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IMPORTANT DEVELOPMENTS for implementation of healthcare-associated infections and AMR prevention and control measures-Republic Bulgaria-2008. Assoc. Prof. R.VatchevaDobrevska,MD,PhD National Reference Centre for Nosocomial Infections, NCIPD, Sofia Ministry of Health, Republic Bulgaria.
IMPORTANT DEVELOPMENTSfor implementation of healthcare-associated infections and AMR prevention and control measures-Republic Bulgaria-2008
Assoc. Prof. R.VatchevaDobrevska,MD,PhD
National Reference Centre for Nosocomial Infections, NCIPD, Sofia
Ministry of Health, Republic Bulgaria
a specialized unit at the
National Center of Infectious
and Parasitic Diseases (NCIPD),Director Academician Dr Bogdan Petrunov, DSc
hasbeensetupwiththesupportof BulgarianMinistry of Health, Swiss Confederation’s Government - Swiss Red Cross viaBulgarian-SwissHospital HygieneProgramme and indicated as a competent local authorized structures for HAI.
1. A proposal of “NATIONAL PROGRAMME for
PREVENTION AND CONTROL OF HAI and
RESTRICTION of SPREAD of AMR 2009-2011”
The Programme was presented at the Ministry of health for financial support of the activities
control of HAI and AMR “ and
Commission to the European Parliament and
the Council on Patient safety, including the
prevention and control of HAI” (Brussels,
15.12.2008, COM, 836, final) .
3. An EXPERT COUNCIL for infection control to Health Minister has been created – to thehigher decisions making level in the health care system.
clinical microbiologists, hospital epidemiologists ,
Regional Inspectorate,infection and infection
control specialists, nurses, and others, within the
range of a Congress of the BulgarianAssociation
of Microbiologists (BAM) in 2008.
The ESCMID President,
Professor Giuseppe Cornaglia
was a special guest, during the
“IPSE Working Party TwoConsensus on EU Hospital Infection Control and Antimicrobial Resistance Standards and Performance Indicators” Prof. Barry Cookson,
Ana Paula Coutinho
6. NATIONAL MEETING on HAI with a FOCUS on MRSA (methicillin-resistantStaphylococcus aureus)was organized by NCIPD-NRC-NI- 19.06.2008 in Sofia.
clinical microbiologists, epidemiologists,
infection andclinicalspecialists, managers
of HCF and others were participated
in the meeting.
6.3. A project of Guidelines for control and prevention of MRSA in HCF in the country is coming to be developed by NRC-NI.
6.4. The topics of the Bulgarian and foreign experts’ presentations covered various aspects, including the approaches for patients and staffsafety,corresponding to the World Alliance for Patient Safety established by the WHO in 2004.
The guest sharedexperience of his country with Dr. T. Tenev, Chief of Medical Officers, MHat the time of round table in the Ministry of health. They also discussed the possibility of future consultations and collaboration in
the process of development of
the Bulgarian system.
7.2. The data from the National prevalent survey of HAI is being analysed and their publication is coming.
7.3. A Prevalence survey of HAI in regional hospitals in Sofiaregionwas conducted in 2008 by staff of the NRC-NI-and Regional Inspectorate- Sofia.
8.4. The training of the clinical staff responsible for HAI of medical and nurses level (link staff) is institutionalized and introduced on the system of CME;
8.6. A training courseabout diagnostic methods, risks and staff and patients safety in the field of organ transplantation has been provided in the “National Agency of transplantation”
9.2.The following methods have been implemented for typing and detection of resistance genes in nosocomial pathogens: PFGE, MLVA, ERIC, REP-PCR.
9.4. Author’s team from the NRC-NI has participated in the scientific events:The Bulgarian Association of Microbiologists Congress/Plovdiv,2008, The European Congress ECCMID / Barcelona, 2008,The European Congress of Micobacteriology/Report for ensures safety of patients and staff at health-care facility on TB/
Seminar on communicable diseases prevention
and control: 29/09/2008 - 02/10/2008,
organized by Directorate-
The General Objective is to harmonise the practical standards for infection prevention and control in Bulgaria with European standards.
The priorities will be as follows:
This should support the formulation of an adequate national antibiotic strategy, respectively of cost-effective local antibiotic policies.