SURVEILLANCE AND CONTROL OF SURGICAL SITE INFECTIONS
Dr.T.V.Rao MD There is an increasing concern on surgical site infections, and increasing chances of morbidity and mortality, in turn to legal litigation's, Today the people are well informed of the dangers of health care, and patients wish to know the chances of post-surgical infections, for that matter any hospital associated infections, The best of medical advances are compromised with spread Hospital associated infections, Surveillance of healthcare-associated infection (HCAI) is a key requirement under the Strategy for the control of Antimicrobial Resistance, Yet we in majority of our hospitals lag the matters, the true burden of HCAI is unknown. Development of a high-quality surveillance system is essential to monitor HCAI and identify areas for improvement. Such an initiative in the long run will save public money and resources and is an essential component under the ‘quality and safety of patient care’.
ROLE OF DIAGNOSTIC MICROBIOLOGY IN SURVEILLANCE HCAI – The optimal utility of diagnostic Microbiology starts with proper specimen collection and transportation's, and Surveillance must start and end with the patient to improve patient care. Local HCAI surveillance Programme must be relevant to the needs of their patients and local priorities, therefore individual hospitals should be responsible for coordinating the surveillance Programme including collection of local surveillance data. Having a simple record of infections arising in a Hospitalized patient and had surgical intervention create a good data for follow up, and outcome of the patient survival and morbidity give a greater chance to learn the status of the matters happening in our hospitals,
HOW TO WORK WITH LEAST RESOURCES, - Many times we have least resources to do complicated investigations. It is recommended that if an institution wants to implement surveillance in general surgery, surveillance should be commenced with a small range of General surgical procedures and the type of procedure(s) chosen should be decided locally based on resources available and local specialties. It may be preferable to choose procedures with known or suspected high infection rates and with a sufficient volume (e.g. > 20 to 30 procedures per year) to determine reliable rates of infection, to be simpler even the small hospitals can start with catheterized patients developing infections and quality care of the nursing care.
CONFIDENTIALITY IS A CONCERN The matters should be kept confidential and spill of wrong information needs to be keep under fold, A great need for A dedicated surveillance coordinator. This has been demonstrated to be crucial to the success of the SSI surveillance system in our hospitals. This would be a full-time position with responsibilities in coordinating the process, training staff, following up on surveillance forms, liaising with the analysis team and feeding data back to the surgical units. For smaller hospitals, this post might be combined with another role or shared between two smaller hospitals.
HOW TO START OUR OWN INITIATIONS MOST IMPORTANT - Administrative support for surveillance coordinator
• A consultant microbiologist and a general surgeon to drive the surveillance process and encourage compliance
• A local multidisciplinary committee should be established with representatives from surgery, microbiology, infection prevention and control, and hospital management to help drive the surveillance project and advise hospital management based on the results of surveillance data
Ref 1 Recommendations for Surveillance of Surgical Site Infection Strategy for control of Antimicrobial resistance in Ireland
2 CDC resources on Health care associated Infection
Dr.T.V.Rao MD Freelance reporter on Hospital associated infection
Dr.T.V.Rao MD There is an increasing concern on surgical site infections, and increasing chances of morbidity and mortality, in turn to legal litigation's, Today the people are well informed of the dangers of health care, and patients wish to know the chances of post-surgical infections, for that matter any hospital associated infections, The best of medical advances are compromised with spread Hospital associated infections, Surveillance of healthcare-associated infection (HCAI) is a key requirement under the Strategy for the control of Antimicrobial Resistance, Yet we in majority of our hospitals lag the matters, the true burden of HCAI is unknown. Development of a high-quality surveillance system is essential to monitor HCAI and identify areas for improvement. Such an initiative in the long run will save public money and resources and is an essential component under the ‘quality and safety of patient care’.
ROLE OF DIAGNOSTIC MICROBIOLOGY IN SURVEILLANCE HCAI – The optimal utility of diagnostic Microbiology starts with proper specimen collection and transportation's, and Surveillance must start and end with the patient to improve patient care. Local HCAI surveillance Programme must be relevant to the needs of their patients and local priorities, therefore individual hospitals should be responsible for coordinating the surveillance Programme including collection of local surveillance data. Having a simple record of infections arising in a Hospitalized patient and had surgical intervention create a good data for follow up, and outcome of the patient survival and morbidity give a greater chance to learn the status of the matters happening in our hospitals,
HOW TO WORK WITH LEAST RESOURCES, - Many times we have least resources to do complicated investigations. It is recommended that if an institution wants to implement surveillance in general surgery, surveillance should be commenced with a small range of General surgical procedures and the type of procedure(s) chosen should be decided locally based on resources available and local specialties. It may be preferable to choose procedures with known or suspected high infection rates and with a sufficient volume (e.g. > 20 to 30 procedures per year) to determine reliable rates of infection, to be simpler even the small hospitals can start with catheterized patients developing infections and quality care of the nursing care.
CONFIDENTIALITY IS A CONCERN The matters should be kept confidential and spill of wrong information needs to be keep under fold, A great need for A dedicated surveillance coordinator. This has been demonstrated to be crucial to the success of the SSI surveillance system in our hospitals. This would be a full-time position with responsibilities in coordinating the process, training staff, following up on surveillance forms, liaising with the analysis team and feeding data back to the surgical units. For smaller hospitals, this post might be combined with another role or shared between two smaller hospitals.
HOW TO START OUR OWN INITIATIONS MOST IMPORTANT - Administrative support for surveillance coordinator
• A consultant microbiologist and a general surgeon to drive the surveillance process and encourage compliance
• A local multidisciplinary committee should be established with representatives from surgery, microbiology, infection prevention and control, and hospital management to help drive the surveillance project and advise hospital management based on the results of surveillance data
Ref 1 Recommendations for Surveillance of Surgical Site Infection Strategy for control of Antimicrobial resistance in Ireland
2 CDC resources on Health care associated Infection
Dr.T.V.Rao MD Freelance reporter on Hospital associated infection
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