HOSPITAL INFECTION CONTROL COMMITTEE, JIPMERjipmer.puducherry.gov.in/sites/default/files/HOSPITAL...
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HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
HOSPITAL ACQUIRED INFECTION SURVEILLANCE REPORT, JIPMER, SEPTEMBER 2017– ICU
Block
ICU
VAP Rate CLABSI Rate CAUTI Rate SSI Rate
Burn
Wound
Infection
Rate
Bed sore
Rate
Sheath
Infection
Rate
JIPMER
NHSN
75
percentile
JIPMER NHSN
75 percentile JIPMER
NHSN
75 percentile
JIPMER JIPMER JIPMER JIPMER
EMS
BURNS 0.00 6.7 0.00 5.2 0.00 8.1 0.00 6.06 0.00 0.00
CCU 8.26 1.3 7.52 1.9 0.00 3.5 20.00 - 0.00 0.00
TC ICU 0.00 6 0.00 2.4 0.00 5.6 0.00 - 0.00 0.00
MAIN
MICU 10.96 1.6 10.68 1.9 0.00 3.9 0.00 - 4.26 0.00
Ward 43 Stepdown ICU 0.00 1.6 0.00 1.9 0.00 3.9 0.00 - 0.00 0.00
SICU 0.00 3.1 7.63 1.8 0.00 2.5 0.00 - 0.00 0.00
32-A ICU 0.00 3.1 0.00 1.8 9.17 2.5 0.00 - 9.17 0.00
SSB
BMT 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00
CTVS ICU 0.00 2.5 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00
KTP 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00
NUEROMED ICU 38.46 2.5 19.61 1.6 0.00 5 0.00 - 0.00 0.00
NUEROSURG ICU 16.95 2.9 0.00 1.9 0.00 6.2 0.00 - 0.00 0.00
PAED SURG ICU 0.00 0.9 44.12 2.1 0.00 3.8 31.25 - 0.00 0.00
PL SURG ICU 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00
RCC ICU 0.00 1.3 0.00 1.5 0.00 2.3 0.00 - 0.00 0.00
SGE ICU 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 12.27 0.00
URO ICU 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00
SURGICAL
ONCOLOGY ICU 0.00 2.8 0.00 1.2 0.00 2.5 17.65 - 0.00 0.00
WCH NICU 0.00
<750gm-2.4
>750gm-00 0.00
<750gm-4 .9
>750gm-3.3 0.00 0 0.00 - 0.00 0.00
PICU 0.00 0.9 0.00 1.5 0.00 3.1 0.00 - 0.00 0.00
JIPMER( ICU, average) 3.73 4.48 0.46 3.45 6.06 1.29 0.00
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
Building Ward
VAP Rate CLABSI Rate CAUTI Rate SSI Rate Burn Wound
Infection Rate Bed sore Rate
Sheath
Infection Rate
No
. o
f V
AP
case
s
To
tal
No
. o
f
Ven
tila
tor
da
ys
VA
P r
ate
No
. o
f C
LA
BS
I
case
s T
ota
l n
o.
of
Cen
tra
l li
ne
da
ys
CL
AB
SI
rate
No
. o
f C
A-U
TI
case
s
To
tal
no
. o
f
cath
eter
da
ys
CA
UT
I R
ate
No
. o
f S
SI
No
. o
f S
urg
erie
s
do
ne
SS
I R
ate
No
. o
f w
ou
nd
infe
ctio
ns
in
bu
rn p
ati
ents
N
o.
of
pa
tien
ts
da
ys
Bu
rn W
ou
nd
Infe
ctio
n R
ate
No
. o
f b
ed s
ore
No
. o
f p
ati
ent
da
ys
Bed
so
re R
ate
No
. o
f S
hea
th
infe
ctio
n c
ase
s
No
. o
f sh
eath
da
ys
Sh
eath
In
fecti
on
Ra
te
EMS
BURNS 0 0 0.00 0 40 0.00 0 43 0.00 0 0 0.00 1 165 6.06 0 165 0.00 0 0 0
CCU 1 121 8.26 1 133 7.52 0 153 0.00 1 5 20.00 - - - 0 155 0.00 0 39 0
TC ICU 0 85 0.00 0 96 0.00 0 150 0.00 0 24 0.00 - - - 0 163 0.00 0 0 0
MAIN
MICU 4 365 10.96 3 281 10.68 0 450 0.00 0 2 0.00 - - - 2 470 4.26 0 65 0
Ward 43 Stepdown ICU 0 48 0.00 0 49 0.00 0 126 0.00 0 0 0.00 - - - 0 160 0.00 0 13 0
SICU 0 52 0.00 1 131 7.63 0 185 0.00 0 33 0.00 - - 0 205 0.00 0 7 0
32-A ICU 0 44 0.00 0 75 0.00 1 109 9.17 0 3 0.00 - - - 1 109 9.17 0 6 0
SSB
BMT 0 0 0.00 0 53 0.00 0 16 0.00 0 0 0.00 - - - 0 53 0.00 0 0 0
CTVS ICU 0 49 0.00 0 118 0.00 0 110 0.00 0 25 0.00 - - - 0 178 0.00 0 4 0
KTP 0 0 0.00 0 8 0.00 0 4 0.00 0 0 0.00 - - - 0 53 0.00 0 0 0
NEUROMED ICU 2 52 38.46 1 51 19.61 0 105 0.00 0 0 0.00 - - - 0 174 0.00 0 0 0
NEUROSURG ICU 1 59 16.95 0 143 0.00 0 160 0.00 0 22 0.00 - - - 0 178 0.00 0 0 0
PAED SURG ICU 0 23 0.00 3 68 44.12 0 36 0.00 5 16 31.25 - - - 0 169 0.00 0 0 0
PL SURG ICU 0 6 0.00 0 12 0.00 0 15 0.00 0 16 0.00 - - - 0 48 0.00 0 0 0
RCC ICU 0 20 0.00 0 32 0.00 0 66 0.00 0 0 0.00 - - - 0 214 0.00 0 11 0
SGE ICU 0 23 0.00 0 65 0.00 0 113 0.00 0 29 0.00 - - - 2 163 12.27 0 17 0
URO ICU 0 5 0.00 0 35 0.00 0 102 0.00 0 43 0.00 - - - 0 134 0.00 0 23 0
SURGICAL ONCOLOGY
ICU 0 10 0.00 0 18 0.00 0 47 0.00 3 17 17.65 - - - 0 81 0.00 0 0 0
WCH NICU 0 123 0.00 0 294 0.00 0 19 0.00 0 0 0.00 - - - 0 2310 0.00 0 0 0
PICU 0 225 0.00 0 154 0.00 0 148 0.00 0 0 0.00 - - - 0 464 0.00 0 0 0
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER FORMULAE OF HAI INFECTIONS RATES
HAI Infection Rates Formulae
1. VAP Rate= No. of VAP cases/ total no. of ventilator days X 1000
2. CLABSI Rate = No. of CLABSI cases/ total no. of central line days X 1000
3. CA-UTI Rate= No. of CA-UTI cases/ total no. of catheter days X 1000
4. SSI Rate= No. of SSI/ No. of surgeries done X100
5. Burn Wound Infection Rate = No. of wound infections in burn patients/ No. of patient days X 1000
6. Bed sore Rates= No. of bed sores/No. of patient days X 1000
7. Sheath Infection Rate = No. of sheath infection cases / total no. of Sheath daysX 1000
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
ICU
HOSPITAL ACQUIRED INFECTION SURVEILLANCE SEPTEMBER 2017
8.26 10.96
38.46
16.95
7.5210.68
7.63
19.61
44.12
9.17
20.00
31.25
17.65
6.064.26
9.17
12.27
0
5
10
15
20
25
30
35
40
45
50
VAP Rate
CLABSI Rate
CAUTI Rate
SSI Rate
Burn Wound Infection Rate
Bed sore Rate
Sheath Infection Rate
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
HOSPITAL ACQUIRED INFECTION SURVEILLANCE REPORT, JIPMER
SEPTEMBER 2017- WARD
WARD
VAP
Rate
CLABSI
Rate
CAUTI
Rate
SSI
Rate
Open
Wound
Infection
Rate
Bed sore
Rate
Sheath
Infection
Rate
LSCS
Rate
Episiotomy
Rate
PS
Rate
EMS
TC Ward (M) 0 0.00 0.00 0.00 0.00 0.00 0.00 - - -
TC Ward (F) 0 0.00 0.00 0.00 0.00 0.00 0.00 - - -
PMRC A & C 0 0.00 22.99 19.05
- 2.81 0.00 - - -
PMRC POW 0 0.00 34.48 - 0.00 0.00 - - -
MAIN
Ward 31 0 0.00 7.41 0.00 - 0.00 0.00 - - -
Ward 34 0 0.00 15.04 0.00 - 0.00 0.00 - - -
Ward 36 0 0.00 0.00 35.71 - 0.00 0.00 - - -
Ward 37 0 26.32 0.00 10.20 - 1.02 0.00 - - -
SSB
CTVS Ward 0 0.00 0.00 14.29 - 0.00 0.00 - - -
Nephrology Ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -
Neuro Medicine Ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -
Neuro Surgery Ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -
Paediatric Surgery Ward 0 0.00 0.00 24.24 - 0.00 0.00 - - -
Pl surg ward 0 0.00 0.00 5.26 - 0.00 0.00 - - -
RCC Special Ward 0 10.81 0.00 0.00 - 0.00 0.00 - - -
RCC Male Ward 0 15.15 0.00 0.00 - 0.00 0.00 - - -
RCC Female Ward 0 23.81 0.00 0.00 0.00 0.00 - - -
SGE Ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -
Surgical Oncology Ward 0 0.00 0.00 50.00 - 0.00 0.00 - - -
Urology ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -
WCH
Ward 178 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 -
Ward 179 0 0.00 0.00 0.00 - 0.00 0.00 2.22 0.00 -
Ward 301 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 -
Ward 302 0 0.00 0.00 0.00 - 0.00 0.00 2.54 0.49 -
Ward 401 0 0.00 12.50 12.31 - 0.00 0.00 0.00 2.47 -
Ward 466 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 -
Ward 552 0 0.00 0.00 0.00 - 0.00 0.00 1.11 0.00 -
Ward 553 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 0.00
Ward 554 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 -
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
Bu
ild
ing
Ward VAP Rate CLABSI Rate CAUTI Rate SSI Rate Open Wound
Infection Rate Bed sore Rate
Sheath Infection
Rate Episiotomy Rate LSCS Rate PS Rate
No
. o
f V
AP
ca
ses
To
tal
no
. o
f
Ven
tila
tor
da
ys
VA
P R
ate
No
. o
f C
LA
BS
I
ca
ses
To
tal
no
. o
f
Cen
tral
lin
e
da
ys
CL
AB
SI
Ra
te
No
. o
f C
A-U
TI
ca
ses
To
tal
no
. o
f
ca
thete
r d
ay
s
CA
UT
I R
ate
No
. o
f S
SI
No
. o
f S
urg
erie
s
do
ne
SS
I R
ate
No
. o
f o
pen
wo
un
d
infe
cti
on
s
No
. o
f p
ati
en
ts
da
ys
Op
en
Wo
un
d
Infe
cti
on
Ra
te
No
. o
f b
ed
sore
No
. o
f p
ati
en
t
da
ys
Bed
so
re R
ate
No
. o
f S
hea
th
infe
cti
on
ca
ses
No
.o
f sh
eath
da
ys
Sh
ea
th
Infe
cti
on
Ra
te
EP
IS S
SI
Ep
isio
tom
y
AD
M
Ep
isio
tom
y
Ra
te
LS
CS
SS
I
LS
CS
AD
M
LS
CS
Ra
te
PS
SS
I
PS
AD
M
PS
Ra
te
EM
S TC Ward (M) 0 0 0 0 48 0.00 0 235 0.00 0 2 0.00 0 1148 0.00 0 1148 0.00 0 1 0.00 - - - - - - - - -
TC Ward (F) 0 0 0 0 32 0.00 0 148 0.00 0 3 0.00 0 652 0.00 0 652 0.00 0 1 0.00 - - - - - - - - -
PMRC A & C 0 0 0 0 16 0.00 4 174 22.99 24 126 19.05
- - - 4 1421 2.81 0 0 0.00 - - - - - - - - -
PMRC POW 0 0 0 0 0 0.00 1 29 34.48 - - - 0 488 0.00 0 0 0.00 - - - - - - - - -
MA
IN
Ward 31 0 0 0 0 48 0.00 1 135 7.41 0 36 0.00 - - - 0 1032 0.00 0 18 0.00 - - - - - - - - -
Ward 34 0 0 0 0 28 0.00 2 133 15.04 0 41 0.00 - - - 0 1009 0.00 0 0 0.00 - - - - - - - - -
Ward 36 0 0 0 0 41 0.00 0 76 0.00 10 28 35.71 - - - 0 1003 0.00 0 4 0.00 - - - - - - - - -
Ward 37 0 0 0 1 38 26.32 0 104 0.00 5 49 10.20 - - - 1 982 1.02 0 0 0.00 - - - - - - - - -
SS
B
CTVS Ward 0 0 0 0 0 0.00 0 2 0.00 2 14 14.29 - - - 0 750 0.00 0 28 0.00 - - - - - - - - -
Nephrology
Ward 0 0 0 0 34 0.00 0 10 0.00 0 1 0.00 - - - 0 538 0.00 0 165 0.00 - - - - - - - - -
Neuro
Medicine Wd 0 0 0 0 0 0.00 0 37 0.00 0 0 0.00 - - - 0 527 0.00 0 0 0.00 - - - - - - - - -
Neuro Surgery Wd
0 0 0 0 25 0.00 0 91 0.00 0 0 0.00 - - - 0 492 0.00 0 0 0.00 - - - - - - - - -
Paediatric
Surgery Wd 0 0 0 0 0 0.00 0 62 0.00 8 33 24.24 - - - 0 487 0.00 0 0 0.00 - - - - - - - - -
Pl surg wd 0 0 0 0 0 0.00 0 45 0.00 1 19 5.26 - - - 0 439 0.00 0 0 0.00 - - - - - - - - -
RCC Special
Wd 0 0 0 2 185 10.81 0 54 0.00 0 0 0.00 - - - 0 472 0.00 0 0 0.00 - - - - - - - - -
RCC Male wd
0 0 0 1 66 15.15 0 15 0.00 0 0 0.00 - - - 0 482 0.00 0 0 0.00 - - - - - - - - -
RCC Female
ward 0 0 0 2 84 23.81 0 121 0.00 0 0 0.00 0 691 0.00 0 0 0.00
SGE Wd 0 0 0 0 67 0.00 0 20 0.00 0 0 0.00 - - - 0 551 0.00 0 0 0.00 - - - - - - - - -
Surgical
Oncology Wd 0 0 0 0 1 0.00 0 8 0.00 3 6 50.00 - - - 0 440 0.00 0 0 0.00 - - - - - - - - -
Urology Wd 0 0 0 0 3 0.00 0 211 0.00 0 11 0.00 - - - 0 744 0.00 0 24 0.00 - - - - - - - - -
WC
H
Ward 178 0 3 0 0 8 0.00 0 103 0.00 0 0 0.00 - - - 0 203 0.00 0 0 0.00 0 24 0.00 0 46 0.00 - - -
Ward 179 0 3 0 0 0 0.00 0 52 0.00 0 28 0.00 - - - 0 167 0.00 0 0 0.00 0 16 0.00 1 45 2.22 - - -
Ward 301 0 0 0 0 0 0.00 0 0 0.00 0 8 0.00 - - - 0 3526 0.00 0 0 0.00 0 25 0.00 0 17 0.00 - - -
Ward 302 0 0 0 0 0 0.00 0 37 0.00 0 4 0.00 - - - 0 4956 0.00 0 0 0.00 5 1026 0.49 10 394 2.54 - - -
Ward 401 0 0 0 0 0 0.00 1 80 12.50 8 65 12.31 - - - 0 2222 0.00 0 0 0.00 2 81 2.47 0 30 0.00 - - -
Ward 466 0 1 0 0 21 0.00 0 23 0.00 0 7 0.00 - - - 0 1937 0.00 0 0 0.00 0 13 0.00 0 0 0.00 - - -
Ward 552 0 0 0 0 0 0.00 0 363 0.00 0 0 0.00 - - - 0 651 0.00 0 0 0.00 0 0 0.00 3 271 1.11 - - -
Ward 553 0 0 0 0 0 0.00 0 31 0.00 0 0 0.00 - - - 0 215 0.00 0 0 0.00 0 0 0.00 0 47 0.00 0 115 0
Ward 554 0 0 0 0 0 0.00 0 103 0.00 0 76 0.00 - - - 0 212 0.00 0 0 0.00 0 0 0.00 0 0 0.00 - - -
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
FORMULAE OF HAI INFECTIONS RATES
HAI Infection Rates Formulae
1. VAP Rate= No. of VAP cases/ total no. of ventilator days X 1000
2. CLABSI Rate = No. of CLABSI cases/ total no. of central line days X 1000
3. CA-UTI Rate= No. of CA-UTI cases/ total no. of catheter days X 1000
4. SSI Rate= No. of SSI/ total no. of surgeries done X100
5. Open Wound Infection Rate = No. of open wound infections / No. of open wound cases admitted X 1000
6. Bed sore rates= No. of bed sores/total no. of patient days X 1000
7. Sheath Rate = No. of sheath infection cases / total no. of Sheath daysX 1000
8. LSCS SSI Rate = No. of LSCS SSI cases / total no. of LSCS Adm. X 100
9. Episiotomy Rate = No. of Episiotomy SSI cases / total no. of Episiotomy Adm. X 1 00
10. PS Rate (Permanent Sterilization) = No. of PS SSI cases /total no. of PS Adm. X 100
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
EMS & PMRC BLOCK
HOSPITAL ACQUIRED INFECTION SURVEILLANCE, SEPTEMBER 2017
22.99
19.05
2.81
34.48
0
5
10
15
20
25
30
35
40
VAP Rate CLABSI Rate CAUTI Rate SSI Rate Open Wound Infection Rate
Bed sore Rate Sheath Infection Rate
TC Ward (M)
TC Ward (F)
PMRC A & C
PMRC POW
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
MAIN BLOCK
HOSPITAL ACQUIRED INFECTION SURVEILLANCE, SEPTEMBER 2017
7.41
15.04
35.71
26.32
10.20
1.02
0
5
10
15
20
25
30
35
40
VAP Rate CLABSI Rate CAUTI Rate SSI Rate Bed sore Rate Sheath Infection Rate
Ward 31
Ward 34
Ward 36
Ward 37
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
SSB& RCC BLOCK
HOSPITAL ACQUIRED INFECTION SURVEILLANCE, SEPTEMBER 2017
10.81
15.15
23.81
14.29
24.24
5.26
50.00
0
10
20
30
40
50
60
VAP Rate
CLABSI Rate
CAUTI Rate
SSI Rate
Bed sore Rate
Sheath Infection Rate
HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER
WCH BLOCK
HOSPITAL ACQUIRED INFECTION SURVEILLANCE, SEPTEMBER 2017
2.222.54
0.49
12.50 12.31
2.47
1.11
0
2
4
6
8
10
12
14
VAP Rate CLABSI Rate CAUTI Rate SSI Rate Bed sore Rate
Sheath Infection
Rate
LSCS Rate Episiotomy Rate
PS Rate
Ward 178
Ward 179
Ward 301
Ward 302
Ward 401
Ward 466
Ward 552
Ward 553
Ward 554