Device associated and surgical site infections, quality indicators in a tertiary care hospital: A 5 year study

Bilolikar AK, Banerjee J, Thomas KM

Pdf Page Numbers :- 132-146

Anil Kumar Bilolikar^1,*, Jaya Banerjee¹, and Marriyamma K Thomas¹

¹Department of Hospital Infection Control & Microbiology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. Anil Kumar Bilolikar, Department of Hospital Infection Control & Microbiology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Email: dranilbilolikar@yahoo.com

Received 3 May 2021; Revised 16 June 2021; Accepted 26 June 2021; Published 1 July 2021

Citation: Bilolikar AK, Banerjee J, Thomas KM. Device associated and surgical site infections, quality indicators in a tertiary care hospital: A 5 year study. J Med Sci Res. 2021; 9(3):132-146. DOI: http://dx.doi.org/10.17727/JMSR.2021/9-20

Copyright: © 2021 Bilolikar AK et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Purpose: In the present study, an attempt is made to understand the pattern of HAIs (Healthcare Associated Infections) [device associated infections such as Catheter Associated Urinary Tract Infection (CAUTI), Ventilator Associated Event (VAE), Central Line-Associated Bloodstream Infection (CLABSI) & Surgical Site Infection (SSI) by analyzing statistical tool of quality indicators] and to establish a bench mark for HAIs in a single hospital for a period of 5 years.

Methods: The Microbiologist & ICN’s conduct rounds in ICU’s & wards and collect data for active surveillance. The details of culture positive samples are collected by Microbiologist from the laboratory for passive surveillance. The surveillance forms (active & passive) capture details of individual patients. The data collection forms are prepared and updated as per Centers for Disease Control and Prevention (CDC), National Healthcare Safety Network (NHSN) guidelines. The data is analyzed and presented in the meeting of Hospital Infection Control Committee meeting & discussed with clinicians.

Results: The cumulative (5 years) CAUTI rate is 0.45, VAE is 2.42, CLABSI is 1.35 & SSI is 0.21. HAI rates were highest for VAE (2.42/1000 ventilator days), the next was CLABSI (1.35/1000 central line days), followed by CAUTI (0.45/1000 urinary catheter days). SSI rate was 0.21/ 100 surgeries.

Conclusions: Before the study was started, the benchmark were 2 for CAUTI, 5.5 for VAE, 3 for CLABSI and 2 for SSI. We could able to reduce the baseline benchmark and established our new benchmark as 1 for CAUTI, 3 for VAE, 2 for CLABSI and 1 for SSI that can be used in developing HAI prevention policies by the institution.

Keywords: quality indicator; bench mark; CAUTI; VAE; CLABSI; SSI; tertiary care hospital