title: [Hygiene in Urological Surgeries - Results of the Health Authority's Visit to all Urological Surgeries in Braunschweig].
abstract: Following a patient complaint, the Health Department carried out a hygiene inspection of a urological practice in Braunschweig in February 2013. The topic of the complaint was that a patient assumed having acquired a resistant pathogen in the practice. In the subsequent visit, significant hygiene defects were found, particularly with regard to the processing of medical devices. This led to a decision to commit all urological practices in Braunschweig to hygiene inspections as part of a priority project. In retrospect, the hygiene surveys were justified. Deficiencies included inadequate preparation of medical products, procedures in practice inconsistent with hygiene plans, poor knowledge of hygiene procedures among assistant staff and doctors, lack of expertise of assistant staff and lack of hygiene risk awareness by doctors. Positive experiences were: open communication in a good atmosphere with the Practice managers, willingness to change, good cooperation between the Health Authority and the Labor Inspectorate and Physicians' Association. The claimed deficits were corrected by spring 2014 by the practice operators. The consulting expertise of the health authorities was made use of continuously.
authors.affiliation: Gesundheitsamt, Fachbereich Soziales und Gesundheit, Stadt Braunschweig.
authors.forename: B
authors.initials: B
authors.lastname: Buhr-Riehm
authors.affiliation: Gesundheitsamt, Fachbereich Soziales und Gesundheit, Stadt Braunschweig.
authors.forename: T
authors.initials: T
authors.lastname: Lenz
mesh_terms: D003428:Cross Infection / Q000517:prevention & control*; D004866:Equipment Contamination / Q000517:prevention & control*; D005858:Germany; D019983:Guideline Adherence / Q000592:standards / Q000706:statistics & numerical data*; D006920:Hygiene; D062486:Public Health Surveillance / Q000379:methods*; D013523:Surgical Equipment / Q000382:microbiology; D013520:Urologic Surgical Procedures / Q000592:standards*