A management model for Hospital Hygiene Unit: evidence-based proactive surveillance of potential environmental sources of infection in order to prevent patient's risk.
Environmental surfaces
Food safety
Patient safety
Preventive Medicine
Water safety
Journal
Journal of preventive medicine and hygiene
ISSN: 2421-4248
Titre abrégé: J Prev Med Hyg
Pays: Italy
ID NLM: 9214440
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
15
05
2020
accepted:
04
11
2020
entrez:
25
2
2021
pubmed:
26
2
2021
medline:
11
11
2021
Statut:
epublish
Résumé
The aim of this study is to describe a proactive surveillance system of food, water and environmental surfaces, in order to avoid Healthcare-Associated Infections (HAIs) from hospital environment. It is a retrospective descriptive study. The surveillance system consists of two integrated phases: pre-analytic and post-analytic. The activities are distinguished in ordinary control activities, performed after scheduled and shared surveys, and compliance activities, performed when it is necessary to establish the adequacy of the destination use, for example opening a new ward. A total of 1,470 Samples were collected and 539 Reports were generated across the five-year study period. Water for human consumption procedure: a statistically significant trend was found only in the total number of Samples collected (p < 0.001). Legionella spp. infection water risk procedure: all Samples and Reports, with the exception of Compliance Report Samples, showed a statistically significant trend (p < 0.001). Pseudomonas aeruginosa water risk procedure: only Ordinary Reports and Compliance Report Samples trend were statistically significant (p = 0.002 and p = 0.028 respectively). Effectiveness of surface sanitization procedure: no trend was statistically significant (p < 0.05). Hospital catering and food surfaces procedure: Samples and Reports yearly number was constant, no trend analysis was performed. HAIs prevalence was never over 5% in the hospital under study. This surveillance system of water, food and environmental surfaces represents an innovative way of approaching hospital safety for patients and personnel because it overcomes the limitations due to a classic approach limited to a laboratory analytic phase only, according to the best available scientific evidence.
Identifiants
pubmed: 33628970
doi: 10.15167/2421-4248/jpmh2020.61.4.1587
pmc: PMC7888400
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E628-E635Informations de copyright
©2020 Pacini Editore SRL, Pisa, Italy.
Déclaration de conflit d'intérêts
Conflict of interest statement The authors declare no conflict of interest.
Références
Lancet Infect Dis. 2015 Feb;15(2):212-24
pubmed: 25467650
Epidemiol Infect. 2017 Apr;145(5):857-863
pubmed: 28065212
Curr Infect Dis Rep. 2018 Jun 6;20(8):23
pubmed: 29876674
Infect Drug Resist. 2018 Nov 15;11:2321-2333
pubmed: 30532565
Ann Ig. 2017 Mar-Apr;29(2):101-115
pubmed: 28244579
Epidemiol Infect. 2016 Oct;144(13):2728-31
pubmed: 27586030
Commun Dis Public Health. 2000 Sep;3(3):163-7
pubmed: 11014026
Infect Control Hosp Epidemiol. 2019 Jun;40(6):621-626
pubmed: 30942147
J Hosp Infect. 2009 Aug;72(4):332-6
pubmed: 19278752