Analysis of cases of infections associated with medical care on surgery departments registered in Constanta County during 2014-2018

Abstract

Healthcare-associated infections (HAI) represent infections that happened during after hospitalization, the symptoms starting at least 48 hours after admission, being present during hospitalization or after discharge. A common category of HAI are surgical infections that have a major clinical and financial impact. The aim of this study is the analysis of cases of healthcare-associated infections in the surgery departments in Constanţa County during 2014-2018. The authors note the progressive increase in the number of cases reported annually, thanks to the rigorous application of the provisions of Order of the Ministry of Health 1101/2016, which regulates the activity of monitoring and controling of HAI. The change of the profile of the infections, with the predominance of the digestive ones compared to those of the surgical wound, denotes on the one hand the improvement of the technical conditions of asepsis, but also an administration of excessive antibiotic therapy, which requires the establishment of effective measures of antimicrobial stewardship.

Keywords

• healthcare associated infections
• surgery
• digestive infections
• prevention