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Infection Control
InHealthcare Settings
Prepared by:
KareemFisal Alnakeeb
Linda Hamad
KawtherAhmed
Contents
Def & Goals
Chainof infection
Antibiotic Resistance Threats
Routes of transmission
HAI Progress Report
CDC’s Clinicaland Environmental Microbiology Laboratory
HAI Prevention Programs
 Infections that patients acquire during the course of receiving treatment for other
conditions within a healthcare setting
 not present or incubating at the time of admission
 Goals ofHAI intervention strategies :
• reducethe rate of HAI, especially Multi-drug resistant organisms ( MDRO )
• increase compliance with known prevention strategies.
Healthcare-Associated Infections(HAIs)
Source: http://www.who.int/gpsc/country_work/burden_hcai/en/
HAIs in U.S.hospitals
Chainof infection
Infectious
agent
Reservoirs
Portalof exit
Modeof
transmission
Portalof entry
Susceptiblehost
Antibiotic Resistance Threats
In the United States , 2013
 Sickens>2 million people/year
 Kills atleast23,000people/year
 Plus 15,000per yearfromC. difficile
 $20B/yearin healthcare costs
 Threatensmodern medicine :
 Lossofeffectiveantibiotictreatmentcouldmakeroutineinfectionsdeadly
 Patientswho receive specializedcarewill beathighest risk
 Urgent threats include :
 Carbapenem-resistant Enterobacteriaceae (CRE)
 Clostridium difficile
 Serious threats include :
 Drug-resistant Pseudomonas
 Methicillin-resistant Staphylococcus aureus ( MRSA )
Access CDC’s AR Report at http://www.cdc.gov/drugresistance/threat-report-2013/
Healthcare,infections,and antibioticresistance
have moved beyond hospitals
Routes of transmission
 Body fluids –tears, saliva, sputum (mucus coughed up), urine, feces, semen,vaginal
secretions, pus or otherwound drainage, blood
 Touching the infected person or their secretions
 Droplets – coughing, sneezing, laughing, spitting, talking
 Touching something contaminated by the infected person.
 50%decreasein CLABSIbetween2008and2014
 17%decreasein SSIsrelatedtothe10select procedurestrackedin thereportbetween 2008and2014
 Nochangein CAUTIbetween 2009and2014,
but5% decreasefrom2013to2014
 13%decreasein hospital-onsetMRSAbacteremiabetween 2011and2014
 8% decreasein hospital-onsetC. difficileinfectionsbetween 2011and2014
HAI Progress Report
Based on 2014 data; published March 2016
 LTACHs:
 9% decreasein CLABSIin LTACHsbetween 2013and2014
 11%decreasein CAUTI in LTACHsbetween 2013and2014
 IRFs:
 14%decreasein CAUTI in IRFsbetween 2013and2014
Source: http://www.cdc.gov/hai/surveillance/progress-report/
CDC’s Clinical and Environmental Microbiology Laboratory
 Servesasnationalandaninternationalreferencelaboratoryfortesting anddiagnosticcapacityof pathogens
causing HAIs andantibioticresistantinfections
 Developsandevaluatesmethodsto reliablydetectemerging antimicrobialresistance
 Conductsapplied researchonimproved detectionmethodsforHAIs
 Providesenvironmentalmicrobiologymethodsformeasuringcontaminationof healthcareenvironment
 Assistsin healthcare-associatedoutbreakinvestigations
HAI Prevention Programs
• Detect
• Prevent
• Respond
Handhygiene
 It isthesingle mostimportantmeasureforcontrolof nosocomialinfections
 ashandsarethe mostimportantvehicle oftransmissionof HCAI
Standardprecautions
personal protective equipment
( PPE )
Gown OR Apron glovesMask OR N95 Respirator Goggle OR Face Shield
BCG
Hepatitis B
Tetanus
Rubella
Varicella
Influenza
Infection Control In Healthcare Settings; Public Health and Community Medicine - January 2017

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Infection Control In Healthcare Settings; Public Health and Community Medicine - January 2017

  • 3. Contents Def & Goals Chainof infection Antibiotic Resistance Threats Routes of transmission HAI Progress Report CDC’s Clinicaland Environmental Microbiology Laboratory HAI Prevention Programs
  • 4.  Infections that patients acquire during the course of receiving treatment for other conditions within a healthcare setting  not present or incubating at the time of admission  Goals ofHAI intervention strategies : • reducethe rate of HAI, especially Multi-drug resistant organisms ( MDRO ) • increase compliance with known prevention strategies. Healthcare-Associated Infections(HAIs) Source: http://www.who.int/gpsc/country_work/burden_hcai/en/
  • 7. Antibiotic Resistance Threats In the United States , 2013  Sickens>2 million people/year  Kills atleast23,000people/year  Plus 15,000per yearfromC. difficile  $20B/yearin healthcare costs  Threatensmodern medicine :  Lossofeffectiveantibiotictreatmentcouldmakeroutineinfectionsdeadly  Patientswho receive specializedcarewill beathighest risk
  • 8.  Urgent threats include :  Carbapenem-resistant Enterobacteriaceae (CRE)  Clostridium difficile  Serious threats include :  Drug-resistant Pseudomonas  Methicillin-resistant Staphylococcus aureus ( MRSA ) Access CDC’s AR Report at http://www.cdc.gov/drugresistance/threat-report-2013/
  • 10. Routes of transmission  Body fluids –tears, saliva, sputum (mucus coughed up), urine, feces, semen,vaginal secretions, pus or otherwound drainage, blood  Touching the infected person or their secretions  Droplets – coughing, sneezing, laughing, spitting, talking  Touching something contaminated by the infected person.
  • 11.  50%decreasein CLABSIbetween2008and2014  17%decreasein SSIsrelatedtothe10select procedurestrackedin thereportbetween 2008and2014  Nochangein CAUTIbetween 2009and2014, but5% decreasefrom2013to2014  13%decreasein hospital-onsetMRSAbacteremiabetween 2011and2014  8% decreasein hospital-onsetC. difficileinfectionsbetween 2011and2014 HAI Progress Report Based on 2014 data; published March 2016
  • 12.
  • 13.  LTACHs:  9% decreasein CLABSIin LTACHsbetween 2013and2014  11%decreasein CAUTI in LTACHsbetween 2013and2014  IRFs:  14%decreasein CAUTI in IRFsbetween 2013and2014 Source: http://www.cdc.gov/hai/surveillance/progress-report/
  • 14.
  • 15. CDC’s Clinical and Environmental Microbiology Laboratory  Servesasnationalandaninternationalreferencelaboratoryfortesting anddiagnosticcapacityof pathogens causing HAIs andantibioticresistantinfections  Developsandevaluatesmethodsto reliablydetectemerging antimicrobialresistance  Conductsapplied researchonimproved detectionmethodsforHAIs  Providesenvironmentalmicrobiologymethodsformeasuringcontaminationof healthcareenvironment  Assistsin healthcare-associatedoutbreakinvestigations
  • 16. HAI Prevention Programs • Detect • Prevent • Respond
  • 17.
  • 18. Handhygiene  It isthesingle mostimportantmeasureforcontrolof nosocomialinfections  ashandsarethe mostimportantvehicle oftransmissionof HCAI
  • 20. personal protective equipment ( PPE ) Gown OR Apron glovesMask OR N95 Respirator Goggle OR Face Shield