A multimodal intervention to reduce one of the most common healthcare-acquired infections

A multimodal intervention to reduce one of the most common healthcare-acquired infections
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Surgical site infections are the most frequent health care-associated infections in developing countries. According to the World Health Organization (WHO), this type of infection can affect up to one-third of surgical patients in those nations.

In an effort to combat and reduce these infections, researchers with the Johns Hopkins Armstrong Institute for Patient Safety and Quality collaborated with the WHO to determine whether a specific control and patient safety would decrease the number of in African hospitals. The results were recently published in The Lancet Infectious Diseases. After more than 4,000 operations at four hospitals in Africa, the number of surgical site infections decreased from occurring in 8 percent of surgeries to 3.8 percent. The researchers also found the probability of a patient getting a surgical site infection dropped approximately 60 percent across all sites as a result of the intervention.

"We have been able to show in high-income settings that health care-associated infections, including surgical site infections, are preventable," says Sean Berenholtz, M.D., interim director of the Armstrong Institute for Patient Safety and Quality. "It is encouraging that the same intervention adapted for low to could be just as effective."

As part of the intervention at the African hospitals , the team incorporated use of the Comprehensive Unit-based Safety Program, or CUSP, a five-step process that includes educating staff on the science of improving , identification of defects, implementing tools to improve teamwork, communication and more. "We needed to understand what the local defects were, and CUSP is an effective strategy to help frontline staff identify local opportunities to improve," Berenholtz says.

Researchers also helped the hospital teams develop technical prevention measures specific to the individual hospitals, including optimal antibiotic treatment, perioperative bathing of patients and appropriate hair removal.

Currently, the researchers are exploring opportunities to implement the intervention in other hospitals in Africa. Based on the group's findings, Berenholtz believes the intervention is widely applicable and that health care-associated infections, such as surgical site infections, are preventable in such settings.

"Surgical care is risky and is usually associated with complications that could lead to prolonged suffering, longer hospital stay, increased cost, and could even be fatal," Berenholtz says. "Hopefully this intervention will help prevent that."

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Study shows one of the deadliest hospital-acquired infections is preventable

More information: Benedetta Allegranzi et al. A multimodal infection control and patient safety intervention to reduce surgical site infections in Africa: a multicentre, before–after, cohort study, The Lancet Infectious Diseases (2018). DOI: 10.1016/S1473-3099(18)30107-5
Journal information: Lancet Infectious Diseases

Citation: A multimodal intervention to reduce one of the most common healthcare-acquired infections (2018, March 16) retrieved 27 June 2019 from https://medicalxpress.com/news/2018-03-multimodal-intervention-common-healthcare-acquired-infections.html
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Mar 16, 2018
Excellent headline!

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