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Point prevalence survey of healthcare-associated infections in the specialized surgical facility
CHMELAŘOVÁ, Šárka
My thesis is focused on the healthcare associated infections. This area is under considerable control in the developed countries and their health systems, whether in terms of medical, organizational, social, economic, or political. Epidemiology is the world's fastest growing field which knowledge can be applied very soon into everyday practice. The results of that have effect on the patients, whose visit in the hospital is becoming safer. It has also have effect on the healthcare that becomes a better and more professional. In our country, you can still meet the lack of awareness of professional and especially the current context, which accompanies this issue during the contact with the staff of health facilities. Nowadays, we are trying to implement the issue in our laws according to the requirements of the European Union. I try to outline this new European perspective on infections related to the healthcare in the theoretical part. We need to realize the main idea that these infections from healthcare facilities never disappear completely. In the interests of healthcare providers and their staff, it should be to get these infections under the control and to try to minimize the impact of these infections on the patients' health. The meaning of the term healthcare-associated infections or outdated nosocomial infections, and possible types of them, their most common cause and the process of their spread is explained at the outset of work. Afterwards I focused on explanation of the meaning of the prevalence survey as one of the methods of active surveillance. Thanks to the results of the Point Prevalence Survey, which was conducted in the European Union, Norway, Iceland, and Croatia in 2012, it was found that the European prevalence of healthcare associated infections is equal to 5.7%. These results are also commented in the thesis. This prevalence corresponds to every inflectional 18th patient hospitalized in the European acute care hospitals. The European Union Council Recommendation worked out the Infection Prevention and Control Programme in the healthcare facilities to reduce this prevalence. This programme with its details and requirements is described at the end of the theoretical part. In the next part I am aimed to the research, whose implementation is one of my goals. I conducted the Point Prevalence Survey according to the methodology, which was developed by European Centre for Disease Prevention and Control (ECDC). I chose specialized surgical facility for my research. My control sample is consisted of departments that have the same focus as my facility. They are focused only on plastic and reconstructive surgery. The departments were selected from the all Czech hospitals, where the Point Prevalence Survey was conducted in 2012. I received the data from the previous survey thanks to the National Institute of Public Health. I intend to provide the thesis to the specialized surgical facility as a feedback to the research which was carried out in there. Not only for me, but also for the local staff, the benefits are to familiarize with the prevalence survey and to realize that the healthcare-associated infections may still be an actual issue.

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