Infection control program in elderly adults center

Background: The National Program of Epidemiology and Control of the Hospital Infections (VIHDA) was created in 2004 in Argentina to decrease hospital infections (HI). Our elderly care center is adhered from the 2012. To analyze the HI rates for 5 years and to describe the different measures of infection control. Methods & Materials: Descriptive retrospective quasiexperimental study. We use the Program VIHDA software to analyze the Ventilator associated Pneumonia (VAP), Central Catheter related infections (CCRI) and Catheter Urinary Tract Infection (CUTI) rates by 1000 day - procedure in the intensive care unit since January-2012 to October-2017. The general and specific strategies were classified in periods, describing the strengths and weaknesses of the implemented measures. Results: VAP rates was 29,49 in 2012, 14,45 in 2013, 22,34 in 2014, 6,36 in 2015 and 12,81 in 2016. CCRI rates was 14,84 in 2012, 7,98 in 2013, 5,03 in 2014, 8,3 in 2015 and 10,84 in 2016. CUTI rates was 11,01 in 2012, 7,30 in 2013, 5,95 in 2014, 0,45 in 2015 and 1,88 in 2016. The VAP, CCRI, CUTI rates until October, 2017 is 9,21; 11,5; 3 respectively. In the Diagnosis and Implementation period, the rates measured up and there were applied packages strategies for HI prevention. In Intensification period, we adapted the preventiońs measures, training personal, preventive universal isolation, monitoring of the empirical initial treatments (EIT) to decrease VAP's rate. In 2015 descended 28,46%. In Monitoring period, we supervise the compliances to packages of measures and EIT because VAP's rate increased in 50%. Even this way, we continued working to control CCRÍs rates especially. Conclusion: The strength of the Diagnosis and Implementation period was institutional information to develop measures adapted to the local epidemiology despite difficulties in the adherence to the Procedures Manual. In the Intensification period education was reinforce but also there was limited human resource. In the Monitoring period the opportune load of information was achieved but he human and economic resource is still enough. In our experience the software implementation is useful to decrease HI.