ArticlePDF Available

DEVELOPMENT, ORGANIZATION AND FUNCTIONING OF THE CENTRAL STERILE SUPPLY DEPARTMENTS IN BULGARIA: NATIONAL QUESTIONNAIRE SURVEY, 2018

September 2019

Authors:

Violeta Voynova-Georgieva

Medical University of Sofia

Milena Nikolova

National Centre of Infectious and Parasitic Diseases, Bulgaria

Bulgarian Association for infection Prevention and Control BulNoso

Rossitza Vatcheva-Dobrevska

National Centre of Infectious and Parasitic Diseases, Bulgaria

Show all 7 authorsHide

Questionnaire survey on the main aspects of prevention and infection control was performed in 52 multi-profile hospitals for active treatment in the country in July-September 2018. In addition to the questions asked in our previous surveys more data were collected about the central sterile supply departments (CSSD) in 41 hospitals and medical personnel protection against hepatitis B and influenza. Information about the main aspects of infection prevention and control was collected for the period after the implementation of the national standard on nosocomial infections in 2010, and 16 years after establishment of the Bulgarian-Swiss Hospital Hygiene Programme. Results of the survey are aimed at providing updated information on the prevention and control of nosocomial infections, as well as on the development, organization and functioning of CSSD and quality assurance of the central sterile supply in Bulgarian hospitals.

Content uploaded by Milena Nikolova

Content may be subject to copyright.

ResearchGate has not been able to resolve any citations for this publication.

ResearchGate has not been able to resolve any references for this publication.

Article

Influenza: A nosocomial infection

November 2006 · La Presse Médicale

François Bricaire

Article

From hospital hygiene and infection control to quality assessment

January 2000 · Acta Hospitalia

Hospital hygiene and infection control are now considered as one single scientific and clinical speciality even though they developed from different starting points some 40 years ago. In the hygienic approach, much work was done with regard to the patients' environment and the prevention of the transmission of infections. Many recommendations were worked out in detail. In the Anglo-Saxon view, ... [Show full abstract] the starting points were the surveillance of hospital infections and epidemiological studies in order to demonstrate the possible sources and ways of transmission of nosocomial infections. This approach is more selective and is less oriented towards prevention. Over last decade, however, hospital hygiene and infection control have come to be considered as parts of total quality improvement. The present-day approach is to integrate the view of hygiene, infection control, and total quality improvement and to give particular attention to the methodology of functioning. Three successive stages are considered: Information, implementation, and monitoring. Information leans on the elaboration and the distribution of evidence-based guidelines. Implementation embraces the introduction regulations in the organisation and everything that can be done to improve compliance. Finally, the phase of monitoring or surveillance is necessary in order to assess the impact of the measures on the incidence of nosocomial infections and on the hygienic status of the institution. The elaboration of such a program requires a high degree of professionalism.

Poster

Real-life evaluation of the performance of BD Veritor™ System Flu A+B test during the 2014–2015 flu...

September 2015 · Journal of Clinical Virology

Background: The diagnosis of influenza infection is primarily clinical especially during epidemics. However, in a hospital setting, rapid diagnosis and biological confirmation are often necessary to allow optimal control of the infection and prevent nosocomial influenza. In this context, antigen detection tests, despite their low sensitivity, are interesting because of their ease of use and rapid ... [Show full abstract] result. We report a feedback on the use of the BD Veritor™ System Flu A + B (BD Diagnostics) tests during the winter season 2014–2015. Methods: The BD Veritor™ System Flu A + B tests was prospectively evaluated in the daily practice of the virology laboratory of the University Hospital of Clermont-Ferrand, France. Results were subsequently confirmed by real- time RT-PCR, which is currently the gold standard (in-house method according to the national reference center of influenza viruses, Pasteur Institute, Paris, France or FilmArray®, bioMérieux). Results: Two hundred and thirty five tests were performed (57 children under 14 years of age of whom 52 were ≤5 years; 68 patients aged 15 to 64 years and 110 patients aged ≥65 years), mainly on nasal swabs (n = 211) and on nasopharyngeal aspirates (n = 24). Sixty-two cases of influenza A and 18 influenza B infections were diagnosed by RT-PCR. Compared to RT-PCR, the sensitivities and specificities of this test were, respectively, 58.1% and 98% for influenza A, and 33.3% and 97% for influenza B. False-positive results were observed among uninfected patients (1.8% influenza A and 2.8% influenza B) and in all but one sample were not reproducible. Sensitivity was significantly higher in patients aged 0–14 years for influenza A (81.3%). No case of influenza B was identified in this age group. Sensitivity was correlated with the viral load as estimated by the cycle threshold (Ct): it reached 100% when the Ct was ≤19.99 for influenza A and ≤24.99 for influenza B. Conclusions: During the 2014–2015 flu epidemic, the BD Veritor™ System Flu A + B tests allowed early detection of infected patients especially in the paediatric population and/or patients with significant viral loads. From a laboratory practice point of view, the test allowed rapid screening of influenza positive samples and a reduction in the number of time-consuming RT-PCR tests. However, a negative result had to be confirmed by RT-PCR, particularly in patients with severe respiratory symptoms and/or comorbidity factors.

Article

Influenza Prevention Update

January 2013 · JAMA The Journal of the American Medical Association

Following last year's season of low activity, influenza is surging across the country and as of January 5 has claimed the lives of 20 children.1 With influenza intensifying, it is important to review essential interventions that prevent influenza transmission at home, at work, and in health care facilities.Several important actions should be performed by everyone to prevent the spread of this ... [Show full abstract] potentially deadly pathogen. Basic infection control practices such as regularly performing hand hygiene, observing respiratory hygiene and cough etiquette (“cover your cough”), and avoiding others and crowded areas when ill (social distancing) are important prevention methods for any contagious respiratory tract infection. Additional measures to limit transmission of influenza in health care settings are also essential. These include screening patients on arrival to assess for respiratory symptoms, placing a surgical mask on potentially infected individuals, using isolation precautions for those suspected of having or confirmed to have a respiratory tract infection, keeping infected patients away from other patients, and ensuring that visitors and health care personnel (HCP) do not visit or work while ill (ie, “presenteeism”).2