Thursday , April 22 2021

They warn that nosocomial infections already reach homes



It is highlighted by professionals from the Argentine Association of Microbiology, who point out that it is due to improper use of antibiotics

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 health care-associated infections, also called in-hospital care, are closely related to the use of medical devices we have not previously had," said Jaime Kovensky Pupko, a biochemist and specialist in Clinical Bacteriology.

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 that "doctors, nurses, kinesiologists and all health professionals who assist a patient who is a resistant bacterium can spread it to the next patient if they do not wipe their hands."

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.

ABUSE AND MISUSE

The biochemist recalled that antimicrobial resistance is linked to "abuse or misuse" of antibiotics. "In 2016," he said, "antimicrobial resistance was the health issue addressed at the United Nations Summit of Presidents when, for the first time, Heads of State pledged to adopt a far-reaching coordinated strategy to address it human, animal and agricultural health ".

"Antibiotics must be prescribed by a doctor and the prescription must be registered at the pharmacy. Studies have shown that noncompliance with this rule reaches 80% in the province of Buenos Aires. behavior in cases 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, "he pointed out.

"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.


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