Although the city's fortunes started to recover under the strict hand of Mayor Rudy Giuliani in the 1990s, as recently as five years ago when the terrorists attacked it was easy to fear the worst for New York.
Mandatory measures of pneumonia Zero program were included: Ambu review and aspirator, strict hand hygiene before handling air, headboard position 30°-40° 30°-40°neumotaponamiento pressure, checkhexidineumotaponamiento
- Mandatory measures for the prevention of VAP: proper training in airway management, strict hand hygiene, control of pneumopressure ball(> 20 cmH2oraloral hygiene every 6-8 hours, avoid, whenever possible, supine position at 0 °, reduce intubation and / or its duration, prevent the programated change of tubing, humidifiers and tracheal tubes.
On June 2010, a VAP prevention bundle was implemented in province of Murcia Spainn) This bundle included: appropriate airway secretions management, strict hand hygiene, cuff pressure control, oral hygiene with chlorhexidine, semi-recumbent positioning and selective decontamination of the digestive tract (SDD) with a short course of parenteral antibiotic.
"Other practices will be important for all children under five years, such as strict hand washing and ensuring pets are healthy and receive preventive veterinary care," Stull said.
Strict hand washing precautions should be implemented to avoid infections.
There should be strict hand washing and aggressive management of infections.
To achieve this goal, the hospital implemented surveillance screening of patients on admission, isolation procedures, and a strict hand hygiene policy.
Change of antibiotic policy and strict hand hygiene are some of the measures that could possibly help us face this ominous situation.
Strict hand hygiene plus a careful assessment of the patient, applying aggressive procedures such as patient isolation, staff cohorting, and active surveillance cultures should be indicated.
