| Responsibility for managing healthcare-associated infections: where does the buck stop? | |
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MedLine Citation:
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PMID: 19765862 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The prevention and control of healthcare-associated infections (HCAIs) requires a tripartite partnership between clinicians and carers, managers and government/Department of Health (DoH) across the whole health and social care community. Mandatory surveillance of meticillin-resistant Staphylococcus aureus bacteraemia and Clostridium difficile infection has shown a significant fall from peak numbers in 2003/04 and 2006, respectively, and there is now a zero tolerance approach to preventable infections and poor practice. Success so far has been based on senior management commitment, enhanced real-time surveillance, implementation of clinical protocols (high impact interventions, prudent prescribing), improved hand hygiene and environmental cleaning, and training and audit, backed up by a heightened performance management focus through targets and legislation (Code of Practice). DoH improvement teams have supported National Health Service trusts in implementing change. Responsibility for managing HCAI is a combination of managerial responsibility based upon compliance assurance that procedures and protocols are being implemented and personal professional responsibility of all clinicians and other healthcare workers. |
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Authors:
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B I Duerden |
Publication Detail:
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Type: Journal Article; Review Date: 2009-09-17 |
Journal Detail:
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Title: The Journal of hospital infection Volume: 73 ISSN: 1532-2939 ISO Abbreviation: J. Hosp. Infect. Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-20 Completed Date: 2010-02-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8007166 Medline TA: J Hosp Infect Country: England |
Other Details:
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Languages: eng Pagination: 414-7 Citation Subset: IM |
Affiliation:
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Department of Health, Wellington House, 133-155, Waterloo Road, London SE1 8UG, UK. brian.duerden@dh.gsi.gov.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bacteremia
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epidemiology,
prevention & control Clostridium difficile Cross Infection* / epidemiology, microbiology, prevention & control Enterocolitis, Pseudomembranous / epidemiology, prevention & control Great Britain / epidemiology Humans Infection Control* / legislation & jurisprudence, methods, standards Methicillin-Resistant Staphylococcus aureus Physician's Practice Patterns / standards* Population Surveillance / methods* Staphylococcal Infections / epidemiology, prevention & control State Medicine / legislation & jurisprudence* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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