HEALTH SERVICES
National Program of Hospital Infection Control
The activities of the National Program of Hospital Infection Control (PCIH) were outlines in Law 9431, of January 6, 1997, which provides that hospitals must maintain a Hospital Infection Program and create a Commission for Hospital Infection Control (CCIH) to carry out this control.
The guidelines and rules that provided for the planning of the program were defined by Administrative Rule GM 2616, of May 12, 1998. In accordance with this Administrative Rule, the Commissions for Control of Hospital Infection must be composed of advisory and executive members, the latter representing the Hospital Infection Control Service (SCIH) and responsible for the implementation of planned actions for hospital infection control.
In accordance with the actions of the Program, the following priorities have been established:
> Undertaking of a nation wide inquiry about the situation of hospital infections. This item refers to one of the targets of the Management Contract, whose action is specified as "Make of a diagnosis of hospital infection in Brazil".
> Mapping of compliance with the requirements of Administrative Rule GM 2616/98, regarding the implantation of the PCIH at state and municipal levels and in health services. Data gathered in November/December 1999 reveal that, out of the 6387 hospitals consulted, only 40% presented formal constitution of PCIH.
> Visits to state health authorities to gather data, with a view to complementing the study mentioned in the previous item and obtaining necessary inputs for the final implantation of the program throughout the national territory.
> Updating of the technical and scientific material, with the participation of professionals specialized in the various areas pertaining to hospital infection control. The importance of developing these activities is reinforced by work recognized internationally. As an example, we can mention international studies stating that a well-conducted hospital infection control program reduces by 30% the rate of infection of the service.
Furthermore, a fully operational PCIH ensures guidance of health care basic actions and prevents indiscriminate use of hospital antimicrobial and germicidal agents, avoiding resistance build up and contributing to a significant decrease of global hospital costs.
The activities of the National Program of Hospital Infection Control (PCIH) were outlines in Law 9431, of January 6, 1997, which provides that hospitals must maintain a Hospital Infection Program and create a Commission for Hospital Infection Control (CCIH) to carry out this control.
The guidelines and rules that provided for the planning of the program were defined by Administrative Rule GM 2616, of May 12, 1998. In accordance with this Administrative Rule, the Commissions for Control of Hospital Infection must be composed of advisory and executive members, the latter representing the Hospital Infection Control Service (SCIH) and responsible for the implementation of planned actions for hospital infection control.
In accordance with the actions of the Program, the following priorities have been established:
> Undertaking of a nation wide inquiry about the situation of hospital infections. This item refers to one of the targets of the Management Contract, whose action is specified as "Make of a diagnosis of hospital infection in Brazil".
> Mapping of compliance with the requirements of Administrative Rule GM 2616/98, regarding the implantation of the PCIH at state and municipal levels and in health services. Data gathered in November/December 1999 reveal that, out of the 6387 hospitals consulted, only 40% presented formal constitution of PCIH.
> Visits to state health authorities to gather data, with a view to complementing the study mentioned in the previous item and obtaining necessary inputs for the final implantation of the program throughout the national territory.
> Updating of the technical and scientific material, with the participation of professionals specialized in the various areas pertaining to hospital infection control. The importance of developing these activities is reinforced by work recognized internationally. As an example, we can mention international studies stating that a well-conducted hospital infection control program reduces by 30% the rate of infection of the service.
Furthermore, a fully operational PCIH ensures guidance of health care basic actions and prevents indiscriminate use of hospital antimicrobial and germicidal agents, avoiding resistance build up and contributing to a significant decrease of global hospital costs.
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