We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Prevention of healthcare-associated infections (HAIs) in a surgical urology ward: observational study—analysis of the problem and strategies for implementation.
- Authors
Medina-Polo, José; Gil-Moradillo, Javier; Justo-Quintas, Juan; González-Padilla, Daniel Antonio; García-Rojo, Esther; González-Díaz, Alejandro; Abad-López, Pablo; Hernández-Arroyo, Mario; Santos-Pérez de la Blanca, Rocío; Peña-Vallejo, Helena; Téigell-Tobar, Julio; López-Medrano, Francisco; Tejido-Sánchez, Ángel
- Abstract
Purpose: Our purpose is to present the results of our working group, with a view to reduce the incidence and improve the management of healthcare-associated infections (HAIs) in a urology ward. Methods: The study consists on an observational database designed with the view to analyse the incidence and characteristics of HAIs in Urology. Based on the results obtained, a critical evaluation was carried out and specific measures put in place to reduce HAIs. Finally, the impact and results of the implemented measures were periodically evaluated. Results: The incidence of HAIs in urology decreased from 6.6 to 7.3% in 2012–2014 to 5.4–5.8% in 2016–2018. In patients with immunosuppression the incidence of HAIs decreased from 12.8 to 18% in 2012–2013 to 8.1–10.2% in 2017–2018, in those with a previous urinary infection fell from 13.6 to 4.8%, in those with a urinary catheter prior to admission from 12.6 to 10.8%, and in patients with a nephrostomy tube from 16 to 10.9%. The effect of the protocol also demonstrated a reduction in the percentage of patients with suspicion of HAIs for whom no culture was taken, from 6% in 2012 to zero in 2017 and 2018. Moreover, the implementation of protocols for empirical treatment has reduced the incidence of patients experiencing inadequate empirical antimicrobial therapy from 20 to 8.1%. Conclusion: It is essential to monitor the incidence of HAIs, and preventive measures play a useful role in reducing the rate of infection and in optimising their management.
- Subjects
INFECTION prevention; UROLOGY; NEPHROSTOMY; SCIENTIFIC observation; URINARY catheters; URINARY tract infections
- Publication
World Journal of Urology, 2020, Vol 38, Issue 1, p3
- ISSN
0724-4983
- Publication type
Article
- DOI
10.1007/s00345-019-02648-3