Student Dissertation

Agency : Healthcare Associated Infection, Average Length of Stay, infection Control Program

Objective : To reduce health care associated infection in SRS Hospital Faridabad.

Background : Each year infections associated with healthcare occur in a large number of patients, making healthcare associated infection (HAI) the most common complication affecting patients in hospitals. These infections have a number of adverse effects for both patients and the hospital. An infection control program is essential to the modern hospital because it provides guidelines and standards for the recognition, prevention, and control of infection in patients, personnel, and visitors within the hospital community.

Methodology : This study used a quantitative research methodology. Type of study is pre-test post-test study. The present study was carried out in the General ward and ICU of SRS Hospital Faridabad from 5th to 28th March 2016. Study Population: Total 76 persons (62 nurses, 4 doctors, 2 physiotherapists, 8 General Duty Assistant) have answered a questionnaire in pre-test and post-test for the Knowledge and Practice study among nursing staff (clinical area).

Findings : A total of 1144 observations were made in pretest phase for 8 activities out of which in 73 observations alcohol rub was there. In post test phase 1100 observations were made and in 668 alcohol rub was used. There is a 54.35 percent increase in alcohol rub in post test phase. A total of 1144 observations were made in pretest phase for 8 activities out of which in 249 observations hand washing was practiced. In post test phase 1100 observations were made and in 768 hand washing was practiced. There is a 48.05 percent increase in hand washing in post test phase. A total of 295 observations were made in pretest phase for 6 activities out of which in 115 observations gloves was there. The staff did not use gloves before handling body fluids, before eating and after eating. In post test phase 303 observations were made and in 232 gloves was used. There is a 37.58 percent increase in gloves usage in post test phase.

Recommendations : Hospital infection are a major cause for long hospital stay and financial burden on patient as well as work burden of healthcare provider’s increases. With better understanding of the causes or risks of hospital infection, the care givers can reduce the rate of infection. This not only decreases the burden of the disease but also decreases the length of stay in hospital and hence decreases the ALOS. The study has depicted a significant change in staff behavior and practices regarding infection control.

High rate of Hospital acquired infection is a boon for healthcare industry. For the Patient, it increases the risk of life-long disabilities or even death, possible need for stronger and more expensive medications, with the added risk of complications and prolonged hospital stay. For the Hospital, it increases the need for more comprehensive quarantine procedures, more work for healthcare staff and prolonged hospital stays, which increase the cost of admission and reduce the beds available for new admissions.