Infection Prevention and Control Saving lives

1. Infection Prevention and ControlSaving lives Budapest, 6 March 2019 Dr Masoud Dara Coordinator, Communicable Diseases WHO Regional Office for Europe

3. Back to basics Infection prevention and control (IPC) are practices and activities that prevent patients and health workers from being harmed by avoidable infections.

4. The global and European burden of Healthcare Associated Infections (HAI) is unacceptable Global • 7% of patients in developed and 10% in developing countries will acquire at least one HAI on average ; • death from HAI occurs in about 10% of affected patients; European region • Over 4 million patients are affected by 4.5 million HAI episodes annually • leading to 16 million extra days of hospital stay, 37 000 attributable deaths and contributing to an additional 110 000 deaths per year. Report on the endemic burden of healthcare-associated infection worldwide. Geneva: World Health Organization; 2011

5. Joining forces for the greatest impact!Infection Prevention and Control contributes to achieving the global health priorities

6. Standard Precautions All patients, at all times • “Standard precautions are meant to reduce the risk of transmission of bloodborne and other pathogensfrom both recognized and unrecognized sources. • They are the basic level of infection control precautions which are to be used, as a minimum, in all patient care settings.“ • "Risk assessment is critical. Assess all health-care activities to determine the personal protection that is indicated." • Standard precautions in health care: Aide-memoire. WHO October 2007 • http://www.who.int/csr/resources/publications/EPR_AM2_E7.pdf.

7. How are we doing in terms of Infection Prevention and Control Programmes in the European region?

8. Strengthening infection control in European hospitals is a public health priority • Almost all countries (96%) have a national IPC programme • Almost all hospitals (96%) have infection control objectives on • hand hygiene (87%) • HIA reduction (84%) • and antibiotic stewardship (66%). • Infection control staffing and policies vary broadly across Europe • The good news: hand hygiene receives considerable attention. J Hosp Infect. 2015 Dec;91(4):338-45.

9. Global Monitoring of Country Progress on Antimicrobial Resistance (AMR) Global Database Country Self Assessment -2018

10. Capacity for infection prevention and control and chemical and radiation decontamination State Party self-assessment annual reporting 2018 International Health Regulations (‎2005)

11. Effective IPC requires constant action at all levels of the health system, from policymakers to facility managers, health workers, hygiene specialists and those who access health services. 

12. Core components of infection prevention and control programmes at the national and acute health care facility level Core Component 4 HAI Surveillance Core Component 3 IPC Training/Education Core Component 1 IPC Programme Core Component 2 IPC Guidelines Core Component 8 Built environment, materials & equipment for IPC Core Component 6 Monitoring, audit & feedback Core Component 7 Workload, staffing & bed occupancy Core Component 5 Multimodal Strategies

13. The implementation approach IPCAT2 National Implementation packages 5-Step implementation cycle WHO Guidelines Health facility IPCAF

14. Adapting IPC Core Components • multimodal/multidisciplinary strategies • patient-centred • integrated within clinical procedures • innovative and locally adapted • tailored to specific cultures and resource level

15. Conclusion • Demonstrate leadership and commitment • Exchange good practices • Support consolidated Actions • Continuous awareness • Full cycle of programme management for improvement

16. Acknowledgment • Dr Zsuzsanna Jakab, WHO Regional Director for Europe • Dr Dorit Nitzan, Coordinator for Health Emergency, WHO Regional Office for Europe • Ms Ana Paula CoutinhouRehse, Technical Officer, WHO Regional Office for Europe • Member States and Partners

17. Thank you very much for your attention