The Future Hospital Epidemiologist's Portfolio for Success

R. Wenzel
2010 International Journal of Infectious Diseases  
Infection control (IC) efforts may encounter greater obstacles in developing countries. However, progress appears to have been made composed of designated and trained doctors, nurses, and others. E-learning is an important tool to bring health care professionals updated information, especially where teaching resources are limited. It allows the exchange of experiences between professionals, promotes simultaneous knowledge acquisition, and reaches some remote areas. Trained IC personnel are a
more » ... personnel are a scarce resource and their job is to prevent and control infection; their time and expertise must not be disproportionately utilized in counting infection only. Basic surveillance is an essential component of IC Programs and should be tailored for each institution. The data should be used to identify preventable infections so that resources are targeted in high priority areas requiring minimum resources. In addition, surveillance data can be used to compare infection rates between healthcare facilities, convince administrators, clinical teams and health care professionals to adopt recommended practices and help evaluate IC measures. For this last purpose one can easily find Guidelines issued by international health institutions or professional societies that indicate the basic requirements for an effective IC. The IC team should take into account to implement measures that are more cost-effective, and use all effort and creativity to adopt tools that could improve compliance. Positive Deviance method that is a social and behavioral change process based on the premise that in most organizations and communities there are people or groups of people who solve problems better than colleagues who have exactly the same resources. Another important concern in developing countries is integrating epidemiology and microbiology. Despite its relevance, knowledge about the status of antibiotic resistance in the developing world remains on the whole lacking. Regional special laboratories could provide a good amount of information about resistance and help in outbreak control.
doi:10.1016/j.ijid.2010.02.2226 fatcat:nvfifasoxbcydcwfe6eq6l5ysi