Source avec lien : Journal of Hospital Infection, , 2/14/2020. 10.1016/j.jhin.2020.02.007
Dans de nombreux pays, les infections associées aux soins de santé (IAS) sont problématiques dans les établissements de soins de longue durée pour personnes âgées. Aux États-Unis (US), les IAS sont fréquentes dans les maisons de retraite (NH). Il est nécessaire d’identifier les pratiques efficaces des ministères de la santé des États (DOH) pour aider les NH à améliorer la prévention et le contrôle des infections et à réduire les IHA.
Background In many countries, healthcare associated infections (HAI) are problematic in long term aged care living facilities. In the United States (US), HAI occur frequently in nursing homes (NH). Identifying effective practices for state Departments of Health (DOH) to help NHs improve infection prevention and control and reduce HAI is necessary. Aim As a first step, our objective was to systematically examine and catalogue the variations in state intentions and activities related to HAI prevention in NHs. Methods We conducted an environmental scan of state DOH websites, HAI plans, and HAI state infographics. Data were collected on 16 items across three domains: (1) intentions to reduce HAI in NHs, (2) actions to reduce HAI in NHs, and 3) website usability. Findings State infection control support for NHs varied widely. Most states (92%) mentioned NHs in their HAI plans and 76% included NHs in their infographic. Half have a HAI prevention advisory council, while one-third have a state HAI prevention collaborative. Only 57% of HAI plans that mention NHs included training materials on HAI reduction. The most common training available was on antibiotic stewardship. Conclusion Many US states have room for improvement in the support they provide NHs regarding infection prevention and control. Specific areas of improvement include: (1) increased provision of training materials on HAI reduction, (2) focusing training materials on common HAIs, and (3) NH engagement in collaboratives aimed at HAI reduction. More research is needed linking DOH activities to resident outcomes.