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[Nosocomial infections (author's transl)].

H A Hirsch, U Niehues, K Decker

    Deutsche Medizinische Wochenschrift (1946)
    |November 2, 1979
    PubMed
    Summary

    Implementing specialized hygiene nurses significantly reduced hospital-acquired infections (HAIs) by 48.1% in a gynaecological-obstetric hospital. This initiative also decreased urinary tract infections by 42.7%.

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    Area of Science:

    • Infectious Diseases
    • Hospital Epidemiology
    • Nursing Science

    Context:

    • Nosocomial infections pose a significant threat in healthcare settings, particularly in gynaecological-obstetric university hospitals.
    • A prospective study was conducted over three years involving 18,897 hospitalised patients.
    • The study focused on identifying infection rates and the impact of targeted interventions.

    Purpose:

    • To evaluate the effectiveness of nurses specially trained in hygiene in reducing nosocomial infections.
    • To determine the incidence and types of hospital-acquired infections in a gynaecological-obstetric population.
    • To assess the impact of enhanced hygiene protocols on infection rates.

    Summary:

    • The initial incidence of nosocomial infections was 13.5%, predominantly asymptomatic bacteriuria, with 3.9% excluding bacteriuria.
    • Bacteriurias were the most common infection (71%), followed by postoperative pelvic infections (7.3%), infusion phlebitis (6.5%), and abdominal wound infections (4.2%).
    • Following the implementation of a control program with specially trained nurses and reinforced hygienic measures, overall nosocomial infections decreased by 48.1%, and urinary tract infections by 42.7%.

    Impact:

    • The study demonstrates a substantial reduction in hospital-acquired infections through a dedicated, trained nursing role focused on hygiene.
    • Findings highlight the critical importance of specialized nursing interventions in infection control within obstetric and gynaecological care.
    • The successful implementation of this program offers a scalable model for improving patient safety and reducing healthcare-associated infections in similar settings.

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