The scope of a weekly infection control team rounding in an acute-care teaching hospital: a pilot study

Abstract Activities of infection control and prevention are diverse and complicated. Regular and well-organized inspection of infection control is essential element of infection control program. The aim of study was to identify strong points and limitations of weekly infection control rounding (ICTR) in an acute care hospital. We conducted infection control rounding weekly to improve the compliance of infection control in the real field at a 734-bed academic hospital in Republic of Korea between January, 18, 2018 to December, 26, 2018. We investigated the functional coverage of a weekly ICTR. The result of the rounding are categorized well maintained, improvement is needed, long-term support such as space or manpower is needed, not applicable and could not observed. ICTR visited median 7 times [interquartile range (IQR) 6–7 times] per department. When visiting a department, ICTR observed median 16 practices (IQR 12–22). There were 7452 results of practices. Of those results, 75% were monitored properly, 22% were not applicable, and 4% were difficult-to-observe. Among applicable practice results, the most common practices that were difficult to observe were strategies to prevent catheter-related surgical site infections and pneumonia, injection safety practices, and strategies to prevent occupationally-acquired infections. The ICTR was able to maintain regular visits to each department; however, additional observation is necessary to eliminate blind spots.* These authors contributed equally

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867. The Scope of a Weekly Infection Control Team Rounding in an Acute-care Teaching Hospital

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa439.1056 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S472-S472

Author(s):

Se Yoon Park ◽

Hyo-Ju Son ◽

Seungjae Lee ◽

Eunjung Lee ◽

Tae Hyong Kim

Keyword(s):

Infection Control ◽

Surgical Site Infection ◽

Acute Care ◽

Essential Element ◽

Real Field ◽

Care Hospital ◽

Site Infection ◽

Infection Control Program ◽

Control And Prevention ◽

Infection Control And Prevention

Abstract Background Activities of infection control and prevention are diverse and complicated. Regular and well-organized inspection of infection control is essential element of infection control program. The aim of study was to identify strong points and limitations of weekly infection control rounding (ICTR) in an acute care hospital. Methods We conducted weekly ICTR to improve the compliance of infection control in the real field at a 734-bed academic hospital in Republic of Korea. The monitoring team consists of five infection prevention practitioners and four infectious diseases physicians. Total 85 practices of infection control and prevention belonging to the respective category among 9 categories were observed. The result of the rounding are categorized well maintained, improvement is needed, long-term support such as space or manpower is needed, not applicable and could not observed. We investigated retrospectively the functional coverage of a weekly ICTR from January to December 2018. Results During the study period, weekly ICTR were performed total 47 times in 37 departments. ICTR visited median 7 times [interquartile range (IQR) 6-7 times] per department. When visiting a department, ICTR observed median 16 practices (IQR 12-22). During the monitoring period, we could observe 7511 practices in total. Of those results, Most of the practices (74.8%) were able to be monitored properly by ICTR, while some of the practices were not applicable (21.3%) or difficult to observe through ICTR (3.9%)(Table 1). The most common practices among the difficult-to-observe group belong to strategies to prevent catheter-related or surgical site infection and pneumonia (13%, 68/538), safety injection practices (8%, 65/758), linen and laundry management (7%, 33/496), followed by strategies to prevent occupationally-acquired infection (6%, 37/578). Table 1. Conclusion ICTR has strength in regular visits to each department. However, additional observation is necessary, especially for prevention of cathether-related infection and surgical site infection. Disclosures All Authors: No reported disclosures

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Results of a Comprehensive Infection Control Program for Reducing Surgical-Site Infections in Coronary Artery Bypass Surgery

Infection Control and Hospital Epidemiology ◽

10.1086/501665 ◽

1999 ◽

Vol 20 (8) ◽

pp. 533-538 ◽

Cited By ~ 42

Author(s):

Samuel J. McConkey ◽

Paul B. L'Ecuyer ◽

Denise M. Murphy ◽

Terry L. Leet ◽

Thoralf M. Sundt ◽

...

Keyword(s):

Coronary Artery ◽

Infection Control ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Surgical Site Infections ◽

Control Program ◽

Care Hospital ◽

Infection Rates ◽

Infection Control Program ◽

Cabg Surgery

AbstractObjective:To evaluate the efficacy of a comprehensive infection control program on the reduction of surgical-site infections (SSIs) following coronary artery bypass graft (CABG) surgery.Design:Prospective cohort study.Setting:1,000-bed tertiary-care hospital.Patients:Persons undergoing CABG with or without concomitant valve surgery from April 1991 through December 1994.Interventions:Prospective surveillance, quarterly reporting of SSI rates, chlorhexidene showers, discontinuation of shaving, administration of antibiotic prophylaxis in the holding area, elimination of ice baths for cooling of cardioplegia solution, limitation of operating room traffic, minimization of flash sterilization, and elimination of postoperative tap-water wound bathing for 96 hours. Logistic regression models were fitted to assess infection rates over time, adjusting for severity of illness, surgeon, patient characteristics, and type of surgery.Results:2,231 procedures were performed. A reduction in infection rates was noted at all sites. The rate of deep chest infections decreased from 2.6% in 1991 to 1.6% in 1994. Over the same period, the rate of leg infections decreased from 6.8% to 2.7%, and of all SSI from 12.4% to 8.9%. The adjusted odds ratio (OR) for all SSIs for the end of 1994 compared to December 31,1991, was 0.37 (95% confidence interval [CI95], 0.22-0.63). For deep chest and mediastinal infections, the adjusted OR comparing the same period was 0.69 (CI95, 0.28-1.71).Conclusions:We observed significant reductions in SSI rates of deep and superficial sites in CABG surgery following implementation of a comprehensive infection control program. These differences remained significant when adjusted for potential confounding covariables

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Serratia marcescens—A Marker for an Infection Control Program

Infection Control ◽

10.1017/s0195941700055910 ◽

1982 ◽

Vol 3 (2) ◽

pp. 134-142 ◽

Cited By ~ 7

Author(s):

T.J. Marrie ◽

M.A. Noble ◽

E.V. Haldane ◽

N.H. Duncan ◽

I. Paterson ◽

...

Keyword(s):

Infection Control ◽

Serratia Marcescens ◽

Health Care Workers ◽

Acute Care Hospital ◽

Control Program ◽

Care Hospital ◽

Infection Control Program ◽

Care Workers ◽

Victoria General Hospital ◽

Urine Testing

An infection control program was instituted at The Victoria General Hospital, an 800-bed acute care hospital, in July 1977. Serratia marcescens had infected or colonized (I/C) 225 to 232 patients yearly for each of the three previous years. Since this organism is usually acquired nosocomially, we decided to use Serratia I/C as a marker for our infection control program. During the years 1977 to 1980, we identified and eliminated several reservoirs of Serratia (contaminated urine measuring containers, urometers, diabetic urine testing equipment and in-use contamination of 2% Hibitane). Readmission of previously I/C patients proved to be an increasingly important reservoir. During 1980, only 120 patients were I/C, and gentamicin-resistant isolates of S. marcescens had dropped from 44% in 1977 to 4.4% in 1980. Use of Serratia as a marker enabled us to monitor the efficacy of our infection control program and allowed us to prove to our health care workers the usefulness of many of the measures we introduced.

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Scope of a weekly infection control team rounding in an acute-care teaching hospital: a pilot study

10.21203/rs.3.rs-21478/v2 ◽

2020 ◽

Author(s):

Yeon Su Jeong ◽

Jin Hwa Kim ◽

Seungju Lee ◽

So Young Lee ◽

Sun Mi Oh ◽

...

Keyword(s):

Pilot Study ◽

Infection Control ◽

Acute Care ◽

Essential Element ◽

Care Hospital ◽

Infection Control Team ◽

Infection Control Program ◽

Control Team ◽

Control And Prevention ◽

Infection Control And Prevention

Abstract Regular and well-organized inspection of infection control is an essential element of an infection control program. The aim of this study was to identify the functional scope of weekly infection control team rounding (ICTR) in an acute care hospital. We conducted weekly ICTR between January 18 and December 26, 2018 to improve the compliance to infection control and prevention measures at a 734-bed academic hospital in the Republic of Korea and analyzed the results retrospectively. We categorized the results into five groups: “well maintained,” “improvement needed,” “long-term support, such as space or manpower, needed,” “not applicable,” or “could not be observed”. A total of nine categories and 85 sub-elements of infection control and prevention practices were evaluated. The median number of infection control team (ICT) visits per department was 7 (interquartile range [IQR]: 6-7). The ICT assessed a median of 16 elements (IQR: 12-22), and a total of 7,452 results were obtained. Of those, 75% were monitored properly, 22% were “not applicable”, and 4% were difficult to observe. The most common practices that were difficult to observe were strategies to prevent catheter-related surgical site infections, pneumonia, and occupationally acquired infections as well as injection safety practices. Although the ICTR was able to maintain regular visits to each department, further strategies beyond regular ICTR are needed to reduce category of “could not observed”. This pilot study may provide an important reference for institutional infection prevention practices as it is the first study to investigate the functional coverage of ICTR.

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Infection control consultation in a 150-bed acute care hospital: Making this unobserved and unmeasured critical job function visible

American Journal of Infection Control ◽

10.1016/j.ajic.2006.07.006 ◽

2007 ◽

Vol 35 (6) ◽

pp. 401-406 ◽

Cited By ~ 4

Author(s):

Patti S. Grant ◽

Alex T. Kim

Keyword(s):

Infection Control ◽

Acute Care ◽

Acute Care Hospital ◽

Care Hospital ◽

Job Function

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Spinal Fusion Surgical Site Infections at an Acute Care Hospital: A Case Control Study

American Journal of Infection Control ◽

10.1016/j.ajic.2018.04.094 ◽

2018 ◽

Vol 46 (6) ◽

pp. S43

Author(s):

Tasha M. Turner ◽

Shannon Kavish ◽

Jeanne Yegge ◽

Katherine Yohnke ◽

Ashleigh J. Goris ◽

...

Keyword(s):

Spinal Fusion ◽

Acute Care ◽

Case Control Study ◽

Acute Care Hospital ◽

Surgical Site Infections ◽

Case Control ◽

Care Hospital ◽

Control Study

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Results of a Comprehensive Infection Control Program for Reducing Surgical-Site Infections in Coronary Artery Bypass Surgery: Further Data From the Authors

Infection Control and Hospital Epidemiology ◽

10.1086/501585 ◽

1999 ◽

Vol 20 (12) ◽

pp. 791-792 ◽

Cited By ~ 5

Author(s):

Samuel J. McConkey ◽

Paul B. L'Ecuyer ◽

Denise M. Murphy ◽

Terry L. Leet ◽

Thoralf M. Sundt ◽

...

Keyword(s):

Coronary Artery ◽

Infection Control ◽

Coronary Artery Bypass ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Artery Bypass ◽

Surgical Site Infections ◽

Control Program ◽

Infection Control Program

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Status of Tuberculosis Infection Control Programs in Canadian Acute Care Hospitals, 1989 to 1993 – Part 1

Canadian Journal of Infectious Diseases ◽

10.1155/1997/725723 ◽

1997 ◽

Vol 8 (4) ◽

pp. 188-194 ◽

Cited By ~ 2

Author(s):

Donna Holton ◽

Shirley Paton ◽

Helen Gibson ◽

Geoffrey Taylor ◽

Carol Whyman ◽

...

Keyword(s):

Infection Control ◽

Acute Care ◽

Acute Care Hospital ◽

Acute Care Hospitals ◽

Respiratory Protection ◽

Care Hospital ◽

Screening Programs ◽

Control Programs ◽

Environmental Controls ◽

Hospital Infection Control

OBJECTIVE: To document tuberculosis (TB) prevention and control activities in Canadian acute care hospitals from 1989 to 1993.DESIGN: Retrospective questionnaire.PARTICIPANTS: All members of the Community and Hospital Infection Control Association-Canada and l’Association des professionnels pour la prévention des infections who lived in Canada and worked in an acute care hospital received a questionnaire. One questionnaire per hospital was completed.OUTCOME: The study documented the number of respiratory TB cases admitted to the hospital, the type of engineering and environmental controls available, and the type of occupational tuberculin skin test (TST) screening programs offered by the hospital.RESULTS: Questionnaires were received from 319 hospitals. Ninety-nine (32%) hospitals did not admit a respiratory TB case during the study. Thirty-one (10%) hospitals averaged six or more TB cases per year. TST results were reported for 47,181 health care workers, and 819 (1.7%) were reported as TST converters; physicians had a significantly higher TST conversion rate than other occupational groups. Most hospitals did not have isolation rooms with air exhausted outside the building, negative air pressure and six or more air changes per hour. Surgical masks were used as respiratory protection by 74% of staff.CONCLUSIONS: Canadian hospitals can expect to admit TB patients. Participating hospitals did not meet TB engineering or environmental recommendations published in 1990 and 1991. In addition, occupational TB screening programs in 1989 to 1993 did not meet Canadian recommendations published in 1988.

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Sixteen Years' Surveillance of Surgical Sites in an Irish Acute-Care Hospital

Infection Control and Hospital Epidemiology ◽

10.1086/501966 ◽

2002 ◽

Vol 23 (1) ◽

pp. 36-40 ◽

Cited By ~ 11

Author(s):

Eilish Creamer ◽

Robert J. Cunney ◽

Hilary Humphreys ◽

Edmond G. Smyth

Keyword(s):

Infection Control ◽

Acute Care Hospital ◽

Surgical Site Infections ◽

First Year ◽

Published Data ◽

Neurosurgical Procedures ◽

Care Hospital ◽

Surveillance Strategy ◽

Surgical Services ◽

Infection Control Nurse

AbstractObjective:To report a program of continuous surveillance of surgical-site infections (SSIs) using basic surveillance methods.Design:Analysis of routine prospective surveillance data.Setting:Two hospitals in Ireland (300 and 350 beds) that merged and moved to a new 650-bed hospital in 1987.Patients:59,335 surgical sites of postoperative patients.Interventions:Surgical sites were surveyed by one infection control nurse and SSI rates were produced for selected operations and surgical services. The program was conducted in general accordance with the 1999 HICPAC guidelines, but differed in surveillance strategy. Operations were limited to two to three risk classifications, assigned by the infection control nurse.Results:The overall SSI rate was 4.5%, with 2.4% in clean surgery. Apart from increases in the 3rd, 4th, 13th, and 14th years, rates remained relatively stable during the 16 years. Few significant decreases in SSI rates in surgical services or specific operations were shown, apart from the following: vascular surgery, 8.1% to 5% between the first 8 years and the last 8 years; general surgery services, 9% to 5%, and gynecology, 15.8% to 1.7%, both in the first year compared with in subsequent years; and gastric operations, 21% to 4.3% between the first year and the second year. Organ/space infection was identified in 0.5% of 17,804 operations, including 0.4% meningitis after neurosurgical procedures, 3% graft infections after vascular bypass operations, and 0.2% intra-abdominal infections after abdominal surgery.Conclusions:With the use of basic principles of surveillance and modest resources, procedure-specific SSI rates were produced, with little significant change during the 16 years. Despite limitations in case-finding, risk stratification, feedback, and surveillance methods, the overall SSI rates were comparable with other published data.

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