Strategies to prevent healthcare-associated infections: A narrative overview

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Strategies to prevent healthcare-associated infections: A narrative overview

17, November 2020 | Bangladesh

Authors:

Haque M. McKimm J. Sartelli M. Dhingra S. Labricciosa F.M. Islam S. Jahan D. Nusrat T. Chowdhury T.S. Coccolini F. Iskandar K. Catena F. Charan J.

Abstract


Healthcare-associated infections (HCAIs) are a major source of morbidity and mortality and are the second most prevalent cause of death. Furthermore, it has been reported that for every one-hundred patients admitted to hospital, seven patients in high-income economies and ten in emerging and low-income economies acquire at least one type of HCAI. Currently, almost all pathogenic microorganisms have developed antimicrobial resis- tance, and few new antimicrobials are being developed and brought to market. The literature search for this narrative review was performed by searching bibliographic databases (includ- ing Google Scholar and PubMed) using the search terms: “Strategies,” “Prevention,” and “Healthcare-Associated Infections,” followed by snowballing references cited by critical articles. We found that although hand hygiene is a centuries-old concept, it is still the primary strategy used around the world to prevent HCAIs. It forms one of a bundle of approaches used to clean and maintain a safe hospital environment and to stop the transmis- sion of contagious and infectious microorganisms, including multidrug-resistant microbes. Finally, antibiotic stewardship also has a crucial role in reducing the impact of HCAIs through conserving currently available antimicrobials.