In Europe, 600,000 people suffer from infections caused by antibiotic resistant bacteria and an estimated 33,000 deaths per year. In Italy, the first country in Europe, there are over 200,000 infections and 11,000 dead. And it is also among the European countries that use more antibiotics in the human environment and the third for use on animals on intensive farms, according to the European Medicines Agency (EMA). Data from the Higher Institute of Health indicate that in Italy the level of antibiotic resistance is among the highest in Europe, with an annual percentage of infected patients between 7 and 10%. In addition, 450 to 700,000 infections occur in hospitalized patients each year (mainly urinary tract infections, followed by surgical wound infections, pneumonia and sepsis). Antibiotics have greatly reduced the number of deaths from infections and improved people's health along with vaccines. But at the same time, bacterial resistance has occurred and no antibiotic is exempt.
The proper use
To combat mortality from infections, rules are needed to control care-related infections, optimal antibiotic use, and the correct and timely management of infections. The Manifesto for the Prevention of Care-Related Infections (ICA) was presented at Niguarda Hospital in Milan and sets out the eight best practices for reducing the spread of nosocomial infections. The work is the result of the Nella Nostre Mani project, which saw the hospital's voluntary associations dialogue – not just. And it comes from the willingness of volunteers working in hospitals to support "fragile issues" to report on important public health issues and to do so in a language that everyone can understand. The project was carried out under the sponsorship of GISA (Italian Administration Antimicrobials Group), Cittadinanzattiva, ANIPIO (National Scientific Society for Specialized Infectious Risk in Nursing) and the non-conditional contribution of MSD. "The estimate of mortality related to antibiotic resistance in Italy is above the European average. – explains Francesco Menichetti President of GISA (Italian Antimicrobial Administration Group) and Professor of Infectious Diseases at the University of Pisa – The key actions to take are the prevention of antibiotic resistance, improving the proper use of antibiotics in humans and reducing their use in farm animals and controlling the spread of infections from patient to patient, and we are happy to have worked closely with volunteer associations operating in the hospital and in promote infection control among all key players. ”Establishing the rules is important, but even more important to make them known and respected. All those who work in contact with patients, health professionals and volunteers should pay attention to your health and hygiene. Health workers undergoing influenza vaccination remain very low.
The eight good practices
1. Attention to your health and personal hygiene.
3. Attention to rings, watches and bracelets.
4. Attention to smartphones, keys and coins.
5. Use of personal protective equipment and medical devices.
6. Management and monitoring of customers' eating habits. Autonomy in food is preferred.
7. Hygiene and transport precautions. Unhygienic vehicles are a hazardous environment.
8. Monitoring of water heating and conditioning systems.
"Associations provide support to help patients and volunteers must be prepared and have the tools," says Rosapaola Metastasio of Cittadinanzattiva. We believe an informed and conscientious citizen favors good systems governance and better decision-making in the interest of the community. "
"Small and simple actions, such as washing hands carefully, not wearing rings and bracelets and wearing new gloves for each patient, avoiding using a smartphone can make a difference in protecting against infections in the hospital," said Caterina Masia, a board member. "The goal is to protect and protect yourself. Good personal behavior is the basis of prevention." And the collaboration of the associations is fundamental in the dissemination and transmission of the Manifest.
"Along with these tools," adds Massimo Puoti, director of the infectious disease complex structure of the Socio-Territorial Health Agency of the Greater Niguarda Metropolitan Hospital – there is room for optimizing the use of training-based antibiotics, comparing experts in the form. auditing, definition and compliance with shared rules, and the "systematization" of timely and effective multidisciplinary responses where these infections are established. Thanks to this approach in 2017 at this hospital, we reduced mortality in the presence of all sepsis to 22 % and 15-21% in the presence of care-related infections, a goal of the whole Niguarda "community" of which we are very proud.
November 18, 2019 (modified on November 18, 2019 | 18:13)
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