Mexico City ,
health care associated infections Up to 70 percent of IAAs are preventable through the implementation of simple in-hospital strategies such as hand hygiene; proper preparation of medicines; Careful handling of multidose drugs as well as cleaning, disinfection and sterilization, said Alethese de la Torre Rojas, general director of the National Center for the Prevention and Control of HIV and AIDS (Sensida).
By participating in the course “Prevention of HAIs through Management and Inter-Institutional Coordination in Mexico”, iindicated that Most of these transitions reflect system failures. And they are susceptible to modification and control to reduce the high associated morbidity and mortality, as well as reduce the economic costs they generate for both patients and the health system.
The course was organized by the General Directorate of Health Promotion and lasted for 10 hours., Decision makers and infection prevention and control experts from all 32 states participated.
The World Health Organization (WHO) defines HAI as Infections that affect a patient during the care process in a hospital or other health facility, who was not present or incubating at the time of admission; They are also known as nosocomial or hospital infections; They are acquired by contact during treatment in a hospital or medical unit.
De la Torre Rojas insisted Medical units of the second and third levels must maintain a cycle of continuous improvement So that the health system can be made more resilient to this type of infection.
One of these pillars is hand hygiene, a strategy that saves lives by avoiding new infections and antimicrobial resistance, for which he urged managers to maintain supplies, adequate facilities and in good condition so that health professionals can Can do this sanitary measure efficiently.
he pointed Drug preparation is one of the most important processes to ensure the well-being of patientsTherefore, a policy of adequate use of intravenous drugs and infusions should be put into practice to avoid the risk of contamination.
De la Torre Rojas emphasized that, in order to reduce intra-hospital infections, the Ministry of Health, in coordination with other institutions of the National Health System and on the advice of the Pan American Health Organization (PAHO), launched a National inter-institutional training program aimed at managers of hospitals and medical units.
Actions considered by the program include identification of training needs in biosafety issues, correct use of personal protective equipment, prevention and control of HAIs, and safe intravenous therapy.
Medical Supervisor of the Regulatory Sector of the General Directorate of Epidemiology, Tania Villa Reyes, when presenting the topic: “HAI Epidemiological Panorama”, explained that the Hospital Epidemiological Surveillance Network (RHOVE) Monitors Nosocomial Infections through 353 Sentinel Units,
In the results obtained from January to October 2022, it has been revealed that pneumonia associated with mechanical ventilation, urinary tract infection and pneumonia Bloodstreams due to catheter use are among the main causes of nosocomial infections.
told that in In Mexico, the national average infection rate is 3.36 per 100 hospital discharges., and clarified that “identifying IAAs is not a problem; The problem is not doing nothing, the important thing is that we are constantly informed to identify these risks and try to avoid losses such as disease outbreaks, resistant bacteria, but above all, because reduce the incidence of mortality”, they concluded.
Said Celida Duque Molina, General Director of Medical Benefits of the Mexican Social Security Institute (IMSS) HAIs represent failures in the health system that can be modified and controlledTo reduce the high morbidity and mortality from these events.
Arlette Saavedra Romero, Director of Strategy and Development of Healthy Environments of the DGPS, emphasized Importance of risk communication to employees and all actors involved in the epidemiological surveillance, prevention and control of HAIs, in such a way that it is more receptive and committed to improving the quality and safety of care.
In the course “Prevention of HAIs by Management and Inter-Institutional Coordination in Mexico” the Institute for Health for Health (Insabi), quality specialist and director of Professionalization of Human Resources in Health, also participated on behalf of Vanessa. Vizcarra Mungua, and Estela Valdez Godina, deputy director of nursing.
In addition, Jorge Gamboa Cardina, infectious disease specialist and coordinator of the IMSS Medical Program; Yoab Hernández Luna, expert in pharmacovigilance of the National Center for Pharmacovigilance of the Federal Commission for the Protection of Sanitary Risks (COFEPRIS); and Alma Chávez Ríos, risk management expert at the Coordinating Commission of the National Institute of Health and High Specialty Hospitals (CCINSHAE).