Dr.T.V.Rao MD1

INFECTION CONTROL AT OUR HOSPITAL

A PLAN TO ACTDr.T.V.Rao MD

Dr.T.V.Rao MD2

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.

Dr.T.V.Rao MD3

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.

Dr.T.V.Rao MD4

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.

Dr.T.V.Rao MD5

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.

Dr.T.V.Rao MD6

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 videos

Dr.T.V.Rao MD7

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.

Dr.T.V.Rao MD8

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 devices

Dr.T.V.Rao MD9

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.

Dr.T.V.Rao MD10

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 parties

Dr.T.V.Rao MD11

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 comparison

Dr.T.V.Rao MD12

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 order

Dr.T.V.Rao MD13

Antibiotic UtilizationIsolation 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 patients

Dr.T.V.Rao MD14

A Dedicated Hand Washing can Reduce the Major Spread of Infections

Dr.T.V.Rao MD15

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,

Dr.T.V.Rao MD16

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.

Dr.T.V.Rao MD17

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

doctortvrao@gmail.com