Antibiotic resistance is one of the biggest threats to global health today
Posted by fidest press agency su mercoledì, 16 novembre 2016
These new WHO guidelines aim to support countries as they develop and execute their national AMR action plans, in the process of strengthening their health systems. They are the result of careful evaluation of the best available evidence combined with knowledge from international experts, and wisdom and lessons learned from country experiences. The guidelines cover eight areas of IPC and include 11 recommendations and three best practice statements. They include the following recommendations, which are specifically focused on addressing antimicrobial resistance (AMR):
• An IPC programme with a dedicated, trained team should be in place in each acute health care facility for the purpose of preventing health care-associated infection (HAI) and combating AMR through IPC good practices
• Stand-alone, active national IPC programmes with clearly defined objectives, functions and activities for the purpose of preventing HAI and combating AMR through IPC good practices should be established. National IPC programmes should be linked to other relevant national programmes and professional organizations.
• Evidence-based guidelines should be developed and implemented for the purpose of reducing HAI and AMR. Education and training of relevant health care workers on guideline recommendations and monitoring of adherence with guideline recommendations should be undertaken to achieve successful implementation
• At the facility level, IPC education should be in place for all health care workers by using team- and task-based strategies which are participatory and include bedside and simulation training to reduce the risk of HAI and AMR
• Facility-based HAI surveillance should be performed to guide IPC interventions and detect outbreaks, including AMR surveillance with timely feedback of results to health care workers and stakeholders and through national networks
• National HAI surveillance programmes and networks which include mechanisms for timely data feedback and with the potential to be used for benchmarking purposes should be established to reduce HAI and AMR
• At the facility level IPC activities should be implemented using multimodal strategies to improve practices and reduce HAI and AMR
• Regular monitoring/audit and timely feedback of health care practices should be undertaken according to IPC standards to prevent and control HAIs and AMR at the health care facility level. Feedback should be provided to all audited persons and relevant staff
• In order to reduce the risk of HAI and the spread of AMR, the following should be addressed: (1) bed occupancy should not exceed the standard capacity of the facility; (2) health care worker staffing levels should be adequately assigned according to patient workload.
The guidelines are the culmination of a year-long initiative, with the active support, collaboration and technical expertise of CDC, which brought together scientists, academics, policy-makers and patient representatives, to systematically consider the evidence and experiences on what makes good IPC programmes work. We believe that this is great step forward in ensuring every country and area can improve patient safety and quality of care!