hospital infection control

Hospital Acquired Infection Control :

Hospital Acquired Infection Control Dr. Naval Asija 1/10/2010

Contents:

Contents Brief outline of Nosocomial Infections Infection Control Committee – Program Control measures: Personnel, Isolation, Cleaning, Disinfection & Sterilization, Surveillance & Reporting Special conditions mandating attention

Nosocomial Infections:

Nosocomial Infections No reliable estimates of prevalence in india Estimates vary from 10 to 30 % the least being three % for the best setting Wound sepsis alone affects nearly 20% of post-op cases, evidence shows people rather than things as most important incriminating factor Agents: E. coli(20), Staph aureus(11), other Staph(11), Psedomonas(9), Kleibsiella(9), Proteus(8), others/mixed(32) Routes of transmission- Droplet, direct contact, equipment/environment, IV

Infection Control Programme:

Infection Control Programme Three Thrust Areas Development of Effective Surveillance system Development of Policies & Procedures Maintainance of Continuing Education Programme

Infection Control Committee:

Infection Control Committee Responsible for monitoring the occurance of hospital infection & recommend corrective action Chairman: Hospital Administrator Secretary: infection control officer; de facto Microbiologist Members include representatives from dept of Medicine, Surgery, OBG, Pediatrics, Pathology, Microbiology Consultation with representatives of Housekeeping, Diet – kitchen, Engg. & maintenance, Pharmacy, OT, CSSD

Roles & Functions of ICC:

Roles & Functions of ICC Determine the method of surveillance and reporting Lay down criteria for reporting Review occurrence of clusters of infection & occurrence beyond baseline Review of records of all infected cases, Review results of trends across various services both intra & inter Review with medical audit committee the use of antibiotics

Slide 7:

Recommendations in relation to selection of equipment for sterilization Review of cleansing agents & procedures Development of forms & data sheets for data collection Preparation & updation of Manuals Immunization of medical personnel Determine policy on immunization Determine policy on isolation of patients with communicable diseases Training & Retraining

Infection Control Nurse :

Infection Control Nurse Almost impossible for ICO to directly carry out monitoring & surveillance activities of infection control programme Sufficiently senior nurse, with special training in hospital infection control activities One ICN for 250 beds Daily supervisory visits for data surveillance, sampling, cultures, antibiotics, forms Compilation of statistics Training Monitoring of infection among personnel

Infection Control Measures :

Infection Control Measures Personnel – Conscientious Hand Washing Immunization Screening of Food Handlers medical leave for staff Aseptic Techniques – Strict Adherence Biomedical Waste Management Disinfection Sterilization – Efficient CSSD Isolation – CD patients, Practice – mask, gown, gloves Antibiotic Policy

Slide 10:

OPD Separate Arrangements for CD patients Diet – Kitchen : appropriate cooking, referigeration, rodent & fly control Laundry: Careful handling of soiled linen Good House keeping Air hygiene in OT Developing Awareness

Special Conditions:

Special Conditions Special Areas: OT, ICU, dialysis unit, Labour room, Burns unit, blood bank, Labs Special practices: IV line, Foley’s, Central line Special patient: HIV – AIDS & other Immunosuppresed

Thank you:

Thank you