Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
HOSPITAL ASSOCIATED
INFECTIONS
Dr.T.V.Rao MD
3/6/16
Dr.T.V.Rao MD
NOTE TO READERS
The Present program is made for benefit of many Medical Professionals in many
Universities, medical establishments who teach Infection as a Important topic to
life and survival in Particular the Developing world, as I wish to say there are not
many very accurate methods to identify the true problems in identifying the
Hospital Associated Infection,
Self Audit of many who work with Infection control committee to be the beginning
great success
Life is a matter of learning from many failures when we work with real dedication
No audit is complete without implanting the established standard operative
procedures HOPE NOT FORGETTING THE HAND WASHING
However this file teaches only basics and rest will be your great efforts to save
many with Hospital Associated infections
Dr.T.V.Rao MD
Freelance Clinical Microbiologist
3/6/16
Dr.T.V.Rao MD
Dr.T.V.Rao MD
Healthcare-associated Infections
WHAT cdc THINKING
Dr.T.V.Rao MD
SOURCE OF INFECTION
Exogenous/indirect
Endogenous/dire
ct:
Caused by the
organisms that are
present as part of
normal flora of the
patient
3/6/16
EXOGENOUS SOURCES OF
INFECTION
3/6/16
Dr.T.V.Rao MD
Dialysis
Facilities
Longterm
Care
Dr.T.V.Rao MD
3/6/16
Dr.T.V.Rao MD
Impact of Hospital
Associated
HAIs can cause
Infections
death. For the
3/6/16
health-care
system, such
infections
increase
treatment costs
and result in
longer wait times
for a hospital bed
Dr.T.V.Rao MD
10
Dr.T.V.Rao MD
11
Dr.T.V.Rao MD
12
Dr.T.V.Rao MD
13
Loss of effective
antibiotic treatment
could make routine
infections deadly
Pneumonia
Urinary tract
infections
Wound infections
3/6/16
Dr.T.V.Rao MD
14
Dr.T.V.Rao MD
15
3/6/16
Infection Control
Nurse (ICN)
Dr.T.V.Rao MD
16
Dr.T.V.Rao MD
17
TYPES OF INFECTIONS
Urinary tract infections (UTI)
Surgical wound infections (SWI)
Lower respiratory infections
Traumatic wounds and burns infections
Primary bacteremia
Gastrointestinal tract
Central nervous system
3/6/16
Dr.T.V.Rao MD
18
Dr.T.V.Rao MD
19
OUR GOALS
Prevention Programs:
Detect, Prevent, Respond
3/6/16
Dr.T.V.Rao MD
20
Surveillance
helps effective documentation
Surveillance is defined as the systematic ongoing collection,
collation, and analysis of data with timely distribution of the
information to those who require it in order to allow action
to be taken where necessary.
INFECTION CONTROL
COMITTE notes that there is conclusive evidence to show
that the establishment of a surveillance system is
associated with reductions in infection rates. Surveillance is
particularly useful in monitoring the effectiveness of
infection prevention- and-control programs. Typically,
trainedinfection-prevention-and-control professionals or
3/6/16
Dr.T.V.Rao MD
21
Surveillance to be done by
Trained Professionals
Typically, trained
infectionprevention-andcontrol
professionals or
hospital
epidemiologists
perform
surveillance of
3/6/16
Dr.T.V.Rao MD
22
Dr.T.V.Rao MD
23
Microbiology Departments
establish a mechanism to inform
the results
3/6/16
Dr.T.V.Rao MD
24
Dr.T.V.Rao MD
25
3/6/16
Dr.T.V.Rao MD
26
Dr.T.V.Rao MD
27
Why surveillance?
NCI cause of morbidity and mortality
One third may be preventable
Surveillance is cost-efficient!!
3/6/16
Dr.T.V.Rao MD
28
Objectives OF Surveillance
Reducing infection rates
Establishing endemic baseline rates
Identifying outbreaks
Identifying risk factors
Persuading medical personnel
Evaluate control measures
Satisfying regulators
Document quality of care
Compare hospitals NCI rates
3/6/16
Dr.T.V.Rao MD
29
The surveillance
loop
Surveillance centre
Health care
system
Reporting
Data
Action
Information
Analysis,
interpretation
Event
3/6/16
Feedback,
recommendations
Dr.T.V.Rao MD
30
3/6/16
Dr.T.V.Rao MD
31
Dr.T.V.Rao MD
32
Target hospitals
with highest
number of
CDC funded
health
excess infections
Partnering for
Prevention
3/6/16
Dr.T.V.Rao MD
departments
AHRQ funded
networks
CMS funded
networks
Other partners
33
Targeting
Assessment
Implementation
3/6/16
Dr.T.V.Rao MD
34
Dr.T.V.Rao MD
36
Audit Method
Audit Method Select
areas Focus on a few
important ones Report
should include
Description of the
physical layout
Observation of practices
Action taken/Practice
changed Collection of
local audit data
3/6/16
Dr.T.V.Rao MD
37
3/6/16
included Need to
understand its purpose
is to improve practice
Not punitive or to
identify weaknesses
Pre-audit meetings
essential Consistence
and anonymity Identify
leaders in the area
Knowledge
Dr.T.V.Rao MD
38
Dr.T.V.Rao MD
39
40
ROLE OF DIAGNOSTIC
MICROBIOLOGY
LABORATORY
3/6/16
Dr.T.V.Rao MD
41
Surveillance of Operation
Theaters and Critical care
Areas
Provides environmental
microbiology methods for
measuring contamination
of healthcare
environment includes
1 Settle plates
2 Surveillance of
Operation theaters with
colony counters ( Many
Air Samplers available )
3/6/16
Dr.T.V.Rao MD
42
Documentation of Antibiotic
Resistance Patterns
Develops and
evaluates
methods to
reliably detect
emerging
antimicrobial
resistance
Use WHONET FOR
EFFECTIVE
3/6/16
Dr.T.V.Rao MD
43
3/6/16
Dr.T.V.Rao MD
44
3/6/16
These surveys
generally result
in the hospitals
infection rate
being higher than
it would be
without the
survey data.
Dr.T.V.Rao MD
45
3/6/16
Dr.T.V.Rao MD
46
ROLE OF INFECTION
CONTROL COMITTE
3/6/16
Dr.T.V.Rao MD
47
Leadership
commitment
Accountability
Drug expertise
Action
Tracking
Reporting
Education
3/6/16
Dr.T.V.Rao MD
48
Dr.T.V.Rao MD
49
Dr.T.V.Rao MD
50
3/6/16
Dr.T.V.Rao MD
51
Dr.T.V.Rao MD
52
3/6/16
Dr.T.V.Rao MD
53
3/6/16
Dr.T.V.Rao MD
54
International Federation
of Infection Control IFIC
International Federation of Infection Control IFICs mission is to
facilitate international networking in order to improve the
prevention and control of healthcare associated infections
worldwide. It is an umbrella organisation of societies and
associations of healthcare professionals in infection control and
related fields across the globe. The goal of IFIC is to minimise the
risk of infection within healthcare settings through development of
a network of infection control organisations for communication,
consensus building, education and sharing expertise.
For more
information go to http://theific.org/http://theific.org/
3/6/16
Dr.T.V.Rao MD
55
3/6/16
Dr.T.V.Rao MD
56
References
Prevention and Control of Hospitalacquired Infections Office of the Auditor
General of Ontario Special Report 2008
Guidelines from Center for Disease Control
CDC Atlanta USA
National Institute of Health NIH USA
3/6/16
Dr.T.V.Rao MD
57
Attention of Viewers
I am thankful to many in the world who made me to achieve my desired goals faster than
I thought, having > 3-5 million health professionals share and utilize my knowledge for the
benefit of mankind, Today I wish to be freelancer to the world to create interest in
Medical, Clinical and Diagnostic Microbiology with more emphasis on Infectious diseases
and Hospital associated Infection wish to be your partner in educating many millions who
know well the importance of Infectious diseases
Dr.T.V.Rao MD
58
Dr.T.V.Rao MD
59