scholarly journals Quality of the hospital infection control programs: an integrative review

2020 ◽  
Vol 41 ◽  
Author(s):  
André Luiz Silva Alvim ◽  
Bráulio Roberto Gonçalves Marinho Couto ◽  
Andrea Gazzinelli
Keyword(s):  
Infection Control ◽  
Web Of Science ◽  
Hospital Infection ◽  
Structural Elements ◽  
Control Programs ◽  
Final Sample ◽  
Hospital Infection Control ◽  
Process And Outcome ◽  
And Control

ABSTRACT Objective: To analyze the quality of health in relation to the components of structure, process, and outcome in actions for the prevention and control of infections. Method: An integrative literature review in the LILACS, Web of Science, Scopus, and SciELO databases. The time delimitation covered articles published between January 2009 and May 2019. Results: The final sample consisted of 10 articles published, mainly in Scopus (60%), and in Web of Science (30%). The structural elements varied among the study countries, suggesting opportunities for improvement of organizational characteristics and human resources. Regarding the process of the implemented routines, inconsistencies were found to comply with the guidelines. The result component was not emphasized among the studies included in the review. Conclusion: The quality of hospital infection control programs has yet to be improved among the health services, highlighting the need for investment in the structure, process, and outcome components.

scholarly journals Quality of Hospital Infection Control Programs in Low- and Middle-income Countries: A National Survey

2020 ◽  
Vol 41 (S1) ◽  
pp. s363-s363
Author(s):  
André Alvim ◽  
Gazzinell Gazzinell ◽  
Braulio Couto
Keyword(s):  
Health Services ◽  
Infection Control ◽  
Organizational Context ◽  
Control Program ◽  
Hospital Infection ◽  
Multiple Choice Questions ◽  
Infection Control Program ◽  
Control Programs ◽  
Hospital Infection Control

Background: One of the strategies to reduce healthcare-associated infections (HAIs) and promote the quality of disease prevention and control actions is the creation of a hospital infection control program. This program is a set of deliberately and systematically developed actions aimed toward reducing the incidence and severity of infections to the maximum extent possible. In Brazil, studies on the subject still need to be improved; they focus on structural and process assessments, especially the survey of continuing education indicators as a quality requirement for the prevention of HAIs. The organizational context does not contribute to the success of the program, and difficulties remain in implementing recommendations and in implementing patient safety policies. Objective: To analyze hospital infection control programs in relation to quality components. Methods: This cross-sectional epidemiological study was conducted in health services located in the 5 official regions of Brazil: Midwest, Northeast, North, Southeast, and South. To select the study sites, nonprobabilistic sampling using the snowball technique was used. The potential study population consisted of 114 hospital infection control services. Health professionals responded to the structured instrument sent electronically via e-mail, and other health services near their locality, until reaching a national proportion. We used the “Hospital Infection Control Program Evaluation Questionnaire”; it consists of 36 multiple-choice questions. This tool was validated by 96 expert judges using the Cronbach’s alpha test (0.82) and the content validity index (0.88). A data analysis was performed using the multivariate principal component analysis technique (PCA). Results: Overall, 13 PCA components (Fig. 1) were used to build a score for measuring the performance of the hospital infection control program (ie, IQPC score). The Southern region had the best performance of the hospital infection control program (mi = 1.50; P = .02) (Fig. 2), private administration (mi = 0.45; P = .05), of hospitals that contained 300 beds or (mi = 1.38; P < .01), hospitals that used the NHSN criterion for HAI surveillance (mi = 2.12; P < .01), and those who searched prospective activity as a surveillance method (mi = 0.51; P < .01). Conclusions: The quality of nosocomial infection control programs still needs to be improved among health services, highlighting the need to invest in small, publicly managed hospitals that use retrospective active surveillance methods.Funding: NoneDisclosures: None

scholarly journals Construction and validation of instrument to assess the quality of infection control programs

2021 ◽  
Vol 42 ◽  
Author(s):  
André Luiz Silva Alvim ◽  
Andrea Gazzinelli ◽  
Bráulio Roberto Gonçalves Marinho Couto
Keyword(s):  
Infection Control ◽  
National Level ◽  
Hospital Infection ◽  
Cronbach’S Alpha ◽  
Good Reliability ◽  
Control Programs ◽  
Cronbach's Alpha ◽  
Hospital Infection Control ◽  
Good Internal Consistency

ABSTRACT Objective: To build and validate an instrument to assess hospital infection control programs. Method: Methodological study that was developed in seven stages. The instrument items were categorized into the structure, process and result components. 10 expert judges participated, who evaluated the psychometric properties and validated the content using the Likert scale. The pre-test was carried out with 98 health professionals, from April to July 2018. For reliability analysis, Cronbach's alpha test was used. Results: Regarding the content validity index, the score made by expert judges ranged from 0.777 to 1.00, with mean of 0.902 (± 0.076). The Cronbach's alpha test showed good internal consistency of the items (0.82). Conclusion: An instrument to assess hospital infection control programs was developed and validated, which showed good reliability and can be efficiently used at national level.

Guideline for Prevention of Intravascular-Device–Related Infections

1996 ◽  
Vol 17 (7) ◽  
pp. 438-473 ◽  
Author(s):  
Michele L. Pearson ◽  
Keyword(s):  
Infection Control ◽  
Prevention And Control ◽  
Hospital Infection ◽  
Intravenous Therapy ◽  
Intravascular Device ◽  
Hospital Infection Control ◽  
Catheter Site ◽  
Device Use ◽  
And Control

The “Guideline for Prevention of Intravascular Device-Related Infections” is designed to reduce the incidence of intravascular device-related infections by providing an over view of the evidence for recommendations considered prudent by consensus of Hospital Infection Control Practices Advisor y Committee (HICPAC) members. This two-part document updates and replaces the previously published Centers for Disease Control's (CDC) Guideline for Intravascular Infections (Am J Infect Control1983;11:183-199). Part I, “Intravascular Device-Related Infections: An Over view” discusses many of the issues and controversies in intravascular-device use and maintenance. These issues include definitions and diagnosis of catheter-related infection, appropriate barrier precautions during catheter insertion, inter vals for replacement of catheters, intravenous (IV) fluids and administration sets, catheter-site care, the role of specialized IV personnel, and the use of prophylactic antimi-crobials, flush solutions, and anticoagulants. Part II, “Recommendations for Prevention of Intravascular Device-Related Infections” provides consensus recommendations of the HICPAC for the prevention and control of intravascular device-related infections. A working draft of this document also was reviewed by experts in hospital infection control, internal medicine, pediatrics, and intravenous therapy. However, all recommendations contained in the guideline may not reflect the opinion of all reviewers.

“The Coccus-Conscious” or “The Conscious Careful”

1987 ◽  
Vol 8 (1) ◽  
pp. 34-35 ◽  
Author(s):  
Albert F. Brown ◽  
Joan L. Otterman
Keyword(s):  
Staphylococcus Aureus ◽  
Infection Control ◽  
Hospital Infection ◽  
Methicillin Resistant ◽  
Persistent Problem ◽  
Control Programs ◽  
Hospital Infection Control ◽  
To Come

Staphylococcus aureus continues to be a resilient and persistent problem for hospital infection control programs. Now methicillin-resistant S. aureus (MRSA) is emerging as an even more formidable foe, bringing with it controversies in laboratory reporting, treatment, and isolation strategies.History suggests that the best solution to the hospital bacteria problem may well lie in the realm of spirit more than material methods. So, in the manner of Dickens' Christmas Carol fantasy, let us travel with three spirits— the Spirit of Conscience Past, the Spirit of Conscience Present, and the Spirit of Conscience to Come.

scholarly journals A Study of Hospital Infection Control Program against Normative Weighted Criteria at a Large Public Hospital

2014 ◽  
Vol 2 (2) ◽  
pp. 130-132
Author(s):  
Sunil Kant ◽  
Jitender Mehta ◽  
Sanjay Arya ◽  
Shakti Kumar Gupta
Keyword(s):  
Infection Control ◽  
Program Implementation ◽  
Public Hospital ◽  
Control Program ◽  
Healthcare Facility ◽  
Hospital Infection ◽  
Infection Control Program ◽  
Control Programs ◽  
Hospital Infection Control ◽  
Hospital Acquired

ABSTRACT Hospital infection control programs are important for prevention and control of hospital acquired infection in a healthcare facility. An evaluatory study was done to measure the quality dimensions of hospital infection control program in a public hospital to compare the program implementation in different speciality centers against the normative weighted criteria developed by Gupta and Kant (2002). Result showed variations in infection control program activities in various speciality centers. A centralized administration of infection control program and emphasis on more training and education is recommended. How to cite this article Mehta J, Arya S, Kant S, Gupta SK. A Study of Hospital Infection Control Program against Normative Weighted Criteria at a Large Public Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2):130-132.

Cirurgical site infection: preventive actions of the commission of hospital infection control

2011 ◽  
Vol 5 (5) ◽  
pp. 1180
Author(s):  
Hellen Gomes Claudino ◽  
Leila de Cássia Tavares Fonsêca
Keyword(s):  
Infection Control ◽  
Hospital Infection ◽  
Technical Training ◽  
Site Infection ◽  
Surgical Wound ◽  
Preventive Actions ◽  
Hospital Infection Control ◽  
Surgery Department ◽  
And Control ◽  
Case Data

ABSTRACTObjective: to identify the actions of the Commission on Hospital Infection Control (CHIC) of a teaching hospital for prevention and control of surgical site infection (SSI). Methodology: exploratory study, descriptive, quantitative and qualitative, whose sample consisted of five professionals who met the following criteria: be an effective member of the CHIC and take up the case. Data collection occurred in June 2009, after approval by the Ethics Committee in Research of the hospital investigated, with the opinion No. 026/2009, through a semistructured questionnaire containing objective and subjective questions. Data were analyzed statistically, and by technical of the Collective Subject Discourse. Results: the research showed that there is not a Manual of Rules and Routines available to the professionals of the mentioned hospital, and there is no socialization of the incidence of SSI for professionals working in the Surgical Center, attributions seen as responsibility of CHIC, order number 2616/98. Conclusion: is observable a need to implement educational activities that includes the CHIC to update the rules and routines, and exposure of the incidence of SSI, in order to reduce cases of this type of infection and allows the technical training of the working professionals in surgical center. Descriptors: prevention & control; surgical wound infection; surgery department, hospital.RESUMOObjetivo: identificar as ações da Comissão de Controle de Infecção Hospitalar (CCIH) de um hospital escola para prevenir e controlar a infecção de sítio cirúrgico (ISC). Metodologia: estudo exploratório, descritivo, quanti-qualitativo, cuja amostra foi constituída por cinco profissionais que atenderam aos seguintes critérios: ser membro efetivo da CCIH e aceitar participar do estudo. A coleta de dados ocorreu em junho de 2009, após aprovação do Comitê de Ética em Pesquisa do hospital investigado, com o parecer nº 026/2009, por meio de um questionário semiestruturado contendo questões objetivas e subjetivas. Os dados foram analisados estatisticamente, e através da técnica do Discurso do Sujeito Coletivo. Resultados: a pesquisa evidenciou que não há um Manual de Normas e Rotinas disponibilizado para os profissionais do referido hospital, bem como não existe a socialização da incidência de ISC aos profissionais atuantes no Centro Cirúrgico, atribuições estas previstas como competências da CCIH pela Portaria MS Nº 2616/98. Conclusão: observa-se a necessidade de implantar atividades educativas desenvolvidas pela CCIH, que incluam a atualização das normas e de rotinas, e a exposição da incidência de ISC, com a finalidade de reduzir os casos desse tipo de infecção e permitir o aperfeiçoamento técnico dos profissionais atuantes no centro cirúrgico. Descritores: prevenção & controle; infecção da ferida operatória; centro cirúrgico hospitalar.RESUMENObjetivo: identificar las acciones de la Comisión de Control de Infección Hospitalaria (CCIH) de un hospital escuela para prevenir y controlar la infección de sitio quirúrgico (ISQ). Metodología: estudio exploratorio, descriptivo, cuanti-cualitativo, cuya muestra se constituye de cinco profesionales que cumplían con los criterios siguientes: ser un miembro efectivo de la CCIH y tomar el caso. El compendio de datos tuvo lugar en junio de 2009, después de la aprobación del Comité de Ética en Investigación del hospital investigado, con el parecer Nº 026/2009, a través de  un cuestionario semiestructurado objetivo y subjetivo. Los datos fueram analisados estadísticamente, y la técnica del Discurso del Sujeto Colectivo. Resultados: la investigación mostró que no hay Manual de Normas y Rutinas disponible para los profesionales de ese hospital, tampoco la socialización de la incidencia de ISQ a los profesionales del centro quirúrgico. Estas asignaciones son obligaciones de la CCIH previstas por el Portaria MS 2616/98. Conclusión: se ha observado la necesidad de implementar actividades educativas desarrolladas por la CCIH, que incluyan la actualización de las reglas y de rutinas, así como la exposición de la incidencia de ISQ para reducir los casos de ese tipo de infección y consentir la mejora técnica de los profesionales del centro quirúrgico. Descriptores: prevención & control; infección de herida operatória; servicio de cirugía en hospital.

A Statewide Characterization of Hospital Infection Control Practices and Practitioners

1980 ◽  
Vol 1 (4) ◽  
pp. 227-232 ◽  
Author(s):  
Anita L. Booth ◽  
R. Mark Weeks ◽  
Robert H. Hutcheson ◽  
William Schaffner
Keyword(s):  
Infection Control ◽  
Rural Areas ◽  
Medical Specialty ◽  
Hospital Infection ◽  
Modest Improvement ◽  
Hospital Size ◽  
Control Programs ◽  
Infection Control Practitioner ◽  
Hospital Infection Control ◽  
Control Resource

AbstractSelected features of infection control programs among the 163 general hospitals in Tennessee were surveyed in 1976 and 1979. Each hospital but one had a designated infection control practitioner. Three-fourths of the hospitals had fewer than 200 beds and most were in rural areas. The practitioners in these small hospitals worked in an isolated professional milieu: few (4%) had attended a basic training course or were members of a national (11%) or local (16%) infection control association. They also had significantly less access to standard infection control resource publications than did practitioners in large hospitals. Use of aqueous quaternary ammonium compounds for disinfection was reported by 37% of all hospitals in 1979; 68% of hospitals routinely performed bacteriologic cultures of personnel or the environment. In contrast, only 3% of hospitals did not have a policy specifying the use of sterile closed-system drainage of indwelling bladder catheters. Although these practices varied somewhat by hospital size, the differences were not statistically significant. Modest improvement in each parameter was noted since 1976. Pathology was the most common medical specialty (34%) among chairman of infection control committees; internal medicine and pediatrics accounted for only 13%. The practice of routine microbiologic monitoring was significantly more common among hospitals with chairmen who were pathologists. The implications of these findings for national priorities in hospital infection control are discussed.

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