Indian Journal of Critical Care Medicine

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VOLUME 22 , ISSUE 12 ( 2018 ) > List of Articles

RESEARCH ARTICLE

An intervention study for the prevention and control of health care-associated infection in the critical cares area of a tertiary care hospital in Saudi Arabia

Sanjay Gupta, Fahd Al Khaleefah, Ibrahim Al Harbi, Fiaz Ahmed, Sinimol Jabar, Marilou Torre, Sunitha Mathias

Keywords : Critical care area, healthcare-associated infections, impact, intervention, prevention and control

Citation Information : Gupta S, Al Khaleefah F, Al Harbi I, Ahmed F, Jabar S, Torre M, Mathias S. An intervention study for the prevention and control of health care-associated infection in the critical cares area of a tertiary care hospital in Saudi Arabia. Indian J Crit Care Med 2018; 22 (12):858-861.

DOI: 10.4103/ijccm.IJCCM_270_18

License: CC BY-ND 3.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Introduction: Healthcare-associated infections (HAIs) are an infection that patients acquire during receiving treatment and care for the medical or surgical problem. Objective: The objective of this study is to find the patterns of HAIs cases in the hospital and to know the impact of the intervention on prevention and control of health care associated infection. Methodology: This was prospective interventional study. Results: The majority of cases of HAIs was reported from intensive care unit 47%. The most common site involved due to HAIs was catheter-associated urinary tract infection followed by central line-associated bloodstream infection. During the study period, around 28% reduction of cases were reported. During 6 months period (March to August 2016), around 540 cases were admitted in the critical care areas out of that 32 cases were reported as HAIs (5.9%) for the same period from (March to August 2017) was (3.4%), that difference came to be a statistically significant (χ2 = 4.12, P = 0.042, df = 1). Conclusion: This small study showed that strict implementation of care bundles with good compliance of hand hygiene, Personal protective equipment and antibiotic stewardship are helpful for prevention and control of hospital acquired infections. This study also demonstrated significant (28%) reduction of hospital acquired infections during the study period.


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  1. Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK; Research Priority Setting Working Group of the WHO World Alliance for Patient Safety. Global priorities for patient safety research. BMJ 2009;338:b1775.
  2. Burke JP. Infection control – A problem for patient safety. N Engl J Med 2003;348:651-6.
  3. Allegranzi B, Bagheri Nejad S, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: Systematic review and meta-analysis. Lancet 2011;377:228-41.
  4. World Health Organization. Prevention of Hospital-Acquired Infections: A Practical Guide. Geneva: World Health Organization; 2002. p. 64.
  5. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008;36:309-32.
  6. Abdel-Fattah MM. Surveillance of nosocomial infections at a Saudi Arabian military hospital for a one-year period Ger Med Sci. 2005;3:9.
  7. Magill SS, Edwards JR, Bamberg W, Beldavs ZG, Dumyati G, Kainer MA, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med 2014;370:1198-208.
  8. World Health Organization. Prevention of Hospital-Acquired Infections a Practical Guide. 2nd ed. Switzexrland: World Health Organization Department of Communicable Disease Practical Guide for the Prevention of Health Care Associated Infections 2000.
  9. Hidron AI, Edwards JR, Patel J, Horan TC, Sievert DM, Pollock DA, et al. NHSN annual update: Antimicrobial-resistant pathogens associated with healthcare-associated infections: Annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006-2007. Infect Control Hosp Epidemiol 2008;29:996-1011.
  10. Abdraboh SN, Milaat W, Ramadan IK, Al-Sayes FM. Hand hygiene and health care associated infection: An intervention study. Am J Med Med Sci 2016;6:7-15.
  11. Gould DJ, Moralejo D, Drey N, Chudleigh JH. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev 2010;8:9.CD005186.
  12. Silvestri L, van Saene HKF, Milanese M, Fontana F, Gregori D, Oblach L, et al. Adult Hospital and Ventilator-associated Pneumonia Guidelines: Eminence- rather than Evidence-based, Am J Respir Crit Care Med 2006;173:388-416.
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