Abstract of Dissertation

Keyword : Hand Hygiene, Infection Control, Training, Healthcare Workers, Safe Practices, Precautions.

Objective : • To assess the infection control measures obtained by hospital. • To assess the knowledge regarding the infection control practices by medical and non –medical staff • To assess the practical implementation of the infection control practices on the regular basis. • To identify the training needs if any for the staff.

Background : According to the available evidence, the impact of HCAI implies prolonged hospital stay, long-term disability, increased resistance of microorganisms to antimicrobials, massive additional financial burden for health systems, high costs for patients and their family, and unnecessary deaths .Some infections, such as bloodstream infection and ventilator associated pneumonia, have a more severe impact than others in terms of mortality and extra costs. For instance, the mortality rate Directly attributable to bloodstream infection in critically ill patients has been estimated to be 16–40% and the increase in length of stay between 7.5–25 days. Very few studies from developing countries assessed HCAI impact and no report provided national estimates. Increased length of stay associated with HCAI varies between 6 and 23 days in non-critically ill patients. In developing countries, crude excess mortality in adult critically ill adults affected by ventilator-associated pneumonia is reported to be as high as 27.5%.

Methodology : Study Type: Cross-sectional study. Study Area: ICUs (Medical, Surgical, Cardiac), Wards (general, private, semi-private, super deluxe), Kitchen, Laundry, CSSD Sampling method: Convenient sampling method Study Participants: Staff of the respective departments and nursing staff. Sample size: 54 nursing staff directly involved with the patient care. Study Technique: Interview, checklist. Study Tool: Structured questionnaire, Checklist.

Findings : Done with the aid of MS-Excel sheets. The data was entered in sheets department wise and then analyzed with the help of graphs

Recommendations : 1. It was seen that 100% is completely aware about the infection control measures specially the hand hygiene but they lack in implementing their knowledge- due to lack of motivation, and due to lack of staff (unplanned holidays) 2. Surprise inspections on weekly basis for the practical implementation of hand hygiene and PPE should be done and staff should be made aware of their safety and patient safety during the inspection round. 3. The collected data can be analyzed and can be presented in the meetings before the management and grades can be issued to staff on basis of their knowledge and practical implementation. 4. On the basis of above two points staff can be awarded, titled as staff of month or can be promoted accordingly. 5. Training- Few staff does not attend training due to busy schedule, so training can be planned and staff names can be send a week ago so that their duties can be planned accordingly can they can attend their training Regular training should be planned which was found that it was not followed 100%. 6. There should be a regular monthly check for the PPE consumed and hand rub and soap so that it can be assessed that staff is using or not. 7. Packing of clean laundry can be done if it’s cost effective for the hospital to avoid environmental infection. 8. During biomedical waste collection it can be recorded that which patient care area is not following the color code, which can be presented in meeting. 9. Stewards should be trained to ask the patient identity by asking the patient itself or the nursing staff