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HOSPITAL ACQUIRED INFECTION

HOSPITAL SERVICES MANAGEMENT

Updated: June' 2014

 Action Plan:                                            National Hand hygiene Guideline                                                   Present Status

 HNPSP - IHSM

 Government Hospital

 Private Hospitals & Clinics

 Private Diagnostic Centre

 Private Blood Bank

 Medical Board

 Medical Waste Management

 Hospital Accreditation

 Quality Assurance

 Risk Management

 Total Quality Management

 Clinical Protocol

 Management Development 
 Program

 Emergency Management

 Poisoning Management

 Hospital Autonomy

 Safe Blood Transfusion

 Community Participation

 Operational Plan

 Women Friendly Hospital 
 Initiative

 EOC & Gender

 Capacity Development

 Establishment of Shishu
 Bikash Kendra at 14MCHs

Introduction

 “Nosocomial infections are widespread. They are important contributors to morbidity and mortality. They will become even more important as a public health problem with increasing economic and human impact because of:  Increasing numbers and crowding of people. More frequent impaired immunity (age, illness and treatments). New microorganisms. Increasing bacterial resistance to antibiotics.” (Ducel 1995)

 Hospital acquired infection also called Nosocomial infection occurs world wide and affect both developed and developing countries. The highest frequencies of nosocomial infection were reported from hospitals in the Eastern Mediterranean and south East Asia Regions (11.8 and 10.0% respectively) with a prevalence of 7.7 and 9.0% respectively in the European and Western Pacific Regions. Though exact data is lacking in Bangladesh but it will be near to or even more than south east Asia regions. The economic costs are considered due to prolong stay in hospital, increased use of days, the need for isolation and use of additional laboratory and diagnostic tests. Apart from economical cost functional disability, emotional stress, morbidity and mortality are also a major concern in HAI.

 The importance of hands in the transmission of hospital infections has been well demonstrated and can be minimized with appropriate hand hygiene. Compliance with hand washing, however, is frequently suboptimal. This is due to a variety of reasons, including lack of appropriate accessible equipment, high staff-to-patient ratios, allergies to hand washing products, insufficient knowledge of staff about risks and procedures, too long duration recommended for washing, and the time required.

 Hand hygiene is one of the most important procedures for preventing the transmission of hospital-acquired infections. Hand hygiene is a general term that encompasses handwashing, antiseptic hand wash, antiseptic handrub or surgical hand antisepsis. The importance of hand hygiene in preventing transmission of Hospital-acquired infections has been demonstrated in numerous studies. The challenge, however, is to improve adherence with appropriate hand

hygiene on the part of health care personnel (HCP)

 

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 Action Plan:                                                    Present Status