- Email: [email protected]
HCV – Free hospital, prospective study
52
journal of patient safety & infection control 3 ( 2 0 1 5 ) 50–69
Result: During the study period, 131 burn patients were admitted with total burn surface area >10 percent. Most of the infections were due to Pseudomonas (38%), Klebsiella (35%), E. coli (15%), Proteus (2%) and Staphylococcus aureus (5%). Hand hygiene compliance rate was found to be highest among the Nurses, dressers, family visitors but less among doctors and cleaners. Terminal environmental cleaning of high touched surfaces showed a TDC Score of 69% which increased to 73%. Conclusions: Adoption of infection control measures has to be an integral part in Burn ICU along with constant monitoring and education. http://dx.doi.org/10.1016/j.jpsic.2015.10.012
C006 HCV – Free hospital, prospective study Nagwa Khamis 1,∗ , Hala Zaied 2 , Ihab Attia 3 , Taher Abdullah 4 , Hamdy Badr 4 , Ahmed Amin 5 , Gehan Fahmy 6 , Salwa Mokhtar 7 , Shereen Elmasry 8 , Ashraf Ewiss 9 , Mohamed Fawzy 10 , Hatem ElWakeel 10 , Amr Abdullah 4 , Hatem Khater 10 , Sarah Serry 10 1
Infection Prevention Control at Ain Shams University Specialized Hospital and DASH Secretary of IFIC, India 2 Monitoring and Auditing Sector at Ministry of Health and Population, India 3 National Hepatitis Control Program at Ministry of Health and Population, India 4 Engineering Authority of the Armed Forces, India 5 Military Engineers Administration, India 6 Infection Control Consultant – Ain Shams University Specialized Hospital, India 7 Infection Control Unit – Ain Shams University Specialized Hospital, India 8 Clinical Pathology Department, Ain Shams University, India 9 Nahdet Benisuief Foundation, India 10 Terous Misr Foundation for Development, India Introduction: Hepatitis C virus (HCV) infection is considered a major public health problem, with 1130 million chronic carriers worldwide. HCV infection causes acute and chronic liver diseases, including chronic hepatitis, cirrhosis, and hepatocellular carcinoma. Presently, there is no vaccine against HCV available and health care workers are at constant risk of acquiring HCV infection from exposure. On the other hand, proper implementation of infection control precautions would be the first line of defense to protect workers from this virus and blood born infectious diseases. The question of how long would HCV remains stable, on hospital environment surfaces, is almost impossible to be answered right now. This is because of the many variables involved in testing blood, the main reservoir of HCV, on exposed surfaces such as room temperature, amount of blood exposed, viral load (low/high) and various contaminants in the environment. Furthermore, lack of appropriate cell culture and animal models susceptible to HCV infection, evidence-based guidelines on the prevention and management of occupational exposures are incomplete,
because until now no data have been available regarding HCV stability and sensitivity toward chemical disinfectants. The risk of infection transmission of HCV in hospitals is usually the result of lack of implementation of infection prevention and control (IPC) measures in specific hospital departments. To target HCV-free hospitals great effort should be directed toward effective integration of IPC program into daily healthcare service. Objectives: The ultimate objective of the study is detection of HCV on surfaces at points of care in healthcare settings. This would be a step on the way for the specific goal targeting HCVfree department and/or hospital. Method: This is a prospective descriptive study, testing environmental surfaces of three hospitals in Beny-Souef and Cairo governorates. They were identified as Hospital A (Health insurance) Hospital B (Beny-Souef University Hospital) and Hospital C (Ain Shams University Specialized Hospital). The time frame will be over 6 months period. Tools will include: C-fast detector device Check lists of five critical hospital departments Scoring of check points, in each check list, is identified and auditing of suspected surface contamination will be carried out and registered according to score-scale. Result: A number of total 4299 samples from surfaces and medical devices, ready for use, were accomplished over the defined time frame. They were referred as 2300, 1722 and 277 from hospital A, B and C respectively. Data analysis showed positive contamination with HCV in OR in 3% (A), 63% high risk/7% low risk (B) and 0% (C). While in ICU it was 1% (A), 0% for high risk/1% for low risk (B) and 0% for both high and low risk (C). In Dialysis unit it was 0% (A), 31% for high risk/0% for low risk (B) and 0% for both high and low risk (C). In Emergency and Dentistry units contamination scores were at the lowest being 0% (A) and 5% for low risk (C) respectively. Revision of infection control measures were revised in hospital departments showing high scores to reduce the risk to zero level and reach the target of the current study. Conclusions: C-fast department and/or hospital is a requisite for prevention of HCV transmission and control of HCV infections. Funding: The present study was funded from Terous Misr for Development NGO, and the Engineering Authority of the Egyptian Armed Forces provided the C-Fast device. http://dx.doi.org/10.1016/j.jpsic.2015.10.013
C007 Prophylactic use of antibiotic-loaded bone cement in primary total knee arthroplasty, Srikara Hospital, Hyderabad, Telangana State, 2014 Asiya Sultana 1,∗ , A. Dadi 2 , K. Paladugu 2 , S. Masilamani 2 , B.A.S. Dhavala 2 , G. Oruganti 1 , M. Dinaker 1 , R. Allam 1 1
GYD Diagnostics and Reference Laboratories Pvt Ltd, Secunderabad, Telangana State, India 2 Srikara Hospital, Secunderabad, Telangana State, India
journal of patient safety & infection control 3 ( 2 0 1 5 ) 50–69
Result: During the study period, 131 burn patients were admitted with total burn surface area >10 percent. Most of the infections were due to Pseudomonas (38%), Klebsiella (35%), E. coli (15%), Proteus (2%) and Staphylococcus aureus (5%). Hand hygiene compliance rate was found to be highest among the Nurses, dressers, family visitors but less among doctors and cleaners. Terminal environmental cleaning of high touched surfaces showed a TDC Score of 69% which increased to 73%. Conclusions: Adoption of infection control measures has to be an integral part in Burn ICU along with constant monitoring and education. http://dx.doi.org/10.1016/j.jpsic.2015.10.012
C006 HCV – Free hospital, prospective study Nagwa Khamis 1,∗ , Hala Zaied 2 , Ihab Attia 3 , Taher Abdullah 4 , Hamdy Badr 4 , Ahmed Amin 5 , Gehan Fahmy 6 , Salwa Mokhtar 7 , Shereen Elmasry 8 , Ashraf Ewiss 9 , Mohamed Fawzy 10 , Hatem ElWakeel 10 , Amr Abdullah 4 , Hatem Khater 10 , Sarah Serry 10 1
Infection Prevention Control at Ain Shams University Specialized Hospital and DASH Secretary of IFIC, India 2 Monitoring and Auditing Sector at Ministry of Health and Population, India 3 National Hepatitis Control Program at Ministry of Health and Population, India 4 Engineering Authority of the Armed Forces, India 5 Military Engineers Administration, India 6 Infection Control Consultant – Ain Shams University Specialized Hospital, India 7 Infection Control Unit – Ain Shams University Specialized Hospital, India 8 Clinical Pathology Department, Ain Shams University, India 9 Nahdet Benisuief Foundation, India 10 Terous Misr Foundation for Development, India Introduction: Hepatitis C virus (HCV) infection is considered a major public health problem, with 1130 million chronic carriers worldwide. HCV infection causes acute and chronic liver diseases, including chronic hepatitis, cirrhosis, and hepatocellular carcinoma. Presently, there is no vaccine against HCV available and health care workers are at constant risk of acquiring HCV infection from exposure. On the other hand, proper implementation of infection control precautions would be the first line of defense to protect workers from this virus and blood born infectious diseases. The question of how long would HCV remains stable, on hospital environment surfaces, is almost impossible to be answered right now. This is because of the many variables involved in testing blood, the main reservoir of HCV, on exposed surfaces such as room temperature, amount of blood exposed, viral load (low/high) and various contaminants in the environment. Furthermore, lack of appropriate cell culture and animal models susceptible to HCV infection, evidence-based guidelines on the prevention and management of occupational exposures are incomplete,
because until now no data have been available regarding HCV stability and sensitivity toward chemical disinfectants. The risk of infection transmission of HCV in hospitals is usually the result of lack of implementation of infection prevention and control (IPC) measures in specific hospital departments. To target HCV-free hospitals great effort should be directed toward effective integration of IPC program into daily healthcare service. Objectives: The ultimate objective of the study is detection of HCV on surfaces at points of care in healthcare settings. This would be a step on the way for the specific goal targeting HCVfree department and/or hospital. Method: This is a prospective descriptive study, testing environmental surfaces of three hospitals in Beny-Souef and Cairo governorates. They were identified as Hospital A (Health insurance) Hospital B (Beny-Souef University Hospital) and Hospital C (Ain Shams University Specialized Hospital). The time frame will be over 6 months period. Tools will include: C-fast detector device Check lists of five critical hospital departments Scoring of check points, in each check list, is identified and auditing of suspected surface contamination will be carried out and registered according to score-scale. Result: A number of total 4299 samples from surfaces and medical devices, ready for use, were accomplished over the defined time frame. They were referred as 2300, 1722 and 277 from hospital A, B and C respectively. Data analysis showed positive contamination with HCV in OR in 3% (A), 63% high risk/7% low risk (B) and 0% (C). While in ICU it was 1% (A), 0% for high risk/1% for low risk (B) and 0% for both high and low risk (C). In Dialysis unit it was 0% (A), 31% for high risk/0% for low risk (B) and 0% for both high and low risk (C). In Emergency and Dentistry units contamination scores were at the lowest being 0% (A) and 5% for low risk (C) respectively. Revision of infection control measures were revised in hospital departments showing high scores to reduce the risk to zero level and reach the target of the current study. Conclusions: C-fast department and/or hospital is a requisite for prevention of HCV transmission and control of HCV infections. Funding: The present study was funded from Terous Misr for Development NGO, and the Engineering Authority of the Egyptian Armed Forces provided the C-Fast device. http://dx.doi.org/10.1016/j.jpsic.2015.10.013
C007 Prophylactic use of antibiotic-loaded bone cement in primary total knee arthroplasty, Srikara Hospital, Hyderabad, Telangana State, 2014 Asiya Sultana 1,∗ , A. Dadi 2 , K. Paladugu 2 , S. Masilamani 2 , B.A.S. Dhavala 2 , G. Oruganti 1 , M. Dinaker 1 , R. Allam 1 1
GYD Diagnostics and Reference Laboratories Pvt Ltd, Secunderabad, Telangana State, India 2 Srikara Hospital, Secunderabad, Telangana State, India