ABSTRACT
@#<p style="text-align: justify;">Over the years, strategies in the prevention and management of surgical site infections (SSI) of patients in the Philippines have never been standardized. Several guidelines released by international foreign bodies have been found to be either conflicting or inappropriate for adaptation in the local context.To address these issues, the Philippine College of Surgeons (PCS),in collaboration with the Philippine Hospital Infection Control Society (PHICS), Philippine Hospital Infection Control Nurses Association (PHICNA) and Operating Room Nurses Association of the Philippines, Inc. (ORNAP), initiated the development and adaptation of country-specific SSI guidelines in 2017. The new recommendations are based on the latest clinical practice guidelines released for the past five years and consensus by a panel of experts in the Philippines, through the assistance of a guideline development team engaged by PCS. Thirty-six (36) recommendations on different aspects of care were outlined. Implementation of an SSI surveillance program was also advised for health facilities.The new guidelines are intended to serve as the local benchmark for the prevention and management of SSI for surgeons and practitioners,taking into account their situation and experience in the Philippines. It is expected to improve the standard of care provided by health facilities and contribute to the reduction of the prevalence and incidence of SSI in the country</p>
Subject(s)
Humans , Surgical Wound Infection , Consensus , Operating Rooms , Cross Infection , Standard of Care , Operating Room Nursing , Perioperative Nursing , Hospitals , Surgeons , Foreign BodiesABSTRACT
OBJECTIVE: Dengue fever remains a public health problem in the Philippines. Eliminating key container artificial breeding sites of mosquito vectors is a vital part of dengue control. The objective of this descriptive cross-sectional study was to conduct an entomological survey of artificial container breeding sites of Aedes mosquitoes in households of two puroks in Batasan Hills, Quezon City. METHODS: All potential artificial container breeding sites of dengue in each household were inspected for mosquito larvae. Water was sampled from all containers that had mosquito larvae. Water was sampled from all containers that had mosquito larvae and the larval species determined through microscopic examination. Using the World Health Organization list of recognized containers, each container was classified as recognized or an unrecognized container. RESULTS: The larval indices computed were: container index = 6.4%, household index = 23.9% and Breteau index = 29%. The proportion of containers positive for A. aegypti larvae was significantly higher for the unrecognized containers (9.9%) than that of the recognized containers (3.9%) (p=0.002). CONCLUSION: The high household index and Breteau index indicate that the potential for dengue transmission is high in the study area. Unrecognized artificial containers contributed significantly to the number of Aedes breeding sites. "Search-and-destroy" campaigns in the community should be expanded to include these containers. Crafting specific vector control messages that address the problem of particular unrecognized containers as well as those of recognized containers with the highest proportion positive for Aedes larvae will also aid dengue control and prevention. Repeat surveys to monitor larval indices may be used to help ascertain the effectiveness of these messages in decreasing mosquito breeding sites.