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Órgano Oficial del Instituto Nacional de Pediatría
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2021, Number 2

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Acta Pediatr Mex 2021; 42 (2)

Update of the standard and specific isolation precautions for the prevention of infections associated with health care

Cristerna-Tarrasa GH, Hernández-Orozco H, Arias-de la Garza E, González-Saldaña N
Full text How to cite this article

Language: Spanish
References: 12
Page: 74-84
PDF size: 332.04 Kb.


Key words:

Health Care Associated Infections, Hospitals, World Health Organization, Specific isolation precautions, Developed countries, Urinary catheter, Orotraqueal intubation, Mechanical ventilation, Drugs, Morbidity, Antimicrobials, Health care workers, Centers for Disease Control.

ABSTRACT

Health Care Associated Infections (HAIs) are a mayor problem in hospitals around the World. The World Health Organization (WHO) estimates that 7% of patients hospitalized in developed countries and 10% in developing countries will develop a HAI. These infections are related with a significant rise in morbimortality and health care costs. Infections are mostly associated with prolonged length of stay, intravascular devices, permanent urinary catheters, orotracheal intubation and use of mechanical ventilation among others. In addition, in recent years Multi Drug Resistant (MDR) organisms are often isolated in HAIs, which contributes to the significantly rise in morbidity, mortality, use of broader spectrum antimicrobials and cost. Efforts around the world are destined to reduce HAIs by using specific isolation precautions regarding the type of microorganism, its transmission and its drug susceptibility. These are primarily based on a high percentage of health care workers correct hand-wash, fast and adequate identification of HAIs and subsequently, the specific isolation recommendation to further prevent outbreaks. These measures are based on the three main transmission methods: contact precautions, droplet precautions and airborne precautions. Therefore, we present an actualization of the 2009 recommendations for prevention of HAIs according to our local epidemiology and to the latest WHO and the Centers for Disease Control (CDC) recommendations.


REFERENCES

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Acta Pediatr Mex. 2021;42