engleski

Five years of survey of healthcare associated infection indicators in Croatian hospitals

Healthcare associated infection (HAI) prevention and control (P&C) was regulated in Croatia by first ordinance issued 1994, revised till now 3 times. In 2005 MoH started yearly survey of HAI P&C indicators on questionnaire sent in January for the preceeding year to all hospitals, according to the 2002 ordinance. Structure indicators surveyed are: composition of infection control committee (ICC) and team (ICT), hospital programme, yearly plan, protocols. Process indicators are: meetings of ICC and ICT, education, audits, alcochol consumption, sharps incidents, vaccination against HBV and influenza. Outcome indicators are: SSI, ICU infections, CDI, MRSA, other MDRO, and outbreaks. In 2006, only 50% of hospitals had proper ICC and 40% proper ICT, while in 2010 this was 60% and 75%. Educated nurses in 2006 had 55% of hospitals, while in 2010 the number decreased to 45% as the new nurses took the position. All hospitals had yearly plan of activities. Rare hospitals organized education in HAI prevention for new employees, and all hospitals perform periodically such education for hospital staff. In 2010, 80% of hospitals performed at least some audits. In 2006 only 70% of hospitals reported sharp incidents, while in 2010 all hospitals reported it. In 2006 only 40% of hospitals reported SSI, and about 50% ICU infections, while in 2010 more then 60% reported SSI and ICU infections, but there are huge differences in rates between hospitals. Yearly survey of indicators and a feedback to hospitals had an impact in improving structure and processes in HAI

Healthcare associated infecions; prevention; control;

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