Student Dissertation

Agency : Hospital Acquired Infection; Infection Control; Hospital Infection Control

Objective : 1) To check the measures being followed for infection control 2) To find infection rate of indicators. 3) To check & evaluate the training given to staff for hospital infection control.

Background : (HAI) is an infection which is acquired by patient during hospital stay other than its primary diagnosis after 48 hours of its admission whose development is favoured by hospital surroundings. It is also called as nosocomial infection. HAI can affect patient in any type of healthcare setting and may appear after discharge. It result in increased length of hospital atay, long term disability, increased resistance of microorganisms to antimicrobials, massive additional costs for health systems, high cost for patient and there family and unnecessary death.

Methodology : Types of study: Prospective and record based study Location of study: DM Healthcare Aster Adhar Hospital, Kolhapur Data sources: IC record forms filled by all departments. Primary sources: record forms filled by all department Secondary sources: literature review

Findings : The data were collected on four indicators which are as follows : 1. IV infection 2. UTI 3. VAP 4. SSI The three month data collected and IR as calculated by the formula: Number of infected patient / total number of patient admitted *100 IR was calculated as : 1. Cumulative IR of hospital of 3 months depending upon indicators 2. IR of respective 3 months feb, March and April. 3. IR depending upon indicators (IV Infection, UTI, VAP, SSI 4. IR of major departments. Result were presented in the form of graphs along with there analysis in above mentioned catagories

Recommendations : Formation of IC team that includes One person from microbiology department • Act as infection prevention and control doctor and directs the activities of the infection prevention and control nursing personnel • Responsible for culture reporting’ One person from nursing • She will supervise all the nurses and instruct them to follow the SOPs strictly Assistant hospital administrator • For proper implementation, monitoring and evaluation of infection dat • Responsible to take timely actions for proper implementation of antimicrobial policy,its monitoring and evaluation • Responsible to implement local interventions along with its supervision Sanitary inspector One person from anaesthesia department • Training,sensitization and awareness of staff and continuous basis • Proper reporting format to be implemented • Formation of antimicrobial policy • Separate report must be generated for critical areas to know their IR and depending on that specific actions to be taken to reduce the IR if it is high and if in limits then evaluating the procedures whether the same procedures can be implemented in other areas or not Maintenance of registers in wards • Registers must be filled accurately and regularly • Report must be generated from the data generated by registers. Timely submission of report Evaluation of reports and necessary actions to be taken for the same laundry process to be changed Existing system Wards: once in a week OT; alternate days Critical areas: alternate days OPDs: twice a week Administrative block: once a week New system Initially, changes are made only in ward areas and rest will be done later From wards: twice a week and latter on alternate days