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Road to Effective Infection Control in Poland: From HELICS to HAI-Net

Explore the journey of infection control in Poland, from its beginnings in the 19th century to the establishment of the Active Infection Surveillance System and the Polish Neonatology Network. Discover the latest developments in preventing healthcare-associated infections through the HAI-Net initiative.

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Road to Effective Infection Control in Poland: From HELICS to HAI-Net

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  1. A road to effective infection control in Poland: from HELICS to HAI-Net Piotr Heczko Jadwiga Wojkowska-Mach Chair of Microbiology Jagiellonian University Medical College Polish Society of Hospital Infection

  2. The beginning of IC in Poland • 1853 - Nightingale • 1857 – Semmelweis – Wien (Austrian-Hungarian Empire) • 1887 – Krakow – the first studies on surgical site infections (under Austrian-Hungarian Empire)

  3. Polish IC in 90s First National Surveillance System: • Initiated in 1996 by Polish Society of Hospital Infection (PTZS), • Voluntary, passive, hospital-wide, • Clinical, prospective • Data collection by physicians or nurses, but not ICP • CDC definitions

  4. The turning point in Polish system of infection surveillance appeared to be the year 2001: • Specializations in Epidemiological Nursing for nurses and in Medical Microbiology for doctorswere introduced. • The new Polish acton infectious diseases and infections was established by the parliament. • The active infection surveillance system was introduced (by PTZS)

  5. The active infection surveillance system in Poland • Introduced (in 2001) and coordinated by the Polish Society of Infection Control • Financed by interested hospitals • Based on the HELICS model and definition • Founded on trained epidemiological nurses who detected and registered infections We keep infections under control

  6. The Active InfectionSurveillance System in Poland • 42 hospitals • More then 100 trained nurses and doctors participated in the program

  7. The Active Infection Surveillance System in Poland

  8. The Active Infection Surveillance System in Poland PBH

  9. the Polish Neonatology Network • Infections are classified according to Gastmeier criteria using Gastmeier`s protocols (NeoKISS) with modifications: additional informationabout surgery + Early-onset infections

  10. The Polish Neonatology Network First publication Early-Onset Infections of VLBWt Infants in Polish Neonatology ICUs Jadwiga Wójkowska-Mach MS, PhD, Maria Borszewska-Kornacka MD, PhD, Joanna Domańska MS, PhD, Janusz Gadzinowski MD, PhD, Ewa Gulczyńska MD, PhD,, Ewa Helwich MD, PhD, Agnieszka Kordek MD, PhD, Dorota Pawlik MD, PhD, Jerzy Szczapa MD, PhD, Jerzy Klamka, MS, PhD, Piotr B. Heczko MD, PhD Accepted for publication in PIDJ Summary: Methods Continuous prospective infections surveillance was conducted from 1.01.2009 to 31.12.2009 at six Polish NICUs and covered 910 newborns. whose birth weight was lower than 1500 grams. Infections were defined according to the Gastmeier’s criteria. Early-Onset Septicemia (EOS) was defined as septicemia diagnosed <3 days after delivery and Early-Onset Pneumonia (EO-Pneumonia) was defined as pneumonia diagnosed <3 days after delivery. Results The incidence of EOS: 7.0% and of EO-Pneumonia: 8.6% were confirmed. The factors which significantly increased the risk of EOS were: a low gestational age, small birth weight, a low score in the CRIB and Apgar scale as well as amnionitis in the newborn’s mother. The perinatal prophylaxis policy was not connected with EOS. The factors considerably increasing the risk of EO-Pneumonia were: low scores in the CRIB and Apgar scale, a low gestational age and bacterial vaginosis in the child’s mother during pregnancy. The most prevalent bacteria were Gram-positive cocci (39.7% of all the infections, 47.8% in EOS). GBS was the cause of 20% of the EOS. Gram-negative cocci were isolated in 33.3% and yeast-like fungi in 7,9% of cases. Atypical infections were observed in 22% of the cases of EO-Pneumonia.

  11. Infections in Polish LTCFs • Prevalence of infections: 1,9% (mean for HALT: 4,1%) • The average age for the population was 76.2 years[SD ± 10.5]. For HALT: 82 years. In Poland significantly older patients (aged ≥80) were on home care.

  12. 3rd Polish National Infection Surveillance System • New active nosocomial infections surveillance system, compatible with HAI-Net: • HAI ICU (light protocol) • HAI SSI • Starts: January 2012, Małopolska region • 2 meetings –workshops for about 30 hospitals (spring, autumn 2011) • Developed by Polish Society of Hospital Infections (NGO) in co-operation with Regional Sanitary Inspectorate

  13. The Polish bumpy road to HAI-Net

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