Title: Surveillance of Hospital Acquired Infection at Post-operative ICU/ Al-Shaab Teaching Hospital, Khartoum State, Sudan

Biography:

Abstract

Purpose:
Purpose of this study is to: evaluate ICU structure at Al-shaab Teaching Hospital, assess IPC practices, and measure the magnitude of device-related infections by measuring overall infection rate, UTI rate, BSI rate and VAP rate.

Methods:
A cross-sectional descriptive hospital based study; baseline information was collected by observation using specific checklist, patient health records, and ICU staff interview.

Findings:
Areas to be improved; Manpower: 10 nurses/ morning shift+ 5 nurses/ evening shift, 1 nurse:1 patient. Environment: ICU room designed for 6 beds, sometimes number of patients exceeds 8. Only 1 shallow hand wash station with non-steel sink, it’s running not warm water, no antiseptic only plain soap. No ventilation system. Distances between beds are not fixed. There is unclean dark blue partition between beds. They clean floor by chlorine twice a day using heavy gloves. General waste not segregated; there is one large porous basket and 1 full sharp-box. Methods: No available Written IPC policies and procedures documents. No detailed patient registers. Equipment: Three refrigerators; for drugs, blood and food. First two are clean but the 3^rd one is not. Materials: ICU nurses didn’t follow instruction of inserting Intravascular catheters; they follow instructions of inserting Urinary catheters.

Total bed days and device days:

Conclusion and Recommendations:
No written policies, practice procedures. Staff not trained on IPC. Medications not available on demand. Recommendations include: gaining administrative support to assure resources allocation, planning for educational programs at time of recruitment and in-service, improving work environment, ensuring medical supply and maintaining availability and regular equipment checkup, creating regular surveillance system to detect HAI.