Infection control committees duties responsibilities turkish experience
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Infection Control Committees Duties, Responsibilities, Turkish Experience. Dr Hakan Abacıoğlu. Infection. Nozocomial infections: conceptual model. Healthcare systems & policies. HEALTH POLICIES. INFECTION CONTROL PROGRAMMES. Transmission Mode. Portal Of entry. Portal Of Exit.

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Infection Control Committees Duties, Responsibilities, Turkish Experience

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Infection control committees duties responsibilities turkish experience

Infection Control CommitteesDuties, Responsibilities, Turkish Experience

Dr Hakan Abacıoğlu


Nozocomial infections conceptual model

Infection

Nozocomial infections: conceptual model

Healthcare

systems

&

policies

HEALTH POLICIES

INFECTION CONTROL

PROGRAMMES

Transmission

Mode

Portal

Of

entry

Portal

Of

Exit

Susceptible

individual

Agent

OUTCOMES / IMPACT ON SOCIETY

Reservoir


Nozocomial infections conceptual model1

Infection

Nozocomial infections: conceptual model

Healthcare

systems

&

policies

HEALTH POLICIES

Invazive procedures

Immunsupression

INFECTION CONTROL

PROGRAMMES

Transmission

Mode

Portal

Of

entry

Portal

Of

Exit

Susceptible

individual

Agent

OUTCOMES / IMPACT ON SOCIETY

Reservoir


Nozocomial infections conceptual model2

Infection

Nozocomial infections: conceptual model

Healthcare

systems

&

policies

HEALTH POLICIES

Evidence-based

Procedures

(guidelines)

INFECTION CONTROL

PROGRAMMES

Transmission

Mode

Portal

Of

entry

Portal

Of

Exit

Susceptible

individual

Agent

OUTCOMES / IMPACT ON SOCIETY

Reservoir


Nozocomial infections conceptual model3

İnfeksiyon

Nozocomial infections: conceptual model

Sistemler

ve

Politikalar

Mycobacterium tuberculosis

Influenza virus

Rotavirus

HBV, HCV

Pseudomonas aeruginosa

Enterobacter spp

Serratia spp

Acinetobacter baumanii

Legionella spp

Aspergillus spp

Staphylococcus aureus

Escherichia coli

Enterococcus spp.

Bulaş

yolu

Giriş

kapısı

Çıkış

kapısı

Duyarlı

birey

Etken

Commensals

%70-80

Saprophytes

%20-25

Pathogens

<%5

Human

microbiata

Environmental

Infected

person

Biriktirici

(Rezervuar)


Nozocomial infections conceptual model4

Infection

Nozocomial infections: conceptual model

Healthcare

systems

&

policies

HEALTH POLICIES

INFECTION CONTROL

PROGRAMMES

Transmission

Mode

Portal

Of

entry

Portal

Of

Exit

Susceptible

individual

Agent

OUTCOMES / IMPACT ON SOCIETY

Antimicrobials

&

selection of

resistant organisms

Reservoir


Nlemler

RESISTANCE MONITORING

MOLECULAR TYPING

Sistemler

ve

Politikalar

  • POLICIES

  • ANTIBIOTIC USAGE

  • DISINFECTANT USAGE

  • CENTAL STERLIZATION UNIT

  • CLEANING & HOUSEKEEPING

  • KITCHEN

  • WASTE MANAGEMENT

  • WATER SYSTEM & VENTILATION SYSTEM

  • CONSTRUCTION

  • etc

  • MONITORIZATION & AUDITING

Bulaş

yolu

Giriş

kapısı

Çıkış

kapısı

Duyarlı

birey

Etken

2

İnfeksiyon

Biriktirici

(Rezervuar)

1

Önlemler…


Dokuz eyl l university hospital molecular typing examples 2008

Dokuz Eylül University Hospital molecular typing examples(2008)

Courtesy of Prof Dr Zeynep Gülay


Nozocomial infections conceptual model5

Infection

  • Prevention of transmission

  • screening of high-risk patients

  • isolation

  • Prevention of entry

  • hand washing

  • aseptic techniques

  • sterilization & disinfection

Nozocomial infections: conceptual model

Healthcare

systems

&

policies

INFECTION CONTROL

PROGRAMMES

Transmission

Mode

Portal

Of

entry

Portal

Of

Exit

Susceptible

individual

Agent

Reservoir


Who my five moments for hand hygiene

WHO“My five moments for hand hygiene”


Nozocomial infections conceptual model6

Infection

Nozocomial infections: conceptual model

Healthcare

systems

&

policies

HEALTH POLICIES

INFECTION CONTROL

PROGRAMMES

Transmission

Mode

Portal

Of

entry

Portal

Of

Exit

Susceptible

individual

Agent

OUTCOMES / IMPACT ON SOCIETY

Reservoir


Nozocomial infections conceptual model7

Infection

Nozocomial infections: conceptual model

Healthcare

systems

&

policies

HEALTH POLICIES

INFECTION CONTROL

PROGRAMMES

Transmission

Mode

Portal

Of

entry

Portal

Of

Exit

Susceptible

individual

Agent

OUTCOMES / IMPACT ON SOCIETY

Reservoir


Infection control programme

Infection Control Programme

SURVEILLANCE

CONTROL

MEASURES

PATIENT

HCW’s HEALTH

TRAINING

RESISTANCE

MONITORING

&

MOLECULAR TYPING

ENVIRONMENT

&

OTHER

INDIVIDUALS

HCW

RATIONALE ANTIBIOTIC

USAGE


Surveillance

Surveillance

Infection site

Agents

Risk factors

Antibiotic usage

Resistance

etc

DATA COLLECTION

standardized

Targeted

Infection site

Department

Agent

Institutional priorities

ANALYSE

software

FEED BACK

Department-specific


Nozocomial infections conceptual model8

Infection

Nozocomial infections: conceptual model

Healthcare

systems

&

policies

HEALTH POLICIES

INFECTION CONTROL

PROGRAMMES

Transmission

Mode

Portal

Of

entry

Portal

Of

Exit

Susceptible

individual

Agent

OUTCOMES / IMPACT ON SOCIETY

Reservoir


National regulations

Tababet Uzmanlık Yönetmeliği (22.05.1974-14893 RG)

EKK oluşturulması ve etkinlik alanları

Yataklı Tedavi Kurumları İşletme Yönetmeliği (13.01.1983-17927 RG)

Yoğun bakımlar, ameliyathaneler, MSB, çalışan sağlığı, vb konularda koruyucu önlemlere ilişkin kurallar

Yataklı Tedavi Kurumları İşletme Yönetmeliği değişiklik (05.05.2005-25806 RG)

İlçe ve gün hastanelerinde enfeksiyon kontrol sorumlusu

Diğer hastanelerde EKK zorunlu

Yataklı Tedavi Kurumları Enfeksiyon Kontrol Yönetmeliği (11.08.2005-25903 RG)

National regulations


National regulations 2

Hastane Enfeksiyonları Bilimsel Danışma Kurulu(20.02.2006)

Yönerge (16.05.2007)

Enfeksiyon Kontrol Hemşirelerinin Eğitimine ve sertifika-landırılmasına dair tebliğ (18.11.2006-26350 RG)

National regulations-2

  • Bilimsel danışma kurulunun teşkili

  • MADDE 5- (1)Hastane Enfeksiyonları Bilimsel Danışma Kurulu, Refik Saydam Hıfzıssıhha Merkezi Başkanı başkanlığında, tercihen hastane enfeksiyonlarının kontrolü ve sürveyansında deneyimli ve bu konuda ulusal ve uluslararası çalışmaları bulunan;

  • a) Tedavi Hizmetleri Genel Müdürlüğünden hastane ve hemşirelik hizmetleri konularında yetkili en az daire başkanı düzeyinde iki yetkili,

  • b) Refik Saydam Hıfzıssıhha Merkezi Başkanlığından bir temsilci,

  • c) Tıp fakültelerinin enfeksiyon hastalıkları ve klinik mikrobiyoloji anabilim dalları veya enfeksiyon hastalıkları ünitelerinden üç öğretim üyesi,

  • ç) Bakanlık eğitim ve araştırma hastanelerinin enfeksiyon hastalıkları ve klinik mikrobiyoloji klinik şefliklerinden üç uzman,

  • d) Tıp fakültelerinin çocuk enfeksiyon hastalıkları bilim dalından bir öğretim üyesi veya Bakanlık eğitim ve araştırma hastanelerinden çocuk enfeksiyon hastalıkları uzmanı,

  • e) Tercihen moleküler mikrobiyoloji alanında deneyimli olmak üzere, tıp fakültelerinin mikrobiyoloji ve klinik mikrobiyoloji anabilim dalından bir öğretim üyesi,

  • f) Bakanlık eğitim ve araştırma hastanelerinin mikrobiyoloji ve klinik mikrobiyoloji klinik şefliklerinden bir uzman,

  • g) Tıp fakültelerinin neonatoloji bilim dalından bir öğretim üyesi veya Bakanlık eğitim ve araştırma hastaneleri yenidoğan klinik şefliklerinden bir uzman,

  • ğ) Tıp fakültelerinin enfeksiyon kontrol komitelerinde görev alan deneyimli bir enfeksiyon kontrol hemşiresi,

  • h) Ana faaliyet alanı hastane enfeksiyonları olan derneklerden seçilecek bir temsilci,

  • ı) Hemşirelik yüksek okullarından enfeksiyon kontrol hemşireliği deneyimi bulunan bir öğretim üyesi,

  • olmak üzere toplam 17 üyeden oluşur.


Composition of icc

Vice Dean/Vice Medical Director

Rep from Infectious Diseases Dept

Rep from Internal Medicine Dept

Rep from Surgery Department

Rep from Clinical Microbiology Lab

Head Nurse

Infection Control Physician

Infection Control Nurse

Rep from Pharmacy

Hospital Director

Composition of ICC


Icc duties responsibilities

ICC duties, responsibilities

  • Policies/Standards

  • Infection control programme

  • Surveillance programme

  • Antibiotic use

  • Disinfectant use, etc

Training

  • Consultation

  • Disinfectant purchase

  • Construction, etc

  • Executive

  • Surveillance

  • Infection control measures

  • Disinfectant use monitorization

  • Antibiotic use monitorization

  • Task forces

  • Reporting

  • Surveillance (quarterly)

  • Annual report


2006 data

2006 data


2007 data

2007 data


2006 data1

2006 data


2007 data1

2007 data


2006 2007 data

2006/2007 data


Nozocomial infections conceptual model9

Infection

Nozocomial infections: conceptual model

Healthcare

systems

&

policies

HEALTH POLICIES

INFECTION CONTROL

PROGRAMMES

Transmission

Mode

Portal

Of

entry

Portal

Of

Exit

Susceptible

individual

Agent

OUTCOMES / IMPACT ON SOCIETY

Reservoir


Costs

14,488 TL

16,188 TL

9,972 TL

Costs

Annual cost: 55,000,000 TL


What needs to be improved

What needs to be improved?

  • Surveillance

    • Standardized data collection

  • Evidence-based procedures

    • Antibiotic use, etc

  • Cooperation

    • Infection control is everybody’s responsibility


A patient safety issue

A patient safety issue?


A right to safe healthcare

A right to safe healthcare


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