2. Hospital Infection Control Committee (HICC)
• The HICC is an integral component of
the IPC programme
• It is responsible for establishing and
maintaining the IPC programme and
its various functions
• Monitoring, Surveillance, Reporting,
Research and Education.
• The HICC should have wide
representation from all relevant
disciplines or departments in the
facility.
3. Structure of the HICC
Chairperson: Head of the institute
Member-secretary: Infection control officer
Members
• Representation from management/ administration: Dean/ Director of
hospital; Nursing services; Medical services; Operations
• Representation from relevant Medical and Surgical disciplines
• Representation from support services: Operation Theatre (OT), Central
Sterile Supply Department (CSSD), Housekeeping/ Sanitation, Laundry,
Engineering, Pharmacology/ Pharmacy, Stores/ Materials Department
• Infection control nurse (ICN)
4. Responsibilities of the HICC
1. Establish the IPC Programme
• Develop an action plan for IPC measures.
• Constitute an infection control team.
• Review and revise annually infection control guidelines & policies.
• Organize training programmes for staff and other HCWs.
• Develop an antibiotic policy and antibiotic stewardship programme.
• Conduct surveillance of AMR and HAI.
5. Responsibilities of the HICC
1. Establish the IPC Programme
2. Analyse the surveillance data for HAI
• Monitor the trends of HAI and compare the rates of infections
• Monitor and assess, compliance with recommended practices.
• Investigate outbreaks of HAIs.
• Evaluate the effectiveness of interventions for IPC.
• Participate in the selection of equipment and material.
• Help control environmental risks for infection.
• Establish links with related health programmes.
6. Responsibilities of the HICC
1. Establish the IPC Programme
2. Analyse the surveillance data for HAI
3. Prepare an annual IPC plan with detailed budget
7. Responsibilities of the HICC
1. Establish the IPC Programme
2. Analyse the surveillance data for HAI
3. Prepare an annual IPC plan with detailed budget
4. Organise periodic (Monthly /Quarterly) meetings of HICC and take
minutes with clear action points to delegate responsibilities for
implementation
8. Responsibilities of the HICC
1. Establish the IPC Programme
2. Analyse the surveillance data for HAI
3. Prepare an annual IPC plan with detailed budget
4. Organise periodic (Monthly /Quarterly) meetings of HICC
5. Appoint an IPC team responsible for day-to-day activities
• Infection control officer: usually a clinical microbiologist/ clinical
epidemiologist, infectious disease physician, who is the team leader;
• ICN(s): a minimum ratio of one full-time ICN per 250 beds; and
• One link nurse from every unit.
IPC and quality standards of healthcare are essential for the well-being and safety of patients, their families, health workers and the community. A well-organized IPC programme is a basic requirement in every HCF to assist HCWs in the provision of quality healthcare.
In 2016, WHO issued evidence-based guidelines incorporated in an implementation manual on the core components of IPC. The first step towards implementation is the establishment of an IPC programme at the HCF level.
The objective is to minimize the risk of HAIs to patients, HCWs and visitors.
Develop an action plan for strengthening IPC measures for the facility and individual units within the facility.
Constitute an infection control team.
Review and revise annually infection control guidelines & policies, recommendations and working protocols, including activities and practices under the programme, with standard precautions and hand hygiene as key components.
Organize training programmes on recommendations of the guidelines and IPC practices for staff and other HCWs.
Develop an antibiotic policy and antibiotic stewardship programme.
Conduct surveillance of AMR and HAI.
(including identification of common sources and routes of entry of infectious microorganisms) on a monthly basis (or more frequently in case an outbreak is suspected) and identify at-risk patients. Take appropriate action and implement recommendations where necessary.
Monitor the trends of HAI regularly and compare the rates of infections within the HCF and with other facilities wherever feasible.
Monitor and assess, on a regular basis, compliance with recommended practices such as hand hygiene, cleaning and decontamination, disinfection and sterilization through audits and quality control of IPC activities.
Investigate outbreaks of HAIs in collaboration with medical, nursing and other staff.
Evaluate the effectiveness of interventions for IPC.
Participate in the selection of equipment and material and provide advice and focus on IPC measures.
Help control environmental risks for infection by liaising with appropriate departments such as healthcare waste management, CSSD, provision of safe water (testing of water sources), pharmacy, housekeeping services, laundry and kitchen services.
Establish links with related health programmes in the HCF such as injection safety programme, TB control programme and control of HIV/ AIDS.
Ensure a multimodal approach to implementation of IPC, integrate 3–5 different activities for behaviour change.
Introduce system change (equipment/ infrastructure), education, monitoring, communication as well as culture change (through champions/ leaders).
Use tools such as care bundles or checklists.
Minimum Quorum required: Chairperson, member-Secretary, Infection Control Team and 50% of other members.