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“Beyond the guidelines” – Deviations in adherence to infection control measures in Tyrolean hospitals, Austria - 30/03/23

Doi : 10.1016/j.ajic.2022.07.005 
Michael Berktold, PhD a, , Stefan Fuchs, PhD a, Bettina Kuppelwieser, MD a, Hanno Ulmer, PhD b, Margareth Kettner, MD c, Lucas Thummer c, Ewald Wöll, MD d, Cornelia Lass-Flörl, PhD a

the Study Group Hygiene Tyrol

a Institute of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria 
b Department for Medical Statistics, Informatics and Health Economics, Medical University of Innsbruck, Innsbruck, Austria 
c Department of Clinical Hygiene, District Hospital St. Johann, Tirol, Austria 
d Department of Internal Medicine, Hospital St. Vinzenz, Zams, Austria 

Address correspondence to Michael Berktold, Institute for Hygiene and Medical Microbiology, Medical University of Innsbruck, Schöpfstrasse 41, Innsbruck 6020, Austria.Institute for Hygiene and Medical MicrobiologyMedical University of InnsbruckSchöpfstrasse 41Innsbruck6020Austria

Highlights

Infection control measures in Tyrolean hospitals vary according to discipline.
Best congruence to Centers of Disease Control and Prevention-recommendations was observed in Infection Control teams.
Clinical disciplines showed only fair congruence to Centers of Disease Control and Prevention-recommendations.

El texto completo de este artículo está disponible en PDF.

Abstract

Background

Hospital-acquired infections represent increasing problems in health-care facilities worldwide. Adequate infection control measures are key elements in preventing those infections. Expert societies have published recommendations that help to reduce Hospital-acquired infections.

Methods

In November 2019, a questionnaire-based point-prevalence survey, eliciting the adherence of 14 Tyrolean hospitals to the recommendations of the Centers of Disease Control and Prevention (CDC) was performed. Additionally, standard infection control measures performed by different medical (clinical and infection control specialists) disciplines as well as the performed infection control measures of nurses and physicians were compared.

Results

The survey revealed varying adherence to CDC-recommendations of different medical disciplines, with highest congruence by the infection control specialists and lower congruencies by all surveyed clinical disciplines. Concordance rate between nurses and physicians was high.

Discussion

Explanations for the varying congruencies of clinical disciplines on the one hand and the infection control specialists on the other hand may be versatile. Possible lacks of knowledge about the required hygiene measures should be taken into account.

Conclusions

The present survey showed moderate adherence of Tyrolean hospitals to the recommendations provided by CDC, however with noticeable differences between different medical disciplines. Nurses and doctors in most cases reported identically.

El texto completo de este artículo está disponible en PDF.

Key words : Infection prevention, Tyrol, Questionnaire-based survey, Point-prevalence survey


Esquema


 Funding/support: Cornelia Lass-Flörl reports payments made to institution as well as personal fees (all indicated separately in the conflict of interest form) within the past 36 months.
 Conflicts of interest: Michael Berktold, Stefan Fuchs, Bettina Kuppelwieser, Hanno Ulmer, Margareth Kettner, Lucas Thummer and Ewald Wöll report no Conflict of Interest.


© 2022  Association for Professionals in Infection Control and Epidemiology, Inc.. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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P. 406-412 - avril 2023 Regresar al número
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