2017 all DA-HAI had significantly improved across all regions. CONCLUSIONS: The introduction of a new national surveillance system supported by a national infection control program has significantly reduced 3 major DA-HAIs that are associated with risk of treatment failure and death. The next critical step in sustaining this crucial improvement will require timely feedback to hospitals using technology and continued buy-in from clinicians for their commitment to safety associated with DA-HAIs using aspirational DA-HAI rates.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones Urinarias / Infección Hospitalaria / Neumonía Asociada al Ventilador / Infecciones Relacionadas con Catéteres Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Am J Infect Control Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones Urinarias / Infección Hospitalaria / Neumonía Asociada al Ventilador / Infecciones Relacionadas con Catéteres Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Am J Infect Control Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos