Infection control audit

1. *Infection Control Audit
Dr.T.V.Rao MDInfection continues to be threat in spite of several
medical advances, increasing the morbidity and mortality.They occur in
approximately 5% of all hospital patients in USA, much more in developing
countries and there is no system reporting. These infections result in
increased time spent in the hospital and, in some cases, death. The
foundations of good infection control in our hospitals depend on compliance
with good hygienic practices, the major component being the HAND
WASHING and early detection of Hospital acquired infections. Failing to
implement a systematic approach with lead to many hospital acquired
infections, Consequences of Nosocomial Infections,and Additional morbidity.
Prolonged hospitalization
Long-term physical, developmental and neurological sequelae Increased cost
of hospitalization and death.
Many modern hospitals are catching up with the importance of hospital
infection, of not cared lead to fall of standards in standard care increasing
litigations. The policy of Antibiotic policy is dark in many developing
countries including India, as the Physicians play the master of the Game
however the matters may not long, as we work in a system. In spite of
several constrains we have to progress with the aim to increase the safety in
our Hospitals Our focus is on preventing infections within the hospital and
protecting the healthcare provider from transmittable disease. We should
also be involved in the science behind infection control attempting to
determine the best methods for detection and prevention of transmissible
disease. This requires reaching across disciplines and coordinating with
housekeeping Services, Patient Safety and Quality, Health Care Providers,
Antibiotic Stewardship, and Clinical Microbiology. Our role should be to
identify risks to patient’s health.
Find nosocomial infections surveillance
Identify and study risk factors for nosocomial infection understand
epidemiologic principles and methodscase-control and cohort studies, bias,

2. confounding understand nosocomial pathogens what is it about
hospitalization that increases risk?
We can bring in change with Additional elements of an effective program
Antibiotic monitoring and control
Microbiologic laboratory liaison, greater support from administrators.
Antibiotic susceptibility data dissemination
Occupational health
Provide resource to other departments for quality improvement study design
and data analysis
Our goals to be Reduce incidence
Reduce morbidity
Shorten hospital stay
Reduce costs of treating infections
Reduce costs of preventative measures
Stop ineffective control measures
The complex matters can be understood with gradual interdepartmental
coordination and auditing of our results and accepting rational approach in
these matters, can save many resources and above all our patients who are
at the mercy of our Hospitals. Auditing our morbidity and mortality related to
Hospital acquired infections can give invaluable information about the area
of uncertainty between the clinician and the laboratory and can identify
appropriate measures for corrective action.If the matters are not put in order
all the best efforts of dedicated medical professionals will go in vain.
Suggestion and support mail doctortvrao@gmail.com