Detection, surveillance, and monitoring of multiresistant germs, in the sanitary areas III-IV of Cantabria (2013-2016)
Supporting Agencies
- Dra Belén Campo Esquibel e Inés de Benito Población (Departamento de Microbiología del Hospital Sierrallana de Torrelavega (Cantabria)).
Abstract
In the European Union, according to the Center for Disease Control, die approximately 250,000 individuals per year because of the multidrug resistant bacteria to antibiotics, with an additional cost of €1,500 million to health systems. The World Health Organization has defined as " the great threat to the public health" and predicts that could cause 10 million deaths in the year 2050.The present prospective study about the incidence of patients carriers of germs multiresistant to antibiotics (GMA), has been done from 2013 to June 2016 in the sanitary areas III-IV of Cantabria; with an estimated population of 200,000 inhabitants, distributed in two local hospitals (Hospital Sierrallana Torrelavega, Hospital of Three Seas Reinosa), 14 health centers and social health centers.
The process was applied monitoring, control and epidemiological monitoring, made from the Preventive Medicine Service Quality and safety of the patient with the collaboration of the Service of Microbiology and Primary Care.
Of a total of total of 3446 patients with germs with GMA, have been negativizar 1083 patients, which represents the 31,42% of the total.
Taking into account that each of these patients remain admitted an average stay of 5 days more than those who do not have these multirresistencias to antibiotics. Has been achieved that these patients once negatives could enter without being isolated and what this presents at the level of health, economic and psychologically; as well as to improve the sanitary resources.
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References
- Organización Mundial de la Salud. Ginebra, Suiza; 2003 (acceso:29.11.2013). Prevención de las infecciones nosocomiales. Guía Práctica. 2ª Edicción. Disponible en: http://www.who.int/csr/resources/publications/ES_WHO_CDS_CSR_EPH_2002_12.pdf.
- Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias(SEMICYUC), Grupò de trabajo de Enfermedades Infecciosas. Estudio Nacional de Vigilancia de la Infección Nosocomial en Servicio de medicina Intensiva. ENVIN_HELICS. Informe 2012. Disponible en :http://hws.vhebron.net/nvin-helics/.
.- - European Center for Disease Prevention and Control and the European Medicines Agency. ECDC/EMEA Joint technical Report. The Bacterial Challenge: Time to React. 2009. http://www.ecdc.eruopa.eu/en/publications/ Publications/0909_TER_The_Bacterial_Challende_Time_to_React.pdf (11 August 2013, date last accessed).
Jane D. Siegel, MD,a Emiliy Rhinehart, RN, MPH, CIC,b Marguerite Jackson, PhD,c Linda Chiarello, RN, MS,d ant the Healthcare Infection Control Practices Advisory Committee Dallas, Texas; San Diego, California; and Atlanta, Georgia. Management of multidrug-resistant organisms in health care settings, 2006. Am J Infect Control 2007; 35:S165-S193.
.5- Rodriguez Camacho E, Diaz Garcia B. Infecciones/colonizaciones por Gérmenes Multirresistentes. Galicia Clin 2014; 75 (1) 17-21.
- Freixas N, Sallés M, Garcia L. Cambios en el control de la infección nosocomial: nuevos retos y competencias de la enfermera de control de infección. Enfermedades Infecciosas y Microbiología Clínica. Volume 27, Issue 5, May 2009, Pages 285-289.
- Rodríguez-Baño J. Bischofberger C, Álvarez-Lerma F, Asensio A, Delgato T, et al.Vigilancia y control de Staphylococcus aureus resistente a meticilina en hospitales españoles. Documento de consenso GEIH_SEIMC y SEMPSPH. Enfermedades Infecciosas y Microbiología Clínica. Volume 26, Issue 5, May 2008, Pages 285-298.
- Cantón R, Morosini M.I. Microorganismos multirresistentes en los hospitales: un riesgo amenazante. GH Continuada. Septiembre-Octubre 2010. Vol.9 Nº5. pag 254-257.
- Scanvic A, DenicL, Gaillon S, Giry P, Adremont A, Lucet JC, Duration of colonizacion by methicillin-resistant Staphylococcus auresus after hospital discharge and risk factors for prolonged carriage. Clinical infectius diseases: an official publication of the infectious Siseases Society of America. 2001; 32(10): 1398-8 Epub 2001/004/24.
- Weintrob AC, Roediger MP, Barber M, Summers A, Fieberg AM, Dunn J, et al. Natural history of colonization with gram-negative multidrug-resitant organisms among hospitalized patients. Infection control and hospital epidemiology. 2010;31(4):330-7. Epub 2010/02/24.
- Orden SAN/12/2011, DE 20 DE Abril, por las que se fijan las cuantías de los precios públicos de los Servicios Sanitarios prestados en el Servicio Cántabro de Salud. Publicado en el BOC número 85, de jueves 25 de Mayo de 2011.
-Alvarez Lema F. Impacto de las resistencias bacterianas sobre la política de antibiótica. Med Intensiva. 1998; 22: 17-23.
- Lieborwitz LD. MRSA burden and intervention. Int J Antimicrob Agents. 2009;34 Suppl 3:S11-3.
- DETECCIÓN, VIGILANCIA, Y SEGUIMIENTO DE GÉRMENES MULTIRRESISTENTES, EN LAS AREAS SANITARIAS III-IV DE CANTABRIA (2013-2016). (Español (España))
- DETECCIÓN, VIGILANCIA, Y SEGUIMIENTO DE GÉRMENES MULTIRRESISTENTES, EN LAS AREAS SANITARIAS III-IV DE CANTABRIA (2013-2016). (Español (España))
- "DETECCIÓN, VIGILANCIA Y SEGUIMIENTO DE LOS GÉRMENES MULTIRRESISTENTES, EN LAS AREAS III-IV DE CANTABRIA (2013-2016)". (Español (España))
- DETECCIÓN, VIGILANCIA, Y SEGUIMIENTO DE GÉRMENES MULTIRRESISTENTES, EN LAS AREAS SANITARIAS III-IV DE CANTABRIA (Español (España))
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