title: From the risk analysis to the development of interventions and training for the prevention and control of healthcare associated infections. The experience of G. Pini Orthopedic Institute.
abstract: BACKGROUND
  Health-care associated infections (HAIs) represents a phenomenon of central importance all over Europe. Every year 4,5 millions cases are detected in European Union, with 37.000 related deaths. Surgical-site infections (SSIs) are one of the most common HAIs, that are associated with an increased length of stay, re-operation rate, intensive care admissions rate, and higher mortality rate.
  
  
  METHODS
  G. Pini Orthopedics Institute implemented in the last two years a multimodal strategy for controlling and preventing HAIs, in particular for SSIs.
  
  
  RESULTS
  This paper describes the prevention's strategies adopted for prevention of HAIs, at G. Pini Orthopedic Institute.
  
  
  CONCLUSIONS
  Our findings show that application of a multi modal promotion strategy was associated with an improvement in HAI prevention.
authors.affiliation: Orthopedic Institute G. Pini, Milan, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Navone
authors.affiliation: University of Milan, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Conti
authors.affiliation: Post graduate School in Public Health, University of Milan, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Domeniconi
authors.affiliation: Orthopedic Institute G. Pini, Milan, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Nobile
mesh_terms: D001178:Arthroplasty / Q000401:mortality / Q000706:statistics & numerical data*; D003422:Critical Care / Q000706:statistics & numerical data; D003428:Cross Infection / Q000453:epidemiology* / Q000401:mortality / Q000517:prevention & control*; D005062:European Union / Q000706:statistics & numerical data*; D019983:Guideline Adherence; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D009985:Orthopedics; D010343:Patient Admission / Q000706:statistics & numerical data; D011159:Population Surveillance; D017410:Practice Guidelines as Topic; D012086:Reoperation / Q000706:statistics & numerical data; D018570:Risk Assessment; D012307:Risk Factors; D015996:Survival Rate; D014193:Trauma Centers
keywords: Healthcare Associated Infections; Prevention; Surveillance; Training