Abstract
Introduction: The efficacy of comprehensive Infection Prevention and Control Programs (IPCP) to reduce infection rates is well established. However, the evaluation of these programmes to achieve the best performance remains an issue. In this sense, researchers have worked on developing tools for evaluation IPC. Objectives: To compare three existing IPCP evaluation tools applied in healthcare facilities in Brazil. Methods: Cross-sectional, descriptive, quantitative approach, conducted using three tools concurrently. The tools were: 1.Infection Prevention and Control Programme Evaluation (IPCPE) from Australia; 2.Operating Guides of IPCP indicators (OGIPCP) from Brazil; 3.Assessment tool for hospital IPCP (IPCAF) from World Health Organization. Infection control practitioners (ICP) were recruited using snowball technique. Each ICP applied the tools to their setting. Data collection was performed by using a standardized semi-structured questionnaire, including 35 Likert scale items to inform the feasibility and comprehensiveness of tools. Results: Among invited ICP, 12 participants applied all evaluation tools. The average experience in infection prevention was 8 years (range 1.5 to 15 years). The average time to apply the evaluation tools were: IPCPE: 3h, OGIPCP: 1h, and IPCAF 1.5h. The majority of positive agreements regarding comprehensiveness were obtained by IPCPE (100% of positive agreement in 10 questions), followed by IPCAF (100% of positive agreement in 9 questions). Time spent applying the tools was only considered acceptable for OGIPCP and IPCAF. No tool achieved 100% agreement in 10 questions regarding comprehensiveness to assess the support of microbiology and other services to the IPCP, and links with public health. None of the tools achieved 100% agreement to recommend their use in extra-hospital settings such as primary care. Conclusion: Both IPCPE and IPCAF were considered as more comprehensive, but still lacking potential to access all relevant issues for IPCP. IPCAF and OGIPCP were considered less time consuming. Next, we will perform a qualitative approach to better understand the improvement gaps.
Highlights
Surgical antibiotic prophylaxis (SAP) is frequently continued for several days after surgery to prevent surgical site infection (SSI).Continuing surgical antibiotic prophylaxis (SAP) after the operation may have no advantage compared to immediate discontinuation and unnecessarily expose patients to risks associated with antibiotic use
In 2018, as part of the World Day of Hand Hygiene, we focused on septic conditions, where hand hygiene is a key prevention factor in order to alert the professional and lay public to the importance of hand hygiene and to influence these serious conditions through good hand hygiene practice
During the first 12 months of follow-up we observed a significant increase in hand hygiene compliance (HHC) with steady increases from baseline HHC between 10-20% to rates ranging 45-55% (R2=0.6579) with an average handwashing (HW) ratio (HHr) of 1.8
Summary
Surgical antibiotic prophylaxis (SAP) is frequently continued for several days after surgery to prevent surgical site infection (SSI).Continuing SAP after the operation may have no advantage compared to immediate discontinuation and unnecessarily expose patients to risks associated with antibiotic use. Conclusion: The results demonstrated the importance of implementing surveillance of influenza in hospitals to estimate the proportion of NI and to emphasize the need to improve infection control measures implementation and vaccine use for high-risk patients and HCWs. Until 2018, the national reporting system for influenza in Switzerland was twofold with: 1) voluntary reports of influenza-like illness (ILI) by selected primary care clinicians. Objectives: The purpose of this study was to evaluate the effectiveness of daily bathing with Chlorhexidine 4% (CHG) in controlling the spread of Multidrug-Resistant Acinetobacter baumannii (MDR-Ab) as well as reducing Device Associated Infections (DAI) This intervention was accompanied by other essential Infection Control (IC) measures such as adherence to hand hygiene, care bundle, and contact precautions. We recommend stringent infection prevention and control measures in this setting
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
