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[616.9-022.369+615.281.03](478) (1) |
Boli transmisibile. Boli infecţionase şi contagioase, stări febrile (585) |
Medicamentele potrivit acţiunii lor principale (395) |
SM ISO690:2012 BUSUIOC, Ecaterina, CATERINCIUC, Natalia. Primul studiu național de prevalență de moment a infecțiilor asociate asistenței medicale și a consumului antimicrobienelor în spitalele din Republica Moldova. In: One Health and Risk Management, 2022, nr. 3(1), pp. 21-28. ISSN 2587-3458. DOI: https://doi.org/10.38045/ohrm.2021.4.05 |
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One Health and Risk Management | |||||||
Numărul 3(1) / 2022 / ISSN 2587-3458 /ISSNe 2587-3466 | |||||||
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DOI:https://doi.org/10.38045/ohrm.2021.4.05 | |||||||
CZU: [616.9-022.369+615.281.03](478) | |||||||
Pag. 21-28 | |||||||
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Introduction. HAIs present a major public health problem with an impact on morbidity, mortality and quality of life. The objective of the study was to highlight the problem of HAIs and AM use, identification of risk factors and raising awareness of the phenomenon. Material and methods. The methodology of the PPS was patient-based, developed based on ECDC Protocol 5.3/2016. The study was accomplished in 2018. The sample of the PPS included 67 hospitals, 546 wards and 10594 patients. Results. The prevalence of HAIs was 1,6%, with predominance of pneumonia (25%), SSI (16.1%), LRI (14.9%), UTI (11.3%) and varies depending on the wards profile, clinical diag-nosis, length of hospital stay and risk factors (medical device, surgery). HAIs were caused by Klebsiella spp. in 26%, Enterococcus spp. – 18% and coagulase-negative Staphylococci – 14%, P. aeruginosa – 12%. Klebsiella spp. presented resistance to 3rd generation cephalo-sporins in 84.6% and to carbapenems – 46.2%. The prevalence of AM use was 42.7%, for the group of 3rd generation cephalosporins – 34.5%. More frequently antibiotics were admi-nistered for treatment (73.8%), and for surgical prophylaxis >1 day in 93.5%. Conclusions. Data on HAIs and AM use in hospitals, first obtained by implementing active surveillance based on the ECDC tool, are standardized and comparable at national and in-ternational level and allow assessing the situation in hospitals, obtaining evidence for infec-tion prevention and control and AM stewardship programmes at local level, as well as rea-soning the national policies. |
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Cuvinte-cheie point prevalence survey, healthcare-associ-ated infections, anti-microbial use, stu-diul de prevalență de moment, infecții aso-ciate asistenței medi-cale, consumul de an-timicrobiene |
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