TTowards a better control of the infectious risks associated with health care activities
The infection associated with health care is a major cause of morbidity and mortality in health establishment. For a dialyzed renal failure, it would be responsible of about 15 % of the deaths. To answer this issue, health establishments use a classical approach, which rests essentially on risk management practices, which enters within the scope of a global analysis of risk management. These practices are built on the anticipation principle; they are based on the identification and the control of the possible risks, of which it is practically impossible to guarantee the exhaustiveness of the risky situations, so it is not possible to leave these anticipation practices at the present time. This is why, for better a control of the infectious risks associated with health care, it is necessary to consolidate more and more this preventive approach and thus to minimize the residual risks. For that purpose an approach is proposed, it is based on a continuous primary prevention strategy, which constitutes a first layer of the protection and is supported by some control and monitoring mechanisms of the critical risks. This approach is illustrated via a real case of study. It is carried out at the hemodialysis center at the teaching hospital, CHU-Batna Algeria.
Keywords: infectious risk, hemodialysis, VHB, VHC, VIH Bacteremia.
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ABOUT THE AUTHORS
Benzouai Messaoud
Université Hadj Lakhdar, Laboratoire d’Automatique et de Productique,Département de Génie Industriel, Batna /Algérie
Smadi Hacene
Université Hadj Lakhdar, Laboratoire d’Automatique et de Productique,Département de Génie Industriel, Batna /Algérie
Kassah-Laouar Ahmed
Centre Hospitalo-universitaire, Faculté de médecine, Laboratoire central de microbiologie, Batna / Algérie
Bahmani Younes
Université Hadj Lakhdar, Laboratoire d’Automatique et de Productique, Département de Génie Industriel, Batna /Algérie
Bellala Djamel
Université Hadj Lakhdar, Institut d’Hygiène et Sécurité Batna / Algérie
Benzouai Messaoud
Université Hadj Lakhdar, Laboratoire d’Automatique et de Productique,Département de Génie Industriel, Batna /Algérie
Smadi Hacene
Université Hadj Lakhdar, Laboratoire d’Automatique et de Productique,Département de Génie Industriel, Batna /Algérie
Kassah-Laouar Ahmed
Centre Hospitalo-universitaire, Faculté de médecine, Laboratoire central de microbiologie, Batna / Algérie
Bahmani Younes
Université Hadj Lakhdar, Laboratoire d’Automatique et de Productique, Département de Génie Industriel, Batna /Algérie
Bellala Djamel
Université Hadj Lakhdar, Institut d’Hygiène et Sécurité Batna / Algérie