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Workshop on Monitoring Infections and Antibiotic Use in Hospitals held in Moldova

Around 20 Moldovan health practitioners were gathered in a workshop held in Chisinau, Moldova 27 February to 1 March 2018 to support the implementation of a system to monitor prevalence of healthcare associated infections and antibiotic use in Moldovan hospitals.

Participants seated
Natalia Caterinciuc fra folkehelseinstituttet i Moldova åpner seminaret.. Photo: AQA for NIPH

Mutual learning

The participants were trained in the methodology developed by the European Center for Disease Control. They also made plans for a pilot study in four hospitals in the country.

Hanne Merete Eriksen, Department Director of the Department of Antibiotic Resistance and Infection Prevention at NIPH, presented lessons learnt and the Norwegian experience of implementing the point prevalence survey of healthcare-associated infections – the tool Moldova is planning to implement later this year.

«The collaboration with public health experts in Moldova is fruitful for both organisations for mutual learning and building competencies in the field at country level. I believe arranging this workshop is an important step for Moldova to succeed with monitoring healthcare associated infections in Moldovan hospitals». 

Deltakere på semnaret første dag.. Photo: AQA for NIPH
Participants in the workshop at the first day . Photo: AQA for NIPH

The event continues work planned in April last year during a technical workshop in Moldova and a visit from Moldovan infection control experts to Lovisenberg hospital in Oslo.

Important to prevent infections from spreading in hospital settings

Healthcare associated infections  are among the most common forms of adverse events in patients.  Patients attract these infections while receiving medical treatment in healthcare facilities such as hospitals, and many of these are preventable conditions. However, some infections are more difficult to tackle;  infections caused by agents resistant to common types of antibiotics.

These infections  lead to increased suffering for patients and put  a heavy financial burden on the health system. In addition, the prevalence of antimicrobial resistance (AMR) is an increasing issue worldwide. These issues needs to be tackled and prioritised by health authorities. Important measures to limit the development of resistance is to ensure optimal use and treatment of antibiotics as well as reducing incidences of infections and spread in hospitals. In this work prevalence surveys is a valuable tool.

Regional Collaboration

As neighbouring countries Moldova and Romania share language and there are several similar features between the health systems due to the historical and cultural context, the Norad-funded Global Health Preparedness Programme (GHPP) facilitates collaboration between the two countries. Romania has developed tools and guidelines for monitoring healthcare associated infections  in the countries’ hospitals and a technical expert from the Romanian institute of public health shared experiences from the implementation at the recent workshop.

Next step: Conduct a pilot

The next steps in the process is to conduct a pilot collecting data from four selected hospitals before launching a national survey collection  throughout the country.

The event was organised by the Norad-funded Global Health Preparedness Programme (GHPP) at NIPH together with colleagues at the newly established Moldovan Public Health Agency and the WHO country office in Moldova.

The Global Health Preparedness Project in Moldova