Infection Control in Countries with Limited Resources


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Lecture on Infection Control in Countries with Limited Resources by Patricia Lynch during the 6th International Infection Control Conference 2006

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Infection Control in Countries with Limited Resources

  1. 1. Infection Control in Countries with Limited Resources <ul><li>Patricia Lynch, RN, MBA </li></ul><ul><li>Chair </li></ul><ul><li>International Federation of Infection Control </li></ul>
  2. 2. IFIC
  3. 3. Infection Control... <ul><li>One of the great successes in health care </li></ul><ul><li>Saves money for hospitals AND patients </li></ul><ul><li>Is a fundamental indicator of quality </li></ul><ul><li>Reduces unnecessary death and illness </li></ul>
  4. 4. Yet, Today… <ul><li>Global infection control is a possibility but it is not happening fast enough </li></ul><ul><li>HAIs + education & training to prevent HAIs are similar in similar circumstances </li></ul><ul><li>HAIs: a leading cause of neonatal deaths </li></ul><ul><li>Only 58/192 countries have IC societies </li></ul><ul><li>No global AIDS prevention </li></ul><ul><li>No global planning </li></ul>
  5. 5. Global Burden Of Hospital Infections <ul><li>All health care systems in the world spend most of the budget on hospitalization. </li></ul><ul><li>Infection problems are amplified in hospitals: From communicable respiratory diseases to bloodborne infections from injections to bacteria in wound infections. </li></ul>
  6. 6. Global Health Issues That Impact Infection Prevention <ul><li>Insufficient financial resources for health </li></ul><ul><li>Disproportionate burden of preventable cost and disease for least developed countries </li></ul><ul><li>Failure of facilities to use proven & inexpensive strategies to < risk </li></ul><ul><li>Inadequate training for HCWs especially nurses </li></ul>
  7. 7. Reported Rates For Hospital Infections in ICUs: <ul><li>3-4X higher in low resource hospitals than NNIS benchmark </li></ul><ul><li>Rates declined in all facilities when correct practices were reported to caregivers (Rosenthal) </li></ul>
  8. 8. Keystone Project/100,000 Lives Saved <ul><li>More than 100,000 lives were saved in less time than 18 months (Berwick) </li></ul><ul><li>Some ICUs have gone more than 6 months with no VAP, CR-BSI, or CR-UTI: (Keystone </li></ul><ul><li>We have been setting our goals way too low in the existing IC societies and not reaching far enough. </li></ul>
  9. 9. What Are Effective Change Agents In This Effort? <ul><li>Local infection control societies : major source of education and support </li></ul><ul><li>Individual hospitals often leaders </li></ul><ul><li>Governments: often not a powerful force even in highly developed countries </li></ul><ul><li>NGOs, WHO, PAHO, private foundations are slightly more consistent </li></ul>
  10. 10. IFIC Vision & Mission <ul><li>V: Every nation has a functioning infection control organization. </li></ul><ul><li>M: IFIC provides the essential tools, education materials, & communication that unite the existing IC societies and foster development of IC organizations where they are needed. </li></ul>
  11. 11. International Federation of Infection Control <ul><li>Making progress getting funding for multinational projects in IC </li></ul><ul><li>Looking for help from all its member organizations </li></ul>