Reducing hospital infection rates in burn unit thanks to compliance with infection control measures
Abstract number: 1733_1440
Ozkurt Z., Akcay M.N., Erol S., Aras A.
Objective: Because infections are easily develop on burn wound, hospital infection rates usually high in burn units. The aim of the study is to show affect of compliance with infection control measures on burn wound infections.
Methods: The study was conducted a 14-bed burn unit hospitalised paediatric and adult case in a 1200-bed university hospital. Previously infection rates and antibiotic resistance rates were high. Sometimes educations had been made related infection control measures at unit. Imipenem resistant P. aeruginosa strains were increased and 5 pan-resistant strains observed. Environmental surveillance cultures were performed. Shutting the unity would be planned if pan-resistant strains can not be eradicated Education related infection control precaution was repeated and strictly adherence was advised the unity staff.
Results: Compliance with infection control measures was increased. Adherence of hand hygiene, asepsis and antisepsis improved. Environmental culture results show that hydrotherapy tank is hydrotherapy tank is an important source of P. aeruginosa infections. Because of previous experience we had learned that completely disinfection of the tank was very hard, and sometimes it may be impossible. For this reason hydrotherapy tank use was abandoned. Environmental cleaning and disinfections were made more frequently. Isolation and contact precautions were applied colonised and infected patients. Different rooms were used for surgical operation of colonised or infected patients and others. Empiric antibiotic use was not received at admission, antibiotics use was limited only by infectious diseases specialist at short periods.
At this period burn wound infection rates sharply decreased. Infection rates were reduced: 28.3% in 2003, 16.8% in 2004, 9.8% in 2005 and 7.4% in 2006. Pan resistant P. aeruginosa strains were not seen. Antibiotic susceptibility in the Gram-negative microorganisms was improved to some degree.
Conclusion: Adherence of universal infection control practice reduced the burn wound infections. Antibiotic use should be based on evidence, and duration of the antimicrobial drugs should be short. Hydrotherapy tank should use only if necessity is available.
|Session name:||European Society of Clinical Microbiology and Infectious Diseases|
|Location:||ICC, Munich, Germany|
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