Wednesday , May 5 2021

They warn that domestic infections have come to private homes



Intraospiral infections, caused to a large extent by antibiotic-resistant bacteria, no longer concern medical devices, he warned. The Argentine Microbiology Association (AAM), who noted that "they have already arrived in homes for home and even in hospitals in their homes."

This was one of the topics discussed recently VIII Congress of the Argentine Society of Bacteriology, Mycology and Clinical Parasitology (Sadebac) – which is part of AAM – and which raises concerns in the scientific community, as "the degree of resistance to molecules with antibiotic action in normal use is very high."

According to World Health Organization (WHO) every year about 700,000 people die due to antimicrobial resistance (AMR), which will reach 10 million by 2050 "if no action is taken".

"These healthcare associated infections, also called intra-patients, are closely related to the use of medical devices which we did not count before, "he explained. biochemist and specialist in clinical bacteriology, Jaime Kovensky Pupko.

Sadebak, the expert and coordinator of Sub-Committee on Antimicrobials, said that "the drug progressed a lot, so there are now more patients with a compromised immune system (transplanted, oncological) exposed to invasive procedures that carry the inevitable risk of infection."

He also stressed that "one of the problems that are most interested the low level of adherence to hand washing of healthcare personnel, that in Argentina he does not exceed 30%. "

"The biggest problem with hand washing is the transmission of bacteria horizontally," biochemistry agreed. Adriana Sukari, Vice President of AAM and President of Sadebac.

He adds, "Doctors, nurses, kinesiologists and all health professionals who help a patient carrying a carrier of a resistant bacteria can spread it to the next patient if they do not clean their hands apart."

Both experts have agreed that it is "fundamental" to limit the extent of healthcare associated infections observed in day care hospitals, elderly homes, and home hospitals.

"Each medical institution must develop and implement a monitoring program that includes the search for multi-drug resistant bacteria and the application of precautions to prevent horizontal transmission that occurs from one patient to another or through the patient's hands. of objects such as stethoscopes and thermometers, "said Covensky.

He reminded that antimicrobial resistance is associated with the "abuse or abuse of antibiotics": "In 2016, antimicrobial resistance is a health issue that is being addressed at the UN-sponsored summit of presidents."

"For the first time, the Heads of State have committed themselves to adopting a strategy coordinated in a broad circle to deal with it in human, animal and agricultural health, "he recalls.

"Antibiotics should be prescribed by a doctor and this recipe must be taken to the pharmacy." There are studies showing that non-compliance with this rule reaches 80% in Buenos Aires, "he said in a dialogue with this agency.

He adds: "This over-the-counter sale answers in most cases to the behavior of self-medication, in situations where the antibiotic is unnecessary, because these are viral pictures that produce resistant bacteria in the infectious focus or in the intestinal microflora that inhabits us".

"We all have to take care of the ecology of our own microbial flora if we want to keep the progress of microbial resistance," he added. Kovensky.


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