Οργάνωση και λειτουργία των υπηρεσιών πρόληψης νοσοκομειακών λοιμώξεων
Organization and function of the services for hospital acquired infection prevention
SubjectΕνδονοσοκομειακές λοιμώξεις -- Διοίκηση και οργάνωση ; Cross Infection -- Prevention and control
Nosocomial infections are one of die major problems that hospitals deal with worldwide, and serious (financial or no) consequences proceed from this problem. This multilateral outcome is not new. Us emergence is pertaining to the establishment of the first hospitals. Great importance is placed on the prevention of nosocomial infections in an effort to deal with the problem of and avoid its consequences. Infection control programs, infection control standards, precautions and policies have been established. In addition, services for hospital acquired infection prevention and control, have been established and its functions vary as to their mission and the matters that arc under their authority. Τhe aim of this dissertation is the analysis of the functions of the services for hospital acquired infection prevention in Greece and in certain foreign countries, as well as the presentation of their infrastructure. There are small differences among the countries, which were studied, in relation to infrastructure and organization of the services for hospital acquired infection control. In most of the countries the Department of Health or other bodies that are under state control designate the general infection control policies, supervise and fund the infection control programs. The majority of hospitals have Infection Control Committees and the constitution of the committees is according to the guidelines of World Health Organization. Key position in the Committee holds the Infection Control Nurse and for that reason should have the appropriate training and experience. In some cases local health authorities have increased responsibilities in the area of infection control and health care generally, with the characteristic example of the United Kingdom. The obstacles and the challenges that infection control services confront are numerous. Issues like lack of collaboration, bureaucracy and the absence of a national surveillance system hinder their work, while antibiotic resistance of microbes, patients' electronic medical file etc. form challenges for the future.