A self-reported survey on the implementation of infection prevention and control elements in Indian hospitals, part of a HAI surveillance network: Results from 23 hospitals conducting a standardized IPC assessment

被引:2
|
作者
Katyal, Sonal [1 ]
Srivastav, Sharad [1 ]
Katoch, Omika [1 ]
Rodrigues, Camilla [2 ]
Rupali, Priscilla [3 ]
Chakrabarti, Arunaloke [4 ]
Ray, Pallab [4 ]
Biswal, Manisha [4 ]
Tak, Vibhor [5 ]
Nath, Reema [6 ]
Mukhopadhyay, Chiranjay [7 ]
Bhattacharya, Sanjay [8 ]
Padmaja, Kanne [9 ]
Deotale, Vijayshri [10 ]
Venkatesh, Vimala [11 ]
Wattal, Chand [12 ]
Thirunarayan, M. A. [13 ]
Nag, Vijaya Lakshmi [5 ]
Ray, Raja [14 ]
Behera, Bijayini [15 ]
Baveja, Sujata [16 ]
Karuna, Tadepalli [17 ]
Singh, Sanjeev K. [18 ]
Fomda, Bashir [19 ]
Devi, Sulochana K. [20 ]
Das, Padma [21 ]
Khandelwal, Neeta [22 ]
Verma, Prachi [23 ]
Thangavelu, Premkumar [3 ]
Nazir, Shaista [19 ]
Eshwara, Vandana K. [7 ]
Varma, Muralidhar [24 ]
Mishra, Tushar S. [25 ]
Das, Rashmi R. [26 ]
Malhotra, Rajesh [27 ]
Walia, Kamini [28 ]
Guleria, Randeep [29 ]
Mathur, Purva [1 ]
机构
[1] All India Inst Med Sci, Dept Lab Med, JPNATC, New Delhi 110029, India
[2] PD Hinduja Hosp & Med Res Ctr, Dept Microbiol, Mumbai, Maharashtra, India
[3] Christian Med Coll & Hosp, Dept Infect Dis, Vellore, Tamil Nadu, India
[4] Post Grad Inst Med Educ & Res, Dept Microbiol, Chandigarh, Punjab, India
[5] All India Inst Med Sci, Dept Microbiol, Jodhpur, Rajasthan, India
[6] Assam Med Coll, Dept Microbiol, Dibrugarh, Assam, India
[7] Kasturba Med Coll & Hosp, Dept Microbiol, Manipal, Karnataka, India
[8] Tata Med Ctr, Dept Microbiol, Kolkata, West Bengal, India
[9] Nizams Inst Med Sci, Dept Microbiol, Hyderabad, Telangana, India
[10] Mahatma Gandhi Inst Med Sci, Dept Microbiol, Sevagram, Maharashtra, India
[11] King Georges Med Univ, Dept Microbiol, Lucknow, Uttar Pradesh, India
[12] Sir Ganga Ram Hosp, Dept Clin Microbiol & Immunol, New Delhi, India
[13] Apollo Hosp, Dept Microbiol, Chennai, Tamil Nadu, India
[14] Inst Postgrad Med Educ & Res, Dept Microbiol, Kolkata, West Bengal, India
[15] All India Inst Med Sci, Dept Microbiol, Bhubaneswar, Odisha, India
[16] Lokmanya Tilak Municipal Gen Hosp, Dept Microbiol, Mumbai, Maharashtra, India
[17] All India Inst Med Sci, Dept Microbiol, Bhopal, Madhya Pradesh, India
[18] Amrita Univ, Amrita Inst Med Sci, Dept Infect Control, Kochi, Kerala, India
[19] Sherikashmir Inst Med Sci, Dept Microbiol, Srinagar, Jammu & Kashmir, India
[20] Reg Inst Med Sci, Dept Microbiol, Imphal, Manipur, India
[21] All India Inst Med Sci, Dept Microbiol, Raipur, Chhattisgarh, India
[22] Govt Med Coll, Dept Microbiol, Surat, Gujarat, India
[23] Mahatma Gandhi Univ Med Sci & Technol, Dept Crit Care Med, Jaipur, India
[24] Kasturba Med Coll & Hosp, Dept Infect Dis, Manipal, Karnataka, India
[25] All India Inst Med Sci, Dept Gen Surg, Bhubaneswar, Odisha, India
[26] All India Inst Med Sci, Dept Paediat, Bhubaneswar, Odisha, India
[27] All India Inst Med Sci, Dept Orthoped, JPNATC, New Delhi, India
[28] Indian Council Med Res, Div Epidemiol & Communicable Dis, New Delhi, India
[29] All India Inst Med Sci, Dept Pulm Crit Care & Sleep Med, New Delhi, India
关键词
Healthcare associated infections; IPCAT-H; National survey; Surveillance; ORGANIZATION;
D O I
10.1016/j.ajic.2022.04.014
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Healthcare-associated infections (HAIs) are one of the most common adverse events in patient care that account for substantial morbidity and mortality. We evaluate the existing Infection Prevention and Control (IPC) practices in hospitals participating in the nationally representative HAI Surveillance network.Methods: This cross-sectional survey was conducted in 23 hospitals across 22 states of India from October -2015 to September-2018 in the HAI surveillance network. The World Health Organization (WHO) IPC core components assessment tool for health-care facility level (IPCAT-H) was adapted from IPC assessment tool developed by US Centers for Disease Control and Prevention (US CDC) under the Epidemiology and Labora-tory Capacity (ELC) Infection Control Assessment and Response (ICAR) Program. Mann-Whitney U test was used to calculate the significant difference between scores (P < .05).Results: Amongst the participating hospitals, 7 were private sectors and 16 were public health care facilities. Infection IPCAT-H average score per multimodal strategy was less than 50% for programmed IPC activities (45.7); implementation of health care workers (HCWs) immunization programme (43.5%); monitoring and evaluation component (38.30%).Conclusions: There is potential for improvement in Human Resources, Surveillance of HAIs as well as Moni-toring and Evaluation components. & COPY; 2022 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
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页码:29 / 34
页数:6
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