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Learn about the discipline of infection prevention and control in healthcare facilities and the community, including organizing surveillance, providing outbreak investigation advice, developing training programs, and implementing best practices.
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What is infection prevention and control? • Infection prevention and control (IPC) is a discipline that aims to prevent or control the spread of infections in healthcare facilities and the community. • It is part of every healthcare workers’ duty of care to ensure that no harm is done to patients, visitors or staff .
The main activities performed by the IPC nurses include: • Organizing surveillance for healthcare-associated infections • Providing advice and leadership in outbreak investigation • Developing and delivering training on IPC to healthcare workers • Developing and implementing IPC-related policies and procedures
Auditing the quality and effectiveness of healthcare facility environmental cleaning • Auditing the quality and effectiveness of disinfection and sterilization practices • Implementing local, national or international best-practice guidelines for prevention of infection transmission in clinical care. • ‘quality management’ refers to all activities related to quality planning, assurance, quality control and improvement to prevent harm to patients and staff
Surveillance Surveillance: • Ongoing, systematic collection, analysis, interpretation, and dissemination of data regarding a health event. • - The purpose of surveillance of nosocomial infections is to reduce the incidence of HAI and thus to reduce the associated morbidity, mortality, and costs. -
Methods and Approach Type of surveillance: 1-Active patient- and laboratory-based prospective surveillance The four big types of HAIs in intensive care units (BSI, UTI, SSI and Pneumonia) 2-passive surveillance-and laboratory -based prospective surveillance in hospital department
How the Data for surveillance is Collected ? Daily collection Ward activity daily collection of notification forms
Data Collection Laboratory reports:(Most reliable) Isolation of microorganisms potentially associated with infection antimicrobial resistance patterns serological tests.
Surveillance System Description Surveillance officers attend ICU rounds Review Clinical, Lab, Radiology results Denominator data collected manually: - Pt days - Device days Request more investigations Suspect HAI? YES Enter in PDA Lab & x-rays results PDA confirms one of 4 HAIs coded
The study tools used in this program will be: 1-Screening Log Book 2-PDA (Personal Digital Assistant) 3-Casereport Log Books
Health- care associated infection cases in different hospital department)
Surveillance of Surgical Site Infections (SSI)In Different Wards
Health- care associated infection cases in different hospital ICUs Automated surveillance
Device-associated Infections at Participating Intensive Care Units
Community acquired infection -Total number of hospital admission was 1872cases, shows that 45 infected cases reported36 community acquired infection(infected on admission)and 9case hospital acquired infection in different department. Percentage of community acquired Infection =Total no. of community infections X 100= total no. of admission 36\1872X100=6.7% Of our patients is admitted with infection Percentage of MDR Community acquired infection =Total no. of MDR X 100 /total no. of Community infection 20/36x 100 =55.5 % • 55.5 % of isolated of community acquired is MDR -
Distribution of causative agents responsible for cases of community infection **Of the 39causative agents of community acquired infection reported 11 were caused by Staph coagulace pathogens and 8were caused by Klebsiella . .
Average compliance of stander precaution of different building From this figures the best building was building (B)
The compliance of hand hygiene in building From this figures the best department was (Vascular surgery)
Infection Control Training program 1-Infection Control continuous education Training Schedule 2-Infection Control On Job Training program For all hospital departments 3-Special unit training