![]() ![]() One of their goals is to influence and facilitate legistative, accreditation, and regulatory agenda for infection prevention (IP) with consumers, policy-makers, health care leaders, and perssonnel. The Association for Profesionals in Infection Control (APIC) has published a program to eliminate HCAIs. The most common HCAIs were SSI (24.3%) and pneumonia (24.3%) with estimated numbers of 157 500 each. In 2011 in United States 4% of acute care inpatients had at least one HCAI. In developed countries SSI follows after urinary tract infections and the SSI-rates vary between 1.3 and 5.2%. The rates are varying from 1.2 to 23.6 infections per 100 surgical procedures. In low- and middle income countries surgical site infection (SSI) is the most frequent type of HAI. In USA, approxymately 99 000 deaths in 2002 and annual economic impact at approxymately US$ 6.5 billion in 2004, were attributed to HCAIs. In Europe annual financial losses are estimated at approxymately € 7 billion every year including direct costs only. For the health-care system HCAIs imply increased resistance to antimicrobials, and massive additional financial costs. The impact of HCAI implies prolonged hospital stay, long term disability, and excess deaths for the patients, and increased costs for the families. IntroductionĪccording to World Health Organization (WHO) health care associted infections (HCAI) are the most frequent adrverse event of patients while obtaining care. Identifying the reasoning for recommendation- adherence it may be possible to improve outcomes of infection prevention programs. ![]() The follow-up study among nurses only revealed lack of interest and need to study more the recommendation-adherence of nurses. There were differences in reasoning between nurses and physicians in the pilot study. A survey among OR-personnel revealed Situation-sensitivity, Reference-sensitivity, Ethical-sensitivity, and Infection-sensitivity factors for self-reported reasoning for adherence to aseptic practice recommendations. It is economically useful and ethical to improve surgical aseptic practice. ![]()
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