infection prevention control for health staff.pptx

infection prevention control for health staff

1. Infection Prevention and Control Dr Syed Sohaib Daud Gilani Instructor

2. Infection Prevention and Control Measures adopted to: Prevent or reduce the rates of Health care-associated infections (HAIs) Control and decrease the morbidity and cost Ensure the protection of those who might be vulnerable to acquiring an infection

3. Infection 3 An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce.

4. Components of IPC

5. Components of IPC…..

6. Implementation of Infection Control Programs

7. Infection Control Committee (ICC) Chair: Infectious Diseases Specialist/Surgeon/Microbiologist/Physician/Medical Superintendent /Administrator (coordinator) Members: Medical Superintendent/Administrator (coordinator) Epidemiologist Member from Surgical & Allied Departments Member from Nursing/Matron’s office. Member from Medical & Allied Departments Incharge of O.Ts and sterilization section. Member from Stores/Purchase. Member from Canteen/Food Supplies. Chief of Sanitary Services and house keeping. Biomedical Engineer/Civil Engineer

8. Infection Control Committee (ICC) 8 Infectious Diseases Specialist/ Surgeon/ Microbiologist/ Physician/ Medical Superintendent/ Administrator Chair (coordinator) Medical Superintendent/Administrator (coordinator) Epidemiologist Member from Surgical & Allied Departments Member from Nursing/Matron’s office. Member from Medical & Allied Departments Incharge of O.Ts and sterilization section. Member from Stores/Purchase. Member from Canteen/Food Supplies. Chief of Sanitary Services and house keeping. Biomedical Engineer/Civil Engineer Members

9. To have monthly meetings To develop Protocol/Guidelines To monitor activities. Generate Resources (Human, Financial & Logistic) To plane and approve the annual plan To implement infection control policies and strategies. To direct resources to address any additional issue/problem when identified. To ensure availability of appropriate supplies and logistics To encourage communication among the involved disciplines and different departments. To report outbreaks of nosocomial infections and incidents

10. Infection Control Team (ICT) Chair: Infectious Diseases Specialist/ Senior Surgeon/ Microbiologist/ Physician. Members: Infection Control Nurse/ Technician Infection Control Doctor/ Microbiologist Sanitary Inspector & housekeeping staff representative

11. Meet at least weekly (daily in case of an outbreak) Implementation of IPC- program Day to day surveillance of infections Identify gapes and organize trainings programs for staff Ensure uninterrupted availability of PPE eg ., …………… Advise the staff on all aspects of infection control needed to maintain a safe environment for patients and staff Monitor Nosocomial infection and report any incident Identify problems in implementation of infection control activities Develop an annual training plan for the health care workers. Investigate outbreaks within the health care facility Submit monthly reports on activities to the ICC

12. Key Administrative Recommendations

13. Prevention of Nosocomial infection Standard Infection Control Precautions (SICP) Hand Hygiene Respiratory Hygiene/ cough etiquette Personal Protective Equipment Injection Safety/ safe injection practices Occupational Exposure management including Sharps safe handling of potentially contaminated equipment Management of Care Equipment Safe Care of Linen including Uniforms Control of Environment Safe Waste Disposal

14. IPC Precautions Standard Precautions Routine precautions to be applied in all situations for all patients Additional Precautions (based on route of transmission) For specific patients/diseases Contact Precautions Droplet Precautions Airborne Precautions

15. Standard Precautions…. Hand washing PPEs : Wear gloves, Mask, Eye Protection, Face Shield, gown Patient-care equipment Ensure that single-use items are discarded properly Ensure that reusable equipment be used after sterilization/cleaning Environmental Control: cleaning, and disinfection of environmental surfaces, beds, bedrails, bedside equipment, and other frequently touched surfaces Linen: Handle, transport, and process used linen with care Occupational Health Patient Placement

16. Personal Protective Equipment

17. Five Moments for Hand Hygiene

18. How do I Practice Hand Hygiene Correctly?

19. Biomedical Waste Management

20. BMW Management…. Management of health-care waste is an integral part of hospital hygiene and infection control Health-care waste should be considered as a reservoir of pathogenic microorganisms Infectious waste contributes in this way to the risk of nosocomial infections, putting the health of hospital personnel, and patients, at risk. a comprehensive and systematic approach to hospital hygiene and infection control.

21. Waste classification

22. Real picture

23. What to do?

24. Segregation

25. Management

26. Summary

27. Discharging the Patient Ensure patient and family have been educated as to what precautions are to be taken (children < 12 years may shed the virus for prolonged time) Self health monitoring (fever, signs of influenza), reporting Ensure that appropriate cleaning and disinfection of the room takes place, no spraying of disinfectant Ensure appropriate cleaning, disinfection and/or sterilization of medical equipment

28. Care of the Deceased Use standard precautions for routine care of the body PPE to be used by HCWs waterproof gown surgical or procedure mask Non-sterile, ambidextrous gloves: cover cuffs of gown If splashing of body fluids is anticipated: Hair -cover face shield (preferably) or goggles After removing PPE, perform hand hygiene Family should wear gloves, gowns & perform hand hygiene Seal body in impermeable body bag prior to transfer to the mortuary Cultural sensitivity should always be considered

29. of Infection Portal of exit Reservoir Mode of transmission Susceptible host Infectious Agent Portal of entry

30. Transmission

31. General historical perspective on infection control in home and community History of advice on hygiene, cleaning & infection control dates back at least to the mid 19 th century Today - renewed interest : emerging infections: e.g. SARS, influenza, cross-contamination & person-person transmission, antibiotic resistance, viral agents immuno-compromised groups in the community

32. The home is central to the community with a constant movement of pathogens Home school daycare residential care hospital retail-food leisure workplace

33. Why Infection Control in Home? Click to edit Master text styles Second level Third level Fourth level Fifth level

34. Sources of Pathogens into Home HUMANS: Enteric bacterial pathogens, Staph. aureus (MRSA) , norovirus , rotavirus, rhinovirus, influenza, hepatitis A, SARS etc. PETS: Enteric pathogens, protozoa, herpes B, toxoplasma, MRSA FOOD: Salmonella, Campylobacter, E.coli O157, Listeria, Bacillus cereus, enteric viruses AIR: Fungi, respiratory agents, aerosols from food preparation & toilet flush etc (bacteria & viruses). WATER: Enteric pathogens, Cryptosporidium, Legionella

35. Targeted hygiene Aim: to reduce the numbers of pathogens to a level where there is no longer a threat to health Targeted hygiene involves identifying the sites, surfaces and situations in the home where pathogens are most likely to be found, as well as considering whether the pathogen represents an infectious dose and the probability of human exposure to the pathogen

36. Summary The home is a multifunctional setting with scenarios of increased risk. Infectious disease continues to be a significant threat. Transmission of infection occurs throughout a range of community settings, including the home. Throughout the community , hand hygiene is a primary defense against infectious disease. Home & community hygiene practices offers benefits in terms of reducing the level of cross-contamination.

37. Summary (continued) Hygiene practice becomes even more important in an age of antibiotic resistance Hygiene promotion raises standards of hygiene awareness and practice, both in the home and in the general community. Effective home & community hygiene practice includes the targeted use of antimicrobial agents.

38. Hospital Hygiene and Infection Control