Infection prevention The ECDC report highlights the continuing
challenge represented by IPC practices and AMR in Europe. They sugest several areas for targeted improvement of antimicrobial use, including reducing the use of broad-spectrum antimicrobials, adherence to single dose surgical prophylaxis, reducing medical prophylaxis, targeting change from parenteral to oral administration of antibiotics and improving the documentation of the reason for antimicrobial prescribing in the patient’s records.
Conclusion The reports, all together, highlight the continuing challenges to good IPC practices around the world and should provide some food for thought for all governments, regions and individual hospital facilities. They also show the large variability in the implementation of core components of the IPC and antimicrobial stewardship programmes identified by WHO. Since the surge in interest in IPC and some limited investments, these have fallen away – despite outbreaks of Marburg, Ebola and mpox in some countries, demonstrating that more focused investment must be made and IPC professionals employed to educate those who need training. The knowledge that investment in WASH services has a high return on investment surely gives a good indicator for where to start.
References 1. World Health Organisation. November 2024 Global Report on infection prevention and control 2024. Accessed at https://www.who. int/publications/i/item/9789240103986
CSJ
2. European Centre for Disease Prevention and Control May 2024.
https://www.ecdc.europa. eu/sites/default/files/documents/healthcare- associated-point-prevalence-survey-acute-
Core targets at a national level
1 Increase of proportion of facilities meeting all WHO minimum requirements for IPC programmes 2 Increase in the proportion of facilities with a dedicated and sufficient funding for WASH services and activities
3 Increase in the proportion of facilities providing training to all frontline clinical and cleaning staff upon employment and annually and to managers upon employment.
4 Increase of proportion of tertiary /secondary healthcare facilities having an HCAI and related AMR surveillance system.
Table 2. Core targets for national levels for monitoring IPC.
care-hospitals-2022-2023.pdf
3. Ibid 4. Nkurunziza T. Kateera F. Sonderman
K.Gruendl M. et al 2019 Prevalence and predictors of surgical site infection after caesarean section at a rural district hospital in Rwanda. BJS 2019;106:e121-e128
https://www.researchgate. net/publication/330243781_Prevalence_and_ predictors_of_surgical-site_infection_after_ caesarean_section_at_a_rural_district_ hospital_in_Rwanda
5. Mukamuhirwa D. Omondi L. Baziga V. Ingabire C. et al. 2022 Prevalence of surgical site infection among adult patients at a rural district hospital in southern province, Rwanda https://www.
ajol.info/
index.php/rjmhs/issue/view/20586
6. HM Government. Confronting Antimicrobial Resistance 2024-2029
Come and see us for your Procedure Pack requirements 8. Ibid Come and see us for your Procedure Pack requirements
Stand H45 Stand H45
February 2025 I
www.clinicalservicesjournal.com 17
7.
https://assets.publishing.service.gov.uk/ media/664394d9993111924d9d3465/confronting- antimicrobial-resistance-2024-to-2029.pdf
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