Evaluation of multidrug resistance and antimicrobial sensitivity pattern as part of infection prevention and control program in Tertiary Care Hospital, Kaduna State, Nigeria

2015 ◽  
Vol 3 (2) ◽  
pp. 51
Author(s):  
Yusuf Mohammed
2020 ◽  
Vol 15 (16) ◽  
pp. 1535-1542
Author(s):  
Marwan Osman ◽  
Fatima B Halimeh ◽  
Rayane Rafei ◽  
Hassan Mallat ◽  
Jad El Tom ◽  
...  

Aim: We sought to investigate the genetic epidemiological relatedness of carbapenem-resistant Acinetobacter baumannii (CRAB) strains of a suspected outbreak in a Lebanese tertiary care hospital to implement necessary infection prevention and control measures. Methods: Twenty-eight nonduplicate CRAB isolates detected among hospitalized patients between January 2016 and July 2017 were studied by real-time polymerase chain reaction (PCR), pulsed-field gel electrophoresis and multilocus sequence typing analyses. Results: Twenty-seven isolates harbored blaOXA-23, of which one also carried blaNDM-1. The isolates distributed temporally in two presumably episodes were stratified by pulsed-field gel electrophoresis into many clusters. Although several clones have become endemic in the hospital, we have rapidly implemented appropriate infection prevention and control measures, achieving full eradication from August 2017 to November 2019. Conclusion: We have successfully investigated and controlled a polyclonal outbreak of OXA-23 producing ST2 CRAB.


Author(s):  
Kinjal Patel ◽  
Suraj Purusottaman ◽  
Trupti Carval ◽  
Lekhan Narvekar

Background: Infection control practices played a major role in prevention of SARS-CoV-2 in healthcare settings. Aim of the study was to know the compliance to infection control and prevention practices by healthcare workers in COVID-19 pandemic and the measures taken for prevention of SARS-CoV-2 spread in the hospital.Methods: An observational study was conducted at tertiary care hospital for a period of one month. All healthcare workers involved in patient care of COVID-19 and non COVID-19 was observed for their infection control practices. Areas were divided in two category, intensive care unit and indoor wards for audit. Environmental samples of various surfaces from intensive care unit and wards were taken and analyzed for the presence of SARS-CoV-2 RNA by reverse transcriptase polymerase chain reaction.Results: Overall compliance to infection prevention practices were improved during pandemic. Hand hygiene compliance in intensive care unit and indoor wards of COVID-19 unit were 78.66% and 74.36% whilst in non COVID-19 units was 72.47% and 62.31% respectively. Compliance to revised biomedical waste (BMW) policy at COVID-19 unit were 85.20% and 71.49% in intensive care unit and ward respectively. However, at non COVID-19 unit, it was 65.22% and 57.60%. Nursing station and doffing area of ICU at non-COVID-19 unit showed presence of SARS-CoV-2 virus. While all samples collected from COVID-19 unit were negative.Conclusions: Infection prevention and control practices play a key role to curtail transmission of infection. Awareness among healthcare workers, hospital environment, and usage of personal protective equipment should be optimized even at non COVID-19 facility.


2021 ◽  
Vol 3 (3) ◽  
pp. 379-386
Author(s):  
Candra Dewi Rahayu ◽  
Diah Fitri Purwaningsih ◽  
Ika Silvitasari

The hospital is the health service structure that plays the most prominent role with the Covid-19 pandemic.The nursing profession is still required to provide quality nursing care to Covid-19 patients, as well as to other patients so that the provision of nursing care must be in accordance with the procedures and management of patients with infectious diseases accurately and correctly and use Personal Protection Equipment in accordance with standard. Infection prevention and control during the pandemic is very important for patients and health workers to minimize the occurrence of nosocomial infections during hospital care. This review aims to determine the development of infection prevention and control program in the provision of nursing care during the Covid-19 pandemic. The research method with a review was carried out by searching for articles related to patient safety in providing Covid-19 nursing care. Literatures search were carried out in December 2020 - January 2021 through PubMed, Sciencedirec, google scholar, government policy then entered the online database list by entering keywords, namely patient safety, nursing care, Covid-19. Selected journals were based on inclusion and exclusion criteria through a critical assessment process with CASP to assess the quality of articles. The results of the critical appraisal obtained six articles that match the inclusion criteria with a minimum appraisal score of 85 in good categories which are then carried out by analysts. The results of the research by reviewing 6 articles show that prevention and control of patients safety in providing nursing care during a pandemic can be developed through nursing care management by using summarized checklists, patient safety-based nursing care service system, infection prevention and control during the pandemic and inclusive leadership. Nursing care management, patient safety, infection prevention and control and an inclusive leadership style are the development methods that can be used for the prevention and control of Covid-19.


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