MICROBIAL SURVEILLANCE IN HEALTH CARE - CHANGING TRENDS WITH EMERGING SUPERBUGS -Infection continues to be a great threat, less perceived even by the Medical personal, even the developed countries estimate many die and become morbid as consequences of infections, the world needs better approaches to control the infections, In addition to improving safety, the approach could significantly improve productivity and reduce health care costs, Technologies advanced, highly competent doctors and nurses care than in the past however Today’s ICU is likely less safe and productive than it was 30 years ago. It is packed with more devices and alarms, and none communicate in scientific day, False alarm rates are extremely high in critical care, Because the number of changes that may benefit the health care system is vast, strategies that focus scarce resources on the promotion of changes with the largest positive impact are essential. The surveillance of health care areas without understanding the implications is much harmful than no surveillance, today internet has become source of information and misinformation too, many Infection control group think /believe in aggressive surveillance, forgetting how much it costs in surveillance culture media swabs and human man power and creating and collecting documents is end of the matters, ultimately nothing will change , Because the number of changes that may benefit the health care system is vast, strategies that focus scarce resources on the promotion of changes with the largest positive impact are essential. Getting back to literature well perceived and peer reviewed, there is no better action like human behavior in health care areas and HAND HYGIENE. Today most important matter in critical care areas is CARING TO PREVENT THE INFECTIONS WITH SUPERBUGS AS The world faces the grave outcomes with Carbapenem-resistant Enterobacteriaceae (CRE) major isolates being Klebsiella species (KRE), MRSA VRE Prevention of nosocomial transmission of KPC has surfaced as an emerging priority. Infections caused by KPC-producing bacteria have resulted in substantial morbidity and mortality because of limited treatment options, and they present significant therapeutic and infection control challenges in health care settings.
As matters stand majority of the Hospitals follow their own dictum every information literature formulated with authors experience, making surveillance REPORTS remain to hospital records and Microbiologists should at least audit the results, to educate on infection trends, PREVAILING TRENDS ON MDR strains and SUPERBUGS in the organization we work, and implications and growing affluence and corporate culture we are spending much on unsafe chemicals rather than investing safe hospital practices, and surveillance is a necessity without follow up or action plans costs huge resources, It is happening that there are few departments who collect the Microbiology surveillance reports, even of critical care areas and Operation theaters ,
THE WORLD IS CHANGING THE PATIENTS AWARENESS IS INCREASING TODAY MANY WISHES TO BE TREATED AT BIO HAZARD SAFE HOSPITALS
References and to learn more at Advances in the Prevention and Control of HAIs Prepared by IMPAQ International, LLC Columbia, MD AHRQ Publication No. 14-0003June 2014 Dr.T.V.Rao MD @ Hospital surveillance matters
Dr.T.V.Rao MD