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INFECTION CONTROL

PRACTICES: REVISITING THE

PAST & LOOKING FORWARD

August 20, 2009

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BACTERIAL RESISTANCE: A PUBLICHEALTH CRISIS

FACT # 1:The discovery and development of

antibiotics are at a standstill while

there is increasing incidence ofbacterial resistance to antibiotics

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BACTERIAL RESISTANCE: A PUBLICHEALTH CRISIS

FACT # 2:

Major pharmaceutical companies arelosing interest in the antibiotics

market because these drugs are not

profitable as drugs for chronic

conditions & lifestyle conditions

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BACTERIAL RESISTANCE: A PUBLICHEALTH CRISIS

FACT # 3:

Pending antibiotics have no novelmechanisms of action (new antibioticsare only improved versions of the same

classification & DO NOT address the issueon increased bacterial resistance)

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BACTERIAL RESISTANCE: A PUBLICHEALTH CRISIS

SOLUTION:

> Using antimicrobials wisely> Diagnose & treat infection

effectively

> Patient education

> Legislation

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THE SWINE FLU PANDEMIC

THE GOOD NEWS = Vaccine: will be released

mid-October 2009 (WHO recommendation:

1 dose seasonal human influenza vaccine +2 doses of swine flu H1N1 monovalent

vaccine with 2nd dose administered as

booster several weeks after initial dose);only administered to target populations due

increase in demand

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NEW TERMINOLOGIES

* use of the term health care-

associated infection (HCAI) toreplace hospital-acquired infection

(formely nosocomial/iatrogenic

infection)

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NEW TERMINOLOGIES

* use of the term sexually

transmitted infections (STIs) toreplace sexually transmitted

diseases (STDs)

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WHO GUIDELINES ON HAND HYGIENE2009

* Alcohol-based hand rubs

> the GOLD STANDARD of handhygiene (WHO formulation published

in the internet)

> only requires 20-30 seconds(increased compliance among health

workers)

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WHO GUIDELINES ON HAND HYGIENE2009

* Handwashing still recommended if

hands are grossly dirty

* Hand hygiene is a quality indicator

of patient safety

* WHO Promotional Strategy> My 5 Moments of HandHygiene

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