Impact of Modular Training and Infection Control Practices in a select surgical service of a tertiary care hospital

Abstract

Many developing countries often face significant health and hygiene challenges that predispose to the transmission of infectious diseases within both community and healthcare settings. Deficient infrastructures, rudimentary equipment and a poor quality of care contribute towards incidences of nosocomial infections which have been estimated to be between 2-6 times higher than those in developed nations. This is the result of varying infrastructural and service deficits within healthcare facilities including inadequate or unsafe practices, lack of training, high staff attrition, significant overcrowding due to inadequate beds to cope with demand as well lack of strategic direction and planning for healthcare delivery. In order to improve the effectiveness of infection control in many developing countries, a multifactorial set of initiatives needs to be undertaken that are both feasible as well as achievable in the background of economical and social deficits. A structured infection control program is probably the most cost effective of such interventions. One of the most effective methods for improving infection prevention and control within a institution is to have complete engagement with all stake holders. The interested members should interact regularly to review practices, share information and support each other. Objectives To study the impact of modular training and implementation of infection control practices on all health-care-associated infections (HAIs) in a cardiac surgery (CVTS) program of a tertiary care hospital. Design Baseline data were compared with post-intervention (with modular training) data. All process measurables (hand hygiene, isolation precautions, wound care management and HAI bundle compliance) were studied along with outcome measurables (HAI rates, length of stay, mortality, readmissions, antibiotic prophylaxis and cost of avoidance) were recorded and analyzed for all HAIs..