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MRSA: The leading pathogen of orthopedic infection
journal of patient safety & infection control 3 ( 2 0 1 5 ) 40–49
Available online at www.sciencedirect.com
ScienceDirect journal homepage: www.elsevier.com/locate/jpsic
Oral Communication
Oral Presentations O-001 MRSA: The leading pathogen of orthopedic infection
Conflicts of interest: The author has none to declare. http://dx.doi.org/10.1016/j.jpsic.2015.10.055
T. Latha Manipal University, India Introduction: Health care associated infection, a significant adverse event in health care delivery system increases the hospital stay, mortality and health care cost. Global Antibiotic Resistance Partnership (GARP) ‘India working group’ and Centre For Disease Dynamics, Economics and Policy (CDDEP) have reported that HAI is high in India. But, the rate of infection is not homogenous in India. Therefore, a study was conducted to find out the infection rate among Orthopedic surgery patients in a tertiary care hospital, South India. Method: The medical record of all major Orthopedic surgery (elective & emergency) patients were reviewed for the presence of infection for 12 months. Minor and pediatric surgery patient were excluded. Conventional method was adopted for testing wound swab for culture and sensitivity. Ethical consideration: Permission was obtained from Medical Superintendent, Department of Orthopedics, Chairperson of ICC and Institutional Ethical Committee. Result: 725 wound swabs showed the growth of microorganisms from 2249 patients. Both gram positive (40.63%) and gram negative organisms (59.37) were grown in the bacterial culture testing. Staphylococcus aureus growth was maximum (36.95%), in which 57% of the Staphylococcus infection was by MRSA. MRSA is the leading cause of infection (17.67%) among orthopedic surgery patients, followed by Pseudomonas aeruginosa (16.74%), Methicillin sensitive staphylococcus infection (13.15%), E. coli (16.69%) and Klebsiella pneumoniae (14.62%). Conclusions: Many hospitals in India have infection control committee which is working very hard to bring down the infection rate. However, infection in several hospitals is at the higher rate. Controlling infection in the hospital is the prime responsibility of all the health care professionals. Conventional infection control measures may not be sufficient in reducing MRSA infection. Therefore, continuing education, periodic surveillance, pre-operative screening, good housekeeping measures, public awareness, patient teaching through different media on infection control may help to manage the infection successfully. 2214-207X/$ – see front matter
O-002 Impact of up gradation of surveillance methodology in health care acquired infections (HAIs) G. Debkishore Peerless Hospitex Hospital & Research Center, India Introduction: Health care acquired infections (HAIs) have been associated with significant morbidity, mortality and increased health care costs. Surveillance methodology is extremely important to know the actual HAI rate. Manual methods to identify potential HAIs by laboratory results, chart reviews, data entry and looking for associations can be inefficient, labor intensive and error prone. The need for up gradation of the methodology was felt. Method: As a step forward, membership of International Nosocomial Infection Control Consortium (INICC) was obtained and participation in multicenter, multinational, multidimensional study for surveillance and prevention of device-associated HAIs in intensive care units and of surgical site infectionsstarted after adequate training of dedicated manpower. This surveillance was active, patient-based, prospective and priority directed (automated and electronic). Six months data was taken (January 2014 to June 2014). Result: The following infection control quality indicators were compared by manual and automated methods viz. Central line associated blood stream infection (CLABSI), ventilator associated pneumonia (VAP), catheter associated urinary tract infection (CAUTI), surgical site infection (SSI). p-values were found statistically significant in every case. Conclusions: Automated/electronic surveillance was more efficient than passive, laboratory-based and retrospective manual method and operated with high specificity and positive predictive value. Funding: The present study was funded from institutional/research funds of the authors. http://dx.doi.org/10.1016/j.jpsic.2015.10.056
Available online at www.sciencedirect.com
ScienceDirect journal homepage: www.elsevier.com/locate/jpsic
Oral Communication
Oral Presentations O-001 MRSA: The leading pathogen of orthopedic infection
Conflicts of interest: The author has none to declare. http://dx.doi.org/10.1016/j.jpsic.2015.10.055
T. Latha Manipal University, India Introduction: Health care associated infection, a significant adverse event in health care delivery system increases the hospital stay, mortality and health care cost. Global Antibiotic Resistance Partnership (GARP) ‘India working group’ and Centre For Disease Dynamics, Economics and Policy (CDDEP) have reported that HAI is high in India. But, the rate of infection is not homogenous in India. Therefore, a study was conducted to find out the infection rate among Orthopedic surgery patients in a tertiary care hospital, South India. Method: The medical record of all major Orthopedic surgery (elective & emergency) patients were reviewed for the presence of infection for 12 months. Minor and pediatric surgery patient were excluded. Conventional method was adopted for testing wound swab for culture and sensitivity. Ethical consideration: Permission was obtained from Medical Superintendent, Department of Orthopedics, Chairperson of ICC and Institutional Ethical Committee. Result: 725 wound swabs showed the growth of microorganisms from 2249 patients. Both gram positive (40.63%) and gram negative organisms (59.37) were grown in the bacterial culture testing. Staphylococcus aureus growth was maximum (36.95%), in which 57% of the Staphylococcus infection was by MRSA. MRSA is the leading cause of infection (17.67%) among orthopedic surgery patients, followed by Pseudomonas aeruginosa (16.74%), Methicillin sensitive staphylococcus infection (13.15%), E. coli (16.69%) and Klebsiella pneumoniae (14.62%). Conclusions: Many hospitals in India have infection control committee which is working very hard to bring down the infection rate. However, infection in several hospitals is at the higher rate. Controlling infection in the hospital is the prime responsibility of all the health care professionals. Conventional infection control measures may not be sufficient in reducing MRSA infection. Therefore, continuing education, periodic surveillance, pre-operative screening, good housekeeping measures, public awareness, patient teaching through different media on infection control may help to manage the infection successfully. 2214-207X/$ – see front matter
O-002 Impact of up gradation of surveillance methodology in health care acquired infections (HAIs) G. Debkishore Peerless Hospitex Hospital & Research Center, India Introduction: Health care acquired infections (HAIs) have been associated with significant morbidity, mortality and increased health care costs. Surveillance methodology is extremely important to know the actual HAI rate. Manual methods to identify potential HAIs by laboratory results, chart reviews, data entry and looking for associations can be inefficient, labor intensive and error prone. The need for up gradation of the methodology was felt. Method: As a step forward, membership of International Nosocomial Infection Control Consortium (INICC) was obtained and participation in multicenter, multinational, multidimensional study for surveillance and prevention of device-associated HAIs in intensive care units and of surgical site infectionsstarted after adequate training of dedicated manpower. This surveillance was active, patient-based, prospective and priority directed (automated and electronic). Six months data was taken (January 2014 to June 2014). Result: The following infection control quality indicators were compared by manual and automated methods viz. Central line associated blood stream infection (CLABSI), ventilator associated pneumonia (VAP), catheter associated urinary tract infection (CAUTI), surgical site infection (SSI). p-values were found statistically significant in every case. Conclusions: Automated/electronic surveillance was more efficient than passive, laboratory-based and retrospective manual method and operated with high specificity and positive predictive value. Funding: The present study was funded from institutional/research funds of the authors. http://dx.doi.org/10.1016/j.jpsic.2015.10.056