Device-associated infections at a level-1 trauma centre of a developing Nation: Impact of automated surveillance, training and feedbacks

Abstract

The automated surveillance was easy and useful for data entry and analysis. Surveillance had a significant impact on reduction of HAIs and mortality in trauma patients.

Epidemiological investigation and successful management of a Burkholderia cepacia outbreak in a neurotrauma intensive care unit

“…The outbreak was suspected in August 2014 and an investigation was triggered when four subsequent cases of bacteraemia caused by B. cepacia in two cubicles of this ICU occurred over a period of 7 days. An unusually high incidence of BCC in blood cultures from the neurotrauma ICU was observed, which prompted a detailed epidemiological and microbiological investigation (Mathur et al, 2015). The strains had similar colony morphology and unique pigmentation on culture plates ( Figure 2).…”

“…Visitors were also asked to follow the same set of instructions and precautions. There is an intensive, automated on-going hospitalacquired infection surveillance network and hand hygiene monitoring system at the trauma centre (Mathur et al, 2015). The hand hygiene compliance rate was measured and followed up stringently.…”

Review of Strategies to Reduce Central Line‐Associated Bloodstream Infection (CLABSI) and Catheter‐Associated Urinary Tract Infection (CAUTI) in Adult ICUs

“…Of the 28 CAUTI studies that met the inclusion criteria (reporting outcomes for 30 intervention cohorts), 14 studies (reporting outcomes for 16 intervention cohorts) were performed in the US. 28,34,53,66,68,[133][134][135][136][137][138][139][140][141] Study designs included 2 RCTs (focused on urinary catheter avoidance or removal 142 and chlorhexidine bathing 68 ) and 26 nonrandomized, before-after studies 28,30,33,34,53,66,109,[114][115][116][133][134][135][136][137][138][139][140][141][143][144][145][146][147][148][149] (Appendix Table 1). The number of hospitals per study varied from 1 to 53, with the majority being single-hospital interventions.…”

“…Interventions to avoid indwelling urinary catheters included education about external catheters, 28,34,109,133,140,[144][145][146] urinary retention protocols, 34,144,135,141 and bladder scanner simulation training. 133 Interventions to improve aseptic insertion 28,34,66,109,116,139-141-143-146,150 and maintenance care 28,34,66,109,116,133,135,136,[139][140][141][143][144][145][146]150 of urinary catheters were common. Four studies used a standardized urinary catheter kit or cart, 28,34,139,142 and 2 studies used a commercial urinary catheter securement device.…”

Multidrug Resistance Pattern in Confirmed Cases of Catheter Associated Urinary Tract Infection in a Tertiary Care Hospital: A Prospective Study

“…Health-care associated infections (HAIs) have become a global patient safety concern (Mathur et al, 2015). Device-associated infections (DAIs) account for the majority of these infections.…”