Scientific Institute of Public Health (ISP) published Tuesday for the first time, an assessment of hygiene in 105 countries of care facilities.
It appears in particular that the methicillin-resistant Staphylococcus antibiotic methicillin (MRSA) fell sharply, leading ISP, which also welcomes compliance with recommendations for hand hygiene. The document puts against a highlight shortcomings and disparities between the regions.
One of the report’s highlights is “the constant decrease in the incidence” of clinical infections Staphylococcus aureus “the resistant aureus (MRSA) “, since it was divided by three in ten years.
A total of 105 hospitals (12 in Brussels, 39 in Wallonia and 54 in Flanders) provided data on health services. These data, dated 2013, were then classified by the ISP based on three indicators: the organization (the existence of a strategic plan for hospital hygiene etc.), means and manpower invested in hospital hygiene and the Action indicator. The latter evaluates infection surveillance and audits carried out in hospitals. For each indicator, the disparities appear between the regions.
Concerning the “organization” indicator, only four hospitals in ten mention the existence of a strategic plan for hospital hygiene (HH) integrated in the strategic plan for the hospital, which only 5 in Wallonia about 39. In addition, nearly 20 hospitals have a score of weak organization with a problem more marked in Brussels (about 40%). This low score relates Brussels University Hospital Saint-Pierre (3/6), the Institute Jules Bordet (2/6), the University Hospital Queen Fabiola Children (QFCUH) (1/6) and Iris hospitals South (2/6). In Wallonia, the hospital of the Abbey Wood and Hesbaye in Seraing (2/6), the CHR de Verviers (3/6), the regional hospital in Namur (2/6), clinical Bouge ( 1/6), the regional hospital of Val de Sambre (2/6), clinical Our Lady of Grace Gosselies (2/6), South Luxembourg clinics in Arlon (2/6) and the center hospital senior Senne in Soignies (3/6) are concerned. Four Flemish hospitals also get a low score on this indicator.
12 hospitals in Brussels, 39 in Wallonia and 54 in Flanders
Average indicators are for their “good enough”. However, a hospital in three has not a referent in HH by department, and a hospital on 5, “the amount of work actually prestée by a physician HH is less than the amount actually funded.” Several hospitals scored below half. In the Brussels region, it is the Institute Jules Bordet (3/7) QFCUH (3/7) and European clinics (3/7). In Wallonia, Liège ISoSL hospital group (Val d’Or and the clinical Peri) gets 3/7 for this category and the health center of 3/7 Fagnes. The score of ten hospitals in Flanders also oscillates between 2 and 3/7. It still appears that the number of training hours in HH varies greatly between hospitals and the number of participants.
For the “action” flag (infection surveillance and audits), thirty hospitals get a “low” score, a majority in Wallonia. For this region, the worst results affect the general hospital Charleroi (9/20), the hospital of the Ardennes (9/20), the Intermunicipal Hospital Famenne-Ardenne-Condroz (Ifac) (4/20) The clinical CHR St. Joseph -. hospital Warquignies (8/20) and the Hospital de la Haute Senne (8/20)
Several hospitals get a low score for three indicators. This is the case in Brussels and Wallonia eg for HUDERF (1/6, 3/7 and 9/20), the Ifac (4/6, 4/7 and 4/20), the Iris hospitals South (2/6, 5/7 and 11/20), Europe’s clinics (4/6, 3/7 and 8/20), the health center Fagnes (4/6, 3/7 10/20), the CHR clinic St Jospeh – Warquignies hospital (4/6, 4/7 and 8/20) and Queen Astrid clinic Malmedy (4/6, 4/7 and 11/20). In the north, it is for example Regionaal ziekenhuis St. Trudo in Sint-Truiden, Sint-Maria in Halle or St. Maarten in Mechelen.
In contrast, the scores of several hospitals are high for all three categories, as Brugmann (5/6, 7/7 and 17/20), the Erasmus Hospital (ditto), St. Peter Ottignies clinic (5/6, 7/7 and 16 / 20), UCL university clinics (6/7, 6/6 and 18/20) or the Hospital of Picardy Wallonia Tournai (5/6, 6/7 and 16/20).
Note that some corrections were made by different hospitals in 2015 as a result of “obvious encoding errors”, which are not all integrated national report released Tuesday.
Following this publication PSI makes recommendations as “the integration of the strategic plan hospital hygiene in the hospitals strategic plan” and the development of process audits. It should also encourage participation in the monitoring of infections in intensive care units the operating sites.
The exercise will be repeated annually to measure changes in hygiene.