The coronavirus pandemic and other epidemics have highlighted the extent to which healthcare facilities can contribute to the spread of infections.
“The COVID-19 pandemic has exposed many IPC challenges and gaps in all regions and countries, including those with the most advanced IPC programs,” said Tedros Adhanom Ghebreyesus, Chief Executive Officer of WHO.
“An unprecedented opportunity”
Today, out of 100 patients in acute care hospitals, seven in high-income countries and 15 in low- and middle-income countries will acquire at least one healthcare-associated infection (HAI) during their hospital stay. hospital – one in 10 of which will die.
Newborns and intensive care patients are particularly at riskreveals the report, and nearly half of all cases of sepsis with organ dysfunction in adult intensive care units are healthcare related.
The first-ever WHO Global Report on Infection Prevention and Control brings together evidence from scientific reports and new data from WHO studies.
“It also provided an unprecedented opportunity to take stock of the situation and rapidly scale up epidemic preparedness and response through IPC practices, as well as strengthen IPC programs across the health system. “, said the head of the WHO.
make a case
The impact of healthcare-associated infections and antimicrobial resistance on people’s lives is incalculablesay who.
More than 24% of patients with nosocomial sepsis and 52.3% of those treated in an intensive care unit die each year.
In addition, deaths are multiplied by two or three when infections are resistant to antimicrobials.
With regional and national accents, new WHO report provides situational analysis of how IPC programs are being implemented around the world.
While addressing the harm HAIs and antimicrobial resistance cause to patients and healthcare workers, it also highlights the impact and cost-effectiveness of infection prevention and control programs as well as strategies and resources States have to improve them.
Over the past five years, WHO has conducted global surveys and joint country assessments to assess the status of implementation of national IPC programmes.
Comparing survey data from 2017-18 to 2021-22, the percentage of countries with a national IPC program has not improved; and in 2021-2022, only 3.8% of countries had all IPC minimum requirements in place at the national level.
In healthcare facilities, only 15.2% met all minimum IPC requirements, according to a 2019 WHO survey.
Our challenge now is to ensure that all countries are able to allocate human resources, supplies and infrastructure – WHO chief
However, encouraging progress has been made, with many more countries nominating IPC focal points; dedicated budgets for IPC and the training program for frontline health workers; national IPC guidelines and programs for HAI surveillance; and hand hygiene compliance established as key national indicators.
Strongly supported by WHO and others, many countries are stepping up actions to put in place minimum requirements and core components of IPC programs.
Sustaining and expanding this long-term progress is a critical need that requires urgent attention and investment.
“Our challenge now is to ensure that all countries are able to allocate the necessary human resources, supplies and infrastructure,” Tedros said.
WHO calls on every nation to increase investment in IPC programs, not only to protect patients and health workers, but also to improve health outcomes and reduce health care costs and out-of-pocket expenses.