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波兰医疗机构中的感染(CDI)问题。

Problems of infection (CDI) in Polish healthcare units.

机构信息

Chief Sanitary Inspectorate, Warsaw, Poland.

Medical University of Lodz, Project InterDoktorMen, Poland.

出版信息

Ann Agric Environ Med. 2021 Jun 14;28(2):224-230. doi: 10.26444/aaem/119321. Epub 2020 Apr 2.

DOI:10.26444/aaem/119321
PMID:34184502
Abstract

The issue of patient safety during the provision of health services poses a key challenge in health policy. The number of hospital-acquired infections (also known as HAI - Healthcare Associated Infection) determines the level of quality of health services provided in a given health facility. Effective management reinforced by the awareness of a team of medical professionals allows not only reduction in the hospital's finances, but also the frequency of adverse events, which undoubtedly include hospital-acquired infections. Good cooperation between departments and a Hospital Infection Control Committee is one of the key aspects that translates to the rapid identification of new epidemic outbreaks. Infections caused by strains of (CDI, infection) are one of the main factors responsible for the prolonged hospitalization of patients. In the United States, causes almost half a million infections annually, and its treatment costs are estimated at nearly $ 4.8 billion per year. In Poland, the number of CDI cases in 2018 was 11.592 (for comparison, in 2013 the number of infections caused by this bacterium was 4.728). Hospital environment, inappropriate antibiotic therapy and development of multi-drug resistant strains increase the risk of infections. In order to improve the safety of hospitalized patients, infection risk management should be a systemic, formalized activity integrated with the overall process of managing a health facility. It is necessary that central units have interest in creating effective tools to enable successful epidemiological supervision and the implementation of strategic assumptions of health policy in this area.

摘要

在提供医疗服务过程中保障患者安全是医疗政策的一个关键挑战。医院获得性感染(也称为 HAI-医疗保健相关感染)的数量决定了特定医疗机构提供的医疗服务质量水平。由医疗专业人员团队强化的有效管理不仅能减少医院的财务损失,还能减少不良事件的发生频率,其中无疑包括医院获得性感染。科室之间的良好合作和医院感染控制委员会是快速识别新疫情爆发的关键因素之一。由(CDI,艰难梭菌感染)菌株引起的感染是导致患者住院时间延长的主要因素之一。在美国,每年有近 50 万人感染这种疾病,其治疗费用估计每年近 48 亿美元。在波兰,2018 年 CDI 病例数为 11592 例(相比之下,2013 年由这种细菌引起的感染病例数为 4728 例)。医院环境、不适当的抗生素治疗和多药耐药菌株的发展增加了感染的风险。为了提高住院患者的安全性,感染风险管理应该是一个系统的、规范化的活动,与管理医疗机构的整体流程相结合。中央单位有兴趣创建有效的工具,以实现成功的流行病学监督,并在这一领域实施卫生政策的战略假设,这是必要的。

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