Implementation of a Comprehensive Infection Control Program at a Behavioral Health Facility after a Norovirus Outbreak

2018 ◽  
Vol 46 (6) ◽  
pp. S106
Author(s):  
Tanya McIntosh ◽  
Lance Williamson ◽  
Heidi Boehm
Keyword(s):  
Infection Control ◽  
Behavioral Health ◽  
Health Facility ◽  
Control Program ◽  
Infection Control Program

scholarly journals Recommendations On The Fight Against Nosocomial Infections Compliance In Health Facilities Of Yaounde (Cameroon)

2019 ◽  
Vol 7 (08) ◽  
Author(s):  
Georgette Ndongo Ekanga ◽  
Hortense Gonsu Kamga ◽  
Albert Same Ekobo ◽  
William Baiye ◽  
Godswill Ntsomboh-Ntsefong ◽  
...  
Keyword(s):  
Infection Control ◽  
Health Facility ◽  
Assessment Tool ◽  
Control Program ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
National Guidelines ◽  
Cross Sectional ◽  
Infection Control Program ◽  
Recommended Practices

Background: Nosocomial infection’s (NIs) data are scarce in developing countries. In some of these countries, national guidelines for its prevention by health facilities have introduced surveillance recommendations including Infection Control Assessment Tool (ICAT). The aim of our study was to evaluate the compliance levels of NIs recommendations. Methodology: We conducted a cross-sectional study from September to December 2018 in 10 health facilities in Yaounde. A checklist with two modules from the ICAT (Health Facility information and Infection Control Program) was used to determine the degree of compliance towards the recommendations by performing interviews, observations and consultation of documents. Results: Sixty (60) % of health facilities are aware of the national guidelines and regulation on the fight against NIs but only 30% have adopted them.  Accreditation standards applicable to health facilities are not known by any of the health facilities. The recommendations concerning demographic characteristics, water supply and the general characteristics on rooms were generally respected (more than 50%) in 90% of the health facilities. 100% of health facilities had less than fifty (50)% compliance level for the fight against NIs recommendations with compliance levels below 15% for 50% of them. This worst compliance (less than 15%) was especially observed with recommended practices concerning responsibilities and authorities (40% of health facilities), functionality of infection and control committees (50% of health facilities), key personnel responsible for fight against NIs (30% of health facilities) and study of outbreaks and surveillance of NIs (100% of health facilities). Training programs on fight against NIs had better scores (30% of health facilities with more than 50% of compliance levels). The Fischer test shows that there is a significant relationship between the compliance with all these recommended practices and the health facility capacity (P= 0, 0476) . Conclusion: NIs control programs in Yaounde health facilities are insufficient. Awareness, training, promotion and follow-up actions are necessary for the understanding and adoption of recommendations on the monitoring of NIs.  

Infection Control in El Salvador: The Hospital Rosales Experience

1987 ◽  
Vol 8 (12) ◽  
pp. 495-500 ◽  
Author(s):  
José A. Marinero Càceres ◽  
Yolanda de Sotello
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Infection Control ◽  
El Salvador ◽  
Control Program ◽  
Infection Control Program ◽  
San Salvador ◽  
Duration Of Hospitalization ◽  
The Mean ◽  
Open Wards ◽  
Partial Correction

AbstractWe describe circumstances at the Hospital Rosales, located in San Salvador, El Salvador, and some salient observations from an infection control program begun in 1978. Findings include overuse of antibiotics, especially of penicillin and chloramphenicol; a predominance of gram-negative rod infections, especially Pseudomonas aeruginosa; a relative infrequency of Staphylococcus aureus infections; an apparent doubling of the mean duration of hospitalization for patients with nosocomial infections compared with other patients (22.1 days versus 11.0 days); documentation and partial correction of deficiencies in aseptic and antiseptic practices; an outbreak of Pseudomonas aeruginosa endophthalmitis traced to the hospital's factory for the manufacturing of intravenous fluids; and attitudinal problems such as the care of patients with rabies on open wards. Prevalence surveys conducted during 1981 and 1986 suggest a dramatic increase in the recent incidence of surgical wound infection (44% v 28%, P < 0.001). This latter observation suggests a direct relationship between infection rates and the hardships imposed by poverty and civil war.

scholarly journals Development of a comprehensive infection control program for a short-term shelter serving trafficked women

2018 ◽  
Vol 36 (1) ◽  
pp. 53-61
Author(s):  
Erin Jones ◽  
Mallory Loomis ◽  
Shalise Mealey ◽  
Meagan Newman ◽  
Holly Schroder ◽  
...  
Keyword(s):  
Infection Control ◽  
Control Program ◽  
Short Term ◽  
Infection Control Program

scholarly journals The effectiveness of a Comprehensive Device Associated Healthcare-Associated Infections Prevention and Control Program: results of a 3-year program in the Republic of Cyprus

2019 ◽  
Author(s):  
Stelios Iordanou ◽  
Nicos Middleton ◽  
Elizabeth Papathanassoglou ◽  
Lakis Palazis ◽  
VASILIOS RAFTOPOULOS
Keyword(s):  
Infection Control ◽  
Prevention And Control ◽  
Control Program ◽  
Control Measures ◽  
Infection Prevention And Control ◽  
Second Phase ◽  
Infection Control Program ◽  
The Republic ◽  
Republic Of Cyprus ◽  
And Control

Abstract Background: Device-associated health care-associated infections (DA-HAIs) are a major threat to patient safety, particularly in the Intensive Care Unit (ICU). The aim of this study was to evaluate the effectiveness of a bundle of infection control measures to reduce DA-HAIs in the ICU of a General Hospital in the Republic of Cyprus, over a three-year period. Methods: We studied 599 ICU patients with length of stay (LOS) for at least 48 hours. Our prospective cohort study was divided into three surveillance phases. VAP, CLABSI, and CAUTI incidence rates, LOS and mortality were calculated before, during and after the infection prevention and control program. Results: There was a statistically significant reduction in the number of DA-HAI events during the surveillance periods, associated with DA-HAIs prevention efforts. In 2015 (prior to program implementation), the baseline DA-HAIs instances were 43: 16 VAP (10.1/1000 Device Days), 21 (15.9/1000DD) CLABSIs and 6 (2.66/1000DD) CAUTIs, (n=198). During the second phase (2016), CLABSIs prevention measures were implemented and the number of infections were 24: 14 VAP (12.21/1000DD), 4 (4.2/1000DD) CLABSIs & 6 (3.22/1000DD) CAUTIs, (n=184). During the third phase (2017), VAP and CAUTI prevention measure were again implemented and the rates were 6: (3 VAP: 12.21/1000DD), 2 (1.95/1000DD) CLABSIs & 1 (0.41/1000DD) CAUTIs, (n=217). There was an overall reduction of 87% in the total number of DA-HAIs instances for the period 01/01/15 to 31/12/17. Conclusions: The significant overall reduction in DA-HAI rates, indicates that a comprehensive infection control program can affect DA-HAI rates.

Prevention of Infections Associated With Permanent Cardiac Antiarrhythmic Devices by Implementation of a Comprehensive Infection Control Program

2004 ◽  
Vol 25 (6) ◽  
pp. 492-497 ◽  
Author(s):  
Abraham Borer ◽  
Jacob Gilad ◽  
Eytan Hyam ◽  
Francisc Schlaeffer ◽  
Pnina Schlaeffer ◽  
...  
Keyword(s):  
Risk Factors ◽  
Infection Control ◽  
Medical Center ◽  
Tertiary Care ◽  
Pacemaker Implantation ◽  
Relative Weight ◽  
Control Program ◽  
Cardiac Device ◽  
Infection Control Program

AbstractObjective:To implement a comprehensive infection control (IC) program for prevention of cardiac device-associated infections (CDIs).Design:Prospective before-after trial with 2 years of follow-up.Setting:A tertiary-care, university-affiliated medical center.Patients:A consecutive sample of all adults undergoing cardiac device implantation between 1997 and 2002.Intervention:An IC program was implemented during late 2001 and included staff education, preoperative modification of patient risk factors, intraoperative control of strict aseptic technique, surgical scrubbing and attire, control of environmental risk factors, optimization of antibiotic prophylaxis, postoperative wound care, and active surveillance. The clinical endpoint was CDI rates.Results:Between 1997 and 2000, there were 7 CDIs among 725 procedures (mean annual CDI incidence, 1%). During the first 9 months of 2001, there were 7 CDIs among 167 procedures (4.2%; P = .007): CDIs increased from 7 among 576 to 3 among 124 following pacemaker implantation (P = .39) and from 0 among 149 to 4 among 43 following cardioverter-defibrillator implantation (P = .002). Of the 14 CDIs, 5 involved superficial wounds, 7 involved deep wounds, and 2 involved endocarditis. Following intervention, there were no cases of CDI among 316 procedures during 24 months of follow-up (4.2% reduction; P = .0005).Conclusions:We observed a high CDI rate associated with substantial morbidity. IC measures had an impact on CDI. Although the relative weight of each measure in the prevention of CDI remains unknown, our results suggest that implementation of a comprehensive IC program is feasible and efficacious in this setting.

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