scholarly journals Impact of an Infection Control Program on the Prevalence of Nosocomial Infections at a Tertiary Care Center in Switzerland

2008 ◽  
Vol 29 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Corina Ebnöther ◽  
Beate Tanner ◽  
Flavia Schmid ◽  
Vittoria La Rocca ◽  
Ivo Heinzer ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Nosocomial Infection ◽  
Infection Control ◽  
Care Center ◽  
Tertiary Care ◽  
Control Program ◽  
Tertiary Care Center ◽  
Infection Control Program ◽  
Before And After ◽  
Hygiene Compliance

Objective.To study the impact of a multimodal infection control program on the rate of nosocomial infections at a 550-bed tertiary care center.Methods.Before and after the implementation of an infection control program, the rate of nosocomial infection was recorded in time-interval prevalence studies. Hand hygiene compliance was studied before and after the intervention. As a surrogate marker of compliance, the amount of alcohol-based hand rub consumed before the intervention was compared with the amount consumed after the intervention. The intervention included additional staff for infection control, repeated instructions for hand hygiene, new guidelines for preoperative antibiotic prophylaxis, and isolation of patients infected or colonized with multidrug-resistant bacteria.Results.The rate of nosocomial infection decreased from approximately 11.7% to 6.8% in 2 years. The rate of hand hygiene compliance increased by 20.0%; it was 59.0% before the intervention and increased to 79.0% afterward. These results correlate with data on the consumption of alcohol-based hand rub, but not with data on the use of antibiotics.Conclusion.Within 2 years, a multimodal infection control program intervention such as this one may reduce the rate of nosocomial infection at a tertiary care center by more than one-third and improve both the quality of care and patient outcomes. It may also generate considerable savings. Therefore, such programs should be promoted not only by hospital epidemiologists but also by hospital administrators.

scholarly journals 1196. Is the Weekend Staff Really to Blame? Challenges in Isolation Compliance at an Academic Tertiary Care Center

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S429-S429
Author(s):  
Sonia Bassett ◽  
Kelley M Boston ◽  
Luis Ostrosky-Zeichner
Keyword(s):  
Hand Hygiene ◽  
Infection Control ◽  
Significant Variation ◽  
Normal Approximation ◽  
Care Center ◽  
Tertiary Care ◽  
Visual Observation ◽  
Protective Equipment ◽  
Drug Resistant ◽  
Tertiary Care Center

Abstract Background Transmission-based isolation precautions are implemented in an effort to decrease the risk of transmission of pathogens. Weekend staff are perceived to have lower compliance. Methods Visual observation of healthcare worker (HCW) compliance with an institutional isolation precautions practices was done at an academic tertiary care center. In the first quarter of 2019, observations were completed for 894 patients who required contact, droplet or airborne isolation precautions. Observations included patients with infection or colonization with multi-drug-resistant organisms (MDRO) or highly transmissible infections. Observations focused on availability of appropriate supplies, compliance with infection control practices, and documentation. Audits were performed on workdays and weekends, and results were communicated to unit leadership via email. Comparison of proportions was calculated using the normal approximation in Minitab18. Results Compliance with the different elements of the audit can be seen in Table 1. HCW compliance with the use of personal protective equipment and hand hygiene on exit from the room had the lowest compliance and was statistically lower on weekends than on weekdays, and compliance was significantly lower than all other categories for both weekday and weekend measurements. Fifty-seven percent of all patients had missed compliance on one or more elements. There was not a statistically significant variation in practice between weekends and weekdays in overall compliance. Conclusion There is opportunity for improvement in all compliance on isolation practices facility-wide, and elements that require changes in behavior had the lowest compliance, and were lower on weekend shifts. We did not find other differences in performance for weekend staff vs. weekday staff. Educational measures should focus on all individual staff across all shifts. Disclosures All authors: No reported disclosures.

Infection Control Violations

1991 ◽  
Vol 12 (11) ◽  
pp. 672-675 ◽  
Author(s):  
Linda A. Homing ◽  
Philip W. Smith
Keyword(s):  
Infection Control ◽  
Care Center ◽  
Tertiary Care ◽  
Peer Pressure ◽  
Control Program ◽  
Medical Director ◽  
Healthcare Organizations ◽  
Infection Control Program ◽  
Policies And Procedures ◽  
State And Local

The Joint Commission on Accreditation of Healthcare Organizations UCAHO) mandates a hospital-wide infection control program.' National, state, and local healthcare guidelines and resources address infection control issues including asepsis, handwashing, isolation precautions, Universal Precautions (UP), and waste disposal. One important aspect of an infection control program is the monitoring of compliance with policies and procedures. We report a system of monitoring compliance with infection control policies and procedures through the use of confidential infection control violation reports.Bishop Clarkson Memorial Hospital is a 550-bed tertiary care center that has an epidemiology services department consisting of a medical director, associate medical director, and two nurse epidemiologists. Hospital personnel have been encouraged through formal and informal educational sessions to report infection control violations to the service. Prior to 1986, infection control violations usually were noted through special studies such as isolation precautions monitors and surveillance activities. Occasionally, employees told Epidemiology Services about a witnessed violation but were very hesitant to document the incident because of fear of retaliation, harassment, and job loss. Peer pressure appeared to play a role in this hesitation.

scholarly journals HAND HYGIENE COMPLIANCE, KNOWLEDGE AND PERCEPTION AMONG HEALTHCARE WORKERS IN A TERTIARY CARE CENTER IN SOUTH INDIA

2021 ◽  
Vol 9 (07) ◽  
pp. 545-548
Author(s):  
G. Swetha ◽  
◽  
V.V. Shailaja ◽  
S. Rajeshwar Rao ◽  
K. Nagamani ◽  
...  
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Workers ◽  
Hand Hygiene Compliance ◽  
Role Model ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Care Workers ◽  
Hygiene Compliance

Aim and objective of the study: To assess the compliance, knowledge and perception among health care workers regarding hand hygiene by conducting regular surveillance and educational programs. This surveillance program objective is to evaluate the effect of three different educational programs on improving hand hygiene compliance, knowledge and perception among health care workers in a tertiary care center in South India Materials and Methods: It is an observational and knowledge perception study conducted ina tertiary care center, over a period of 6 months (Jan 2018 to June 2018) using WHO tools. Questionnaires were distributed to 180 participants which included Doctors, Nurses, technicians, Residents & Medical students in 5 units of the hospital (3 ICUs and 2 post-operative wards) The study is divided into Pre interventional, Interventional and Post interventional phase. The interventions included.1. Role model training. 2. Lectures with PowerPoint presentations, 3. Posters and charts representing hand hygiene protocols & motivational messages Results: Hand hygiene compliance was observed during 2153 hand hygiene opportunities and knowledge perception was assessed among 180 participants in the pre intervention and 180 participants in the post interventional period. After intervention the Hand hygiene compliance rate significantly improved in two post-operative wards and two ICUs (total four out of five units targeted). In the perception survey improvement in knowledge was observed. Strong smell of alcoholic hand rub was mentioned as a common reason for noncompliance in one ICUs. Some wrong practices like using hand rub over the glove were corrected. Conclusion: The surveillance and training program improved the hand hygiene compliance and knowledge among health care workers in four out of five units intertiary care center. Role model training had the most impact. However consistent and continuous educational and training programs are necessary to further improve and maintain the compliance rates of hand hygiene.

A multimodal intervention to improve hand hygiene compliance in a tertiary care center

2018 ◽  
Vol 46 (7) ◽  
pp. 775-780 ◽  
Author(s):  
Abdul Mannan Laskar ◽  
Deepashree R ◽  
Prasanna Bhat ◽  
Biju Pottakkat ◽  
Sunil Narayan ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Improve Hand Hygiene ◽  
Multimodal Intervention ◽  
Hygiene Compliance

scholarly journals Health-related quality of life using QOLIE-31: Before and after epilepsy surgery a prospective study at a tertiary care center

2007 ◽  
Vol 55 (4) ◽  
pp. 343 ◽  
Author(s):  
PoodipediSarat Chandra ◽  
FaizUddin Ahmad ◽  
Manjari Tripathi ◽  
MV Padma ◽  
Shailesh Gaikwad ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Health Related Quality ◽  
Before And After ◽  
Related Quality ◽  
Health Related ◽  
A Prospective Study

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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