Intra-hospital infections, caused largely by antibiotic-resistant bacteria, are no longer exclusive to medical facilities, warned the Argentine Association of Microbiology (AAM), which noted that "they have reached geriatrics and even patients hospitalized in their homes." "
This was one of the topics debated at the recent VIII Congress of the Argentine Society of Bacteriology, Mycology and Clinical Parasitology (Sadebac) – which is part of the AAM – and which generates concern in the scientific community, since "the rate of resistance to molecules with antibiotic action is very high. "
According to the World Health Organization (WHO), about 700,000 people die each year from antimicrobial resistance (AMR), which will reach 10 million by 2050 "if no action is taken."
"These infections associated with health care, also called in-hospital care, are closely related to the use of medical devices we did not have before," he told the agency. Telam the biochemist and specialist in Clinical Bacteriology, Jaime Kovensky Pupko.
The specialist and coordinator of the Antimicrobial Subcommittee Sadebac noted that "medicine has advanced a lot, so now there are more compromised (transplanted, oncologic) immune patients exposed to invasive procedures that carry the unavoidable risk of infection"
He also stressed that "one of the issues that most concern us is the low rate of adherence to handwashing of health professionals, which in Argentina does not exceed 30%."
"The biggest problem of not washing hands is the transmission of bacteria horizontally," said biochemist Adriana Sucari, vice president of AAM and president of Sadebac.
He added: "Doctors, nurses, kinesiologists, and all health professionals who help a patient who has a resistant bacterium can spread it to the next patient if they do not wipe their hands with each other."
Both experts also agreed that it is "fundamental" to contain the rate of infections associated with health care, which are also seen in day hospitals, nursing homes and inpatients at home.
"Each medical institution has to design and implement a surveillance program that includes the search for multidrug resistant bacteria and the application of precautions to prevent horizontal transmission, which occurs from one patient to another or by the hands of the patient. use of objects such as stethoscopes and thermometers, "Kovensky suggested.
He recalled that antimicrobial resistance is linked to "abuse or misuse" of antibiotics: "By 2016, antimicrobial resistance was the health issue addressed at the United Nations Summit of Presidents."
"For the first time, the Heads of State have pledged to adopt a far-reaching coordinated strategy to address human, animal and agricultural health," he said.
"Antibiotics must be prescribed by a doctor and the prescription must be registered at the pharmacy." There are studies that show that failure to comply with this rule reaches 80% in the province of Buenos Aires, "he said in a dialogue with the agency.
He added: "This non-prescription sale responds in most cases to self-medication behaviors in situations where the antibiotic is unnecessary because it is viral, which produces resistant bacteria in the infectious focus or in the intestinal microbiota that inhabits us" .
"We should all take care of the ecology of our own microbial flora if we are to contain the advance of microbial resistance," added Kovensky.