Preventing Hospital-acquired Infections in Low-income and Middle-income Countries: Impact, Gaps, and Opportunities

被引:53
作者
Bardossy, Ana Cecilia [1 ]
Zervos, John [2 ]
Zervos, Marcus [1 ,3 ]
机构
[1] Henry Ford Hlth Syst, Div Infect Dis, 2799 West Grand Blvd,CFP 302, Detroit, MI 48202 USA
[2] Henry Ford Hlth Syst, Div Infect Dis, Global Hlth Initiat, 2799 West Grand Blvd,CFP 302, Detroit, MI 48202 USA
[3] Wayne State Univ, Sch Med, Detroit, MI USA
关键词
Infection control; Developing countries; Health care-associated infections; Capacity building; Gaps and recommendations; Resources-limited settings; INTENSIVE-CARE UNITS; VENTILATOR-ASSOCIATED PNEUMONIA; BLOOD-STREAM INFECTION; HEALTH-CARE; TUBERCULOSIS INFECTION; RATES; SURVEILLANCE; STRATEGY; EPIDEMIOLOGY; PROGRAM;
D O I
10.1016/j.idc.2016.04.006
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
In low-income and middle-income countries (LMIC) health care associated infections (HAIs) are a serious concern. Many factors contribute to the impact in LMIC, including lack of infrastructure, inconsistent surveillance, deficiency in trained personnel and infection control programs, and poverty-related factors. In LMIC the risk of HAIs may be up to 25% of hospitalized patients. Building infection control capacity in LMIC is possible where strategies are tailored to the specific needs of LMIC. Strategies must start with simple, cost-effective measures then expand to include more complicated measures. Goals for short-term, medium-term, and long-term actions should be planned and resources prioritized.
引用
收藏
页码:805 / +
页数:15
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