Tuesday, April 27, 2010

Vietnam: Alert status from hospital infections

04/27/2010

Overload in hospitals, especially in the central hospitals are not only urgent but also the health sector is one of the causes of infectious status for many people to do the service delivery medical service or treatment. The hospital is focusing much different diseases, including infectious diseases spread easily to many people if the fight against hospital infections have not been doing well.

Many people going to medical diagnosis and treatment at health facilities are very worried when you see people in hospitals are crowded together for examination and treatment. So, without fear of external examination, fear of illness, worry if he were not careful there will be at risk of other infectious diseases through the instruments used, the environment of the hospital.

Bad hospital infections led to the use of antibiotics increasingly difficult for the bacteria grew medicine. Infection status of infection from the hospital can start from the polluted environment of the hospital, or from the same treatment from the common instruments used are not properly sterilizing and regulations from the government from the hands of staff health.

One day doctors have examined hundreds of patients. If your doctor does not comply with the process, wash your hands after each treatment be done is they who have infections from one person to another. On the other hand, the shared medical equipment without sterilization also cause bacteria are who will move to another body. A survey by the Bach Mai Hospital conducts research in five major hospitals in Hanoi were the result hospital infection rate is 10%. At Bach Mai Hospital, the rate was also 6.8%.

Infections from hospitals focus mainly lung infection through the respiratory, urinary tract infections, gastrointestinal infections. There are very dangerous infections, have very expensive medicines such as blood infections. Bad infections required hospital patients must take powerful antibiotics more expensive because of the rate of drug-resistant hospital bacteria growing. It is worth noting that this dangerous bacteria enter the body via medical instruments such as shared river tubes, pipes windpipe. At some hospitals, because there are so overloaded disposable instruments must be disinfected, it should be used several times higher risk of infection.

Contaminated hands of medical staff has also made many more people infected with the hospital strains. Although the health sector has been actively promoting the fight against cross-infection by the scientific establishment against infection, and complete practice not achieve expected results. Microbiological test results on the hands of medical staff at Cho Ray Hospital (Ho Chi Minh City) showed that on average each hand has about 270,000 bacteria, including strains resistant to most conventional antibiotics. A nurse wears gloves to perform the medical procedure can protect their hands, but all day he does not try to replace the bacteria easily spread from one person to another.

Sanitation work in the hospital a number of hospitals have not been paid due attention. Still nhech laziness by the patients, who take care of food, accommodation, activities at the hospital. Medical service personnel are only scanned during office hours or dry mop the floor with a load chamber disease wiped out the other room to floor it. The load itself was not cleaning sterilizing, no clean laundry drying is also a source distribution of microorganisms in the chamber increases the risk of disease infection. In many places, the use of antiseptic chemicals not reasonable, not the right way to hospital infection status did not decrease but tend to increase.

On the other hand, the infrastructure of many hospitals has been seriously degraded due to long construction. Many hospitals do not have waste treatment systems that focus only then brought back to the outside as waste. At some hospitals, the only solid waste is buried in the land of the hospital without treatment. Many hospitals in big cities like Hanoi and Ho. Ho Chi Minh in a residential hospital waste brought into the streets or sewage systems of the area polluted water, soil, and air.

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