1

HARMD OUR
HOSPITAL COMM1TTELS

INFECTION COMMITTEE

INTRODUCTION
Antibiotics arc most widely prescribed tonus of anti infective drugs therapy in hospital .
However many at a time arc too expensive and inappropriate use may cause resistant strains
of organisms which then gives rise to problems in infection control in hospitals.
,

There are several reports and studies, shows in appropriate use of antibiotics in teaching
hospitals of even developed countries, as 41-91% of all antibiotics prescribed here are
inappropriate.

* A slight heller picture can be seen in medical and pediatric wards.

* A worse situation was seen in surgical and gynecology ward.

Unnecessary use of antibiotics for treatment seems to be the common reason , so also its
wrong duration* unreasonable logic of prophylaxis and poor selection of drug* are other
reasons of antibiotic misuse, for the use of antibiotics some of the acceptable indications are ;

* Upper: lower RTI .

* Gtenito Urn, skin and tissue infection ,
* Septicemia , surgical prophylaxis .
,

* High post-operative infection, especially after “mersjr surgery .

Although antibiotic overuse in hospitals was well accepted, each doctor has its own notions
about the use of antibiotics, which further aggravate their overuse.

.
1 A good antibiotic policy has to framed by the hospital infection committee with
following elements:
• Antibiotics should be used only for acceptable indication of possible pathogens
should be identified and eukure sensitivity should be sought .

PHARMD GURU
'
Page 1
 1
HARMD OUR
* Choice of antibiotic should be based on factors such as spectrum, known (or)
suspected causative organism safety cost and ease of use .
* Adequate dose and duration of treatment is essential for all antibiotic therapy
,

* Oral therapy is preferred over parenteral wherever possible .

2. Review of antibiotic usage periodically can be done by the antibiotic review ( AUR )
3. Periodically meetings should be conducted on AUR.
4. Ultimately this helps the infection control programmes in the hospital .
OBJECTIVES :

> To understand the basic information control concept.

,

> To understand the causes of nosocomial infections.

^ To understand the components infection control program .
,

> To understand how an infection control committee can decrease the incidence of
nosocomial infections and a nil microbial resistance .

COMPOSITION :
1 . Chairman ( hospital director ).
2 . Chief inlection control team ( microbiology ) .
3. Chief of all clinical departments.
4 . Chief Nurse .
5 . Chief pharmacist .
6 . I lead of maintenance and cleaning department.
7 . Director of central sierile supply departments.

FU>CTIONS OK INFECTION CONTROL TEAM:

• Detects and investigates hospital acquired infections ,

• Investigation of environmental problems related to hospital infections .
• Detects community acquired infectious in the hospital and refers them to the
appropriate authority follow- up.
• Prompts initiation by physicians of hospitals infection report .

PHARMD GURU Page 2

 1
HARMD OUR
* Take-up necessary follow- up measures of NCI cases after discharge including periodic
laboratory monitoring.
* Assists in the development and review of infection control procedures to be forwarded
to the central committee annually .

* Mon i tor ing of hosp i tal po I icy compl i ance on i so lation procedure s .
* Development and implementation of employees in service orientation program related
to infection control .

* M cm i loring Lhe e ffecti v cness of in feelion contro I program .

* Organizing employee’s health programs.
* Guiding and monitoring of hospital infection through the cleaning company , catering
agency , water supply department and other environmental agencies.

FUNCTIONS OF THE INFECTION CONTROL QKHCKK:

* Supervise the nursing officers.

* Liaise with the chairman of ICC and Microbiology technician.

* Must be able to make day to day decisions on infection control within the guidelines
of the infection control manual
* All duties of the nursing officers are under his responsibility .

* Provide continual tip to date patterns of antibiotic resistance with the Microbiology
technician.
* Have detailed knowledge of the infection control policies in the hospital.

FUNCTIONS OF THE INFECTION CONTROL NURSE :

Checking wards and clinics to detect and record hospital acquired infections
• Investigation of hospital based infection to determine if inadequate procedures may
have contributed
• In conjunction with the technical officer , to purchase apparent incidents of cross
infection
• Surveillance of isolation procedures.

PHARMD GURU
'
Page 3
 1
HARMD OUR
* Surveillance of nursing practices where they are related to infection, e.g, s sterile
techniques .

* Monitoring of food hygiene and health of food handling staff.

* Monitoring collection and disposal of infected wastes.
* Conduct education programs in infection control for all new nursing and paramedical
staff in conjunction with the medical and technical officers

* Preparation of infection control statistics for infection control committee.

RESPONSIBILITIES OF INFECTION CONTROL COMMITTEE:

Ensuring advise on infection prevention .

* Formulating an infection prevention and control program with health professional.

* Distribute policies to relevant areas and initiate their implementation by support,
advise and education.

* Participate in the planning and Lipgrading of hospital facilities.

* Ensure liaison with oc cupational health department with regard to staff health and
transmission of infectious diseases

PHARMD GURU
'
Page 4
 1
HARMD OUR

T
PHARMD GURU
'
THANK YOU
CHECK OUT OUR WEBSITE FOR PHARM.D STUDY MATERIAL
www.Pharmdguru.com

PHARMD GURU
'
Page F;