One step forward towards prevention of Multi-Drug Resistant Micro-organisms in Tunisia

Following a first International Assigment at Santé Publique France  and CCLIN Paris Nord on surveillance of health-care associated infections (HAI) in November 2015, Dr Salsabil Rjaibi, from the 1st Cohort of MediPIET, took part at the ECDC Control of Multi-Drug Resistant Micro-organisms (MDROs) in Health Care Settings training as her 2nd International Assignment, with participants from 28 different countries (Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovak Republic, Slovenia, Sweden, United Kingdom, Vietnam). The topics covered by the course included:

  • Introduction to MDROs from microbiological and epidemiological perspectives,
  • Laboratory investigations and methods (identification and antimicrobial susceptibility testing, good laboratory practice),
  • Antibiotic stewardship (antibiotic policies, measures for improvement of prescribing),
  • Infection control principles (evidence based practice, effective infection control interventions and measures),
  • Surveillance of HAIs,
  • Application to practice (application of interventions to control MDROs in health care settings, transparent reporting of outbreaks and interventions).

On any given day, 5.7% of patients in European hospitals have at least one health-care associated infection (HAI), a potentially preventable adverse event with considerable medical and economic consequences. In Tunisia, a recent point-prevalence study -where Salsabil took part as epidemiologist from the Tunisian National Observatory of New and Emerging Diseases (ONMNE)- has estimated such figure as 6.6%. A replication of the training session in surveillance of healthcare associated infections is envisaged by the ONMNE, upon return of Dr Rjaibi.