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A self-reported survey on the implementation of infection prevention and control elements in Indian hospitals, part of a HAI surveillance network: Results from 23 hospitals conducting a standardized IPC assessment

      Highlights

      • Key areas were identified for improvement of IPC programs.
      • The median IPCAT-H score for hospitals was 558 out of 800.
      • Results motivates sites to share successes and support others to fill IPC gaps.
      • Repeated application of the IPCAT-H may reveal new developments and patterns.

      Background

      Healthcare-associated infections (HAIs) are one of the most common adverse events in patient care that account for substantial morbidity and mortality. We evaluate the existing Infection Prevention and Control (IPC) practices in hospitals participating in the nationally representative HAI Surveillance network.

      Methods

      This cross-sectional survey was conducted in 23 hospitals across 22 states of India from October-2015 to September-2018 in the HAI surveillance network. The World Health Organization (WHO) IPC core components assessment tool for health-care facility level (IPCAT-H) was adapted from IPC assessment tool developed by US Centers for Disease Control and Prevention (US CDC) under the Epidemiology and Laboratory Capacity (ELC) Infection Control Assessment and Response (ICAR) Program. Mann–Whitney U test was used to calculate the significant difference between scores (P < .05).

      Results

      Amongst the participating hospitals, 7 were private sectors and 16 were public health care facilities. Infection IPCAT-H average score per multimodal strategy was less than 50% for programmed IPC activities (45.7); implementation of health care workers (HCWs) immunization programme (43.5%); monitoring and evaluation component (38.30%).

      Conclusions

      There is potential for improvement in Human Resources, Surveillance of HAIs as well as Monitoring and Evaluation components.

      Key Words

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      References

        • Kazi M
        • Khot R
        • Shetty A
        • Rodrigues C.
        Rapid detection of the commonly encountered carbapenemases (New Delhi metallo-β-lactamase, OXA-48/181) directly from various clinical samples using multiplex real-time polymerase chain reaction assay.
        Indian J Med Microbiol. 2018; 36: 369-375
        • World Health Organization
        Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level [Internet].
        World Health Organization, 2016: 90 ([cited 2022 Apr 12]Available from:)
        • Katoch O
        • Katyal S
        • Srivastav S
        • et al.
        Self-reported survey on infection prevention and control structures in healthcare facilities part of a national level healthcare associated infection surveillance network in India, 2019.
        Am J Infect Control. 2021; (S0196-6553(21)00619-2)
        • Gupta SK
        • Siddharth V
        • Belagere MR
        • et al.
        National survey of infection control programmes in South Asian association for Regional Cooperation countries in the era of patient safety.
        Indian J Med Microbiol. 2018; 36: 577-581
      1. Hospital_Infection_control_guidelines.pdf [Internet]. [cited 2022 Apr 11]. Available from: https://main.icmr.nic.in/sites/default/files/guidelines/Hospital_Infection_control_guidelines.pdf

        • Allegranzi B
        • Bagheri Nejad S
        • Combescure C
        • et al.
        Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis.
        Lancet Lond Engl. 2011; 377: 228-241
        • Mathur P
        • Malpiedi P
        • Walia K
        • et al.
        Surveillance of healthcare-associated bloodstream and urinary tract infections in a National Level Network of Indian Hospitals.
        Infect Control Hosp Epidemiol. 2020; 41: s398-s399
      2. National Programme on AMR Containment : National Centre for Disease Control (NCDC) [Internet]. [cited 2022 Apr 11]. Available from: https://ncdc.gov.in/index1.php?lang=1&level=2&sublinkid=384&lid=344

        • Mori-Yoshikawa N
        • Ohmagari N
        • Kirikae T.
        Organization of nosocomial infection control measures and local networks for infectious disease control in middle-scale hospitals in Japan.
        Jpn J Infect Dis. 2014; 67: 379-381
        • Talaat M
        • Kandeel A
        • Rasslan O
        • et al.
        Evolution of infection control in Egypt: achievements and challenges.
        Am J Infect Control. 2006; 34: 193-200
        • Swaminathan S
        • Prasad J
        • Dhariwal AC
        • et al.
        Strengthening infection prevention and control and systematic surveillance of healthcare associated infections in India.
        BMJ. 2017; 358: j3768
        • Walia K
        • Ohri VC
        • Mathai D.
        Antimicrobial stewardship programme (AMSP) practices in India.
        Indian J Med Res. 2015; 142: 130-138
        • Assiri AM
        • Choudhry AJ
        • Alsaleh SS
        • Alanazi KH
        • Alsaleh SS.
        Evaluation of infection prevention and control programmes (IPC), and assessment tools for IPC-programmes at MOH-health facilities in Saudi Arabia.
        Open J Nurs. 2014; 4: 483-492
        • Avortri GS
        • Nabyonga-Orem J.
        The Global call for action on infection prevention and control.
        Int J Health Care Qual Assur. 2019; 32: 927-940
      3. Organization WH. Infection Prevention and Control Recovery Plans and Implementation: Guinea, Liberia, and Sierra Leone Inter-Country Meeting: Final Report, 20-22 July 2015, Monrovia, Liberia. 2015 [cited 2022 Apr 11]; Available from: https://apps.who.int/iris/handle/10665/204370

        • Mathur P
        • Malpiedi P
        • Walia K
        • et al.
        Surveillance of healthcare-associated bloodstream and urinary tract infections in a National Level Network of Indian Hospitals.
        Infect Control Hosp Epidemiol. 2020; 41: s398-s399
        • Mathur P.
        Hand hygiene: back to the basics of infection control.
        Indian J Med Res. 2011; 134: 611-620
        • Struelens MJ
        • Wagner D
        • Bruce J
        • et al.
        Status of infection control policies and organisation in European hospitals, 2001: the ARPAC study.
        Clin Microbiol Infect. 2006; 12: 729-737