Infection control at our hospital,Travancore Medical College, Kollam

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Infection control at our hospital

Transcript of Infection control at our hospital,Travancore Medical College, Kollam

  • 2. The Purpose of the Programme The purpose of this program is to maintain a healthy and safe Hospital by the prevention and control of health care related infections / diseases. This is achieved by surveillance and investigation of infectious diseases and public education.2 Dr.T.V.Rao MD
  • 3. Beginning of infection control Programmes Modern hospital infection control programs first began in the 1950s in England, where the primary focus of these programs was to prevent and control hospital-acquired staphylococcal outbreaks.3 Dr.T.V.Rao MD
  • 4. CDC starts the Training in Hospital Infection control The Communicable Disease Center, later to be renamed the Centers for Disease Control and Prevention (CDC), began the first training courses specifically about infection control and surveillance. In 1969, the Joint Commission for Accreditation of Hospitals--later to become the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)--first required hospitals to have organized infection control committees and isolation facilities.4 Dr.T.V.Rao MD
  • 5. AIDS influences for better understanding of Infection Control The second and certainly most significant factor influencing infection control at the time was the advent of acquired immunodeficiency syndrome (AIDS). The human immunodeficiency virus (HIV) has taken an enormous toll in terms of loss of life and productivity. For infection control professionals (ICPs), HIV has been a challenge for education, risk reduction and resource utilization.5 Dr.T.V.Rao MD
  • 6. Educating our Health Care Workers Education programs for employees and volunteers are one method to ensure competent infection control practices. It is a unique challenge since employees represent a wide range of expertise and educational background. The ICP must become knowledgeable in adult education principles and use educational tools and techniques that will motivate and sustain behavioral change. Much has been written about the education of healthcare workers (HCWs). Some of the tools used to educate HCWs successfully include newsletter, posters and videos6 Dr.T.V.Rao MD
  • 7. The Scientific study ( SENIC ) gives guidelines Study of the Efficacy of Nosocomial Infection Control (SENIC) project was published, validating the cost-benefit of infection control programs. Data collected in 1970 and 1976-1977 suggested that one-third of all nosocomial infections could be prevented if all the following were present: One infection control professional (ICP) for every 250 beds. An effective infection control physician. A program reporting infection rates back to the surgeon and those clinically involved with the infection. An organized hospital-wide surveillance system.7 Dr.T.V.Rao MD
  • 8. Why we should control the Infections in our Hospitals Increasing emerging infections Increasing resistant organisms Increasing drug costs Institute of Medicine Report--healthcare-associated infections Nursing shortage OSHA safety legislation Multiple benchmark systems FDA legislation on reuse of single-use devices8 Dr.T.V.Rao MD
  • 9. Assessing Infection Control Programs The first step should be to make an assessment of the current infection control program. This review will have to include any new customers to service resulting from any mergers and acquisition (e.g., home health, starting of multi specialties, ambulatory care surgical centers) involving the healthcare organizations. ICPs should assess the infection control program for compliance with written standards and guidelines, areas that need improvement and available resources. ICPs can begin by systematically reviewing the most current regulatory standards and guidelines.9 Dr.T.V.Rao MD
  • 10. Formulating an Infection Control Plan Every infection control program should develop a well- defined written plan outlining the organizational philosophy regarding infection prevention and control. The plan should take into account the goals, mission statement, and an assessment of the infection control program. It should include a statement of authority, and should review patient demographics including geographic locations of patients served by the healthcare system. The scope of responsibilities for actions to be taken to accomplish the goals should be included in this plan. Data, if available, should always drive the plan. This plan is often referred to as the quality improvement (QI) infection control (IC) plan and should be reviewed and revised annually. Each revision should include defining the objectives of the goals, with due dates and responsible parties10 Dr.T.V.Rao MD
  • 11. Infection Control should Evaluate ICPs should evaluate their institutional needs and develop a surveillance plan to present to the infection control committee on a yearly basis. Choosing one or two specific surveillance problems and setting a goal for reduction will focus the efforts of the ICP. requires documenting the rationale for selecting a specific surveillance approach, the time needed to implement the plan, and the benchmark selected for comparison11 Dr.T.V.Rao MD
  • 12. Our plan for future should include Unlike scheduled activities, occasional clusters of patients who are colonized or infected will trigger further investigation including a case-control study. New laboratory methods developed and refined within the last decade can now determine how related the strain is at the molecular level. The QI/IC plan should include special problem-focused studies that describe personnel or environmental sampling, including what circumstances and who has the authority to order12 Dr.T.V.Rao MD
  • 13. Antibiotic Utilization Isolation of Patients Information obtained from surveillance, laboratory cultures, or screening for epidemiologically-important pathogens must be used to ensure that appropriate isolation is instituted. The ICP should be identified as the expert consultant on control and prevention of communicable diseases and then should have the administrative power to isolate patients13 Dr.T.V.Rao MD
  • 14. A Dedicated Hand Washing can Reduce the Major Spread of Infections14 Dr.T.V.Rao MD
  • 15. WHONET - Documentation Establishing WHONET Documentation makes the Antibiograms assessments easy by Microbiologists and Consultants at any Hospital. We are fully functional to the advantages of the WHONET documentation,15 Dr.T.V.Rao MD
  • 16. Our Vision to Future Infection control programs must maintain training records of employees. The minimum training required is annual OSHA blood borne pathogen, tuberculosis prevention and control and new employee orientation.16 Dr.T.V.Rao MD
  • 17. The Programme Created by Dr.T.V.Rao MD for Benefit of Health Care Workers for Basic vision in Developing better Health Care Standards and Prevention of Hospital Acquired Infections Email [email protected] Dr.T.V.Rao MD