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Multimodal approach for surgical site infection prevention – results from a pilot site in Kenya

Multimodal approach for surgical site infection prevention – results from a pilot site in Kenya Ntumba et al. Antimicrobial Resistance and Infection Control 2015, 4(Suppl 1):P87 http://www.aricjournal.com/content/4/S1/P87 POSTER PRESENTATION Open Access Multimodal approach for surgical site infection prevention – results from a pilot site in Kenya 1* 1 1 2 2 2 P Ntumba , C Mwangi , J Barasa , A Aiken , Z Kubilay , B Allegranzi From 3rd International Conference on Prevention and Infection Control (ICPIC 2015) Geneva, Switzerland. 16-19 June 2015 Introduction Conclusion Surgical Site Infections (SSI) are the most frequent Implementation of a SSI prevention bundle and creation healthcare-associated infection in developing countries of a safety climate was successfully achieved at AIC with incidence rates up to 30%. Prevention of SSI is com- Kijabe Hospital with tangible reductions in SSI rates and plex and faces multiple challenges, especially in resource improvement of process measures. Local production of limited settings. Since 2013, WHO in collaboration with alcohol-based products for surgical hand and surgical Johns Hopkins University, has been leading the Surgical site preparation was an innovative approach to over- Unit Safety Program (SUSP) in 5 African hospitals, one come availability and cost barriers. Engagement of of which is the AIC Kijabe Hospital, a private teaching senior staff coupled with structured management of facility in rural Kenya. patient safety programs helped inculcate these concepts into the local culture and practice and are crucial for Methods the long term sustainability. The SUSP intervention incorporated a bundle of 6 SSI prevention measures selected as priority by the site leaders Disclosure of interest (pre-operative bathing, avoiding hair removal, optimal sur- None declared. gical hand and skin preparation using locally produced alcohol-based products, appropriate surgical antibiotic Authors’ details 1 2 AIC Kijabe Hospital, Kijabe, Kenya. Service Delivery and Safety, World Health prophylaxis and improving operating room discipline) Organization (WHO), Geneva, Switzerland. embedded within adaptive work to improve the safety cul- ture. Implementation was achieved with local adaptation Published: 16 June 2015 and creation of tools for advocacy, training, leadership and front-line staff and patient engagement. SSI surveillance and process measures evaluation reflecting the interven- doi:10.1186/2047-2994-4-S1-P87 Cite this article as: Ntumba et al.: Multimodal approach for surgical site tion have been carried out throughout the study period for infection prevention – results from a pilot site in Kenya. Antimicrobial about 18 months, based upon a WHO protocol using Resistance and Infection Control 2015 4(Suppl 1):P87. standardized definitions. Results Preliminary data show that the crude SSI rate significantly decreased from 9.3% (38/406 patients) before to 5% (18/ 353) post-intervention. Patients receiving post-operative antibiotics decreased from 50% to 26%; hair removal with shaving decreased from 25% to 2% of patients; theatre dis- cipline improved with a drop in the average number of door openings per operation from 55 to 40. AIC Kijabe Hospital, Kijabe, Kenya Full list of author information is available at the end of the article © 2015 Ntumba et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Antimicrobial Resistance & Infection Control Springer Journals

Multimodal approach for surgical site infection prevention – results from a pilot site in Kenya

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Publisher
Springer Journals
Copyright
Copyright © 2015 by Ntumba et al; licensee BioMed Central Ltd.
Subject
Biomedicine; Medical Microbiology; Drug Resistance; Infectious Diseases
eISSN
2047-2994
DOI
10.1186/2047-2994-4-S1-P87
Publisher site
See Article on Publisher Site

Abstract

Ntumba et al. Antimicrobial Resistance and Infection Control 2015, 4(Suppl 1):P87 http://www.aricjournal.com/content/4/S1/P87 POSTER PRESENTATION Open Access Multimodal approach for surgical site infection prevention – results from a pilot site in Kenya 1* 1 1 2 2 2 P Ntumba , C Mwangi , J Barasa , A Aiken , Z Kubilay , B Allegranzi From 3rd International Conference on Prevention and Infection Control (ICPIC 2015) Geneva, Switzerland. 16-19 June 2015 Introduction Conclusion Surgical Site Infections (SSI) are the most frequent Implementation of a SSI prevention bundle and creation healthcare-associated infection in developing countries of a safety climate was successfully achieved at AIC with incidence rates up to 30%. Prevention of SSI is com- Kijabe Hospital with tangible reductions in SSI rates and plex and faces multiple challenges, especially in resource improvement of process measures. Local production of limited settings. Since 2013, WHO in collaboration with alcohol-based products for surgical hand and surgical Johns Hopkins University, has been leading the Surgical site preparation was an innovative approach to over- Unit Safety Program (SUSP) in 5 African hospitals, one come availability and cost barriers. Engagement of of which is the AIC Kijabe Hospital, a private teaching senior staff coupled with structured management of facility in rural Kenya. patient safety programs helped inculcate these concepts into the local culture and practice and are crucial for Methods the long term sustainability. The SUSP intervention incorporated a bundle of 6 SSI prevention measures selected as priority by the site leaders Disclosure of interest (pre-operative bathing, avoiding hair removal, optimal sur- None declared. gical hand and skin preparation using locally produced alcohol-based products, appropriate surgical antibiotic Authors’ details 1 2 AIC Kijabe Hospital, Kijabe, Kenya. Service Delivery and Safety, World Health prophylaxis and improving operating room discipline) Organization (WHO), Geneva, Switzerland. embedded within adaptive work to improve the safety cul- ture. Implementation was achieved with local adaptation Published: 16 June 2015 and creation of tools for advocacy, training, leadership and front-line staff and patient engagement. SSI surveillance and process measures evaluation reflecting the interven- doi:10.1186/2047-2994-4-S1-P87 Cite this article as: Ntumba et al.: Multimodal approach for surgical site tion have been carried out throughout the study period for infection prevention – results from a pilot site in Kenya. Antimicrobial about 18 months, based upon a WHO protocol using Resistance and Infection Control 2015 4(Suppl 1):P87. standardized definitions. Results Preliminary data show that the crude SSI rate significantly decreased from 9.3% (38/406 patients) before to 5% (18/ 353) post-intervention. Patients receiving post-operative antibiotics decreased from 50% to 26%; hair removal with shaving decreased from 25% to 2% of patients; theatre dis- cipline improved with a drop in the average number of door openings per operation from 55 to 40. AIC Kijabe Hospital, Kijabe, Kenya Full list of author information is available at the end of the article © 2015 Ntumba et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Journal

Antimicrobial Resistance & Infection ControlSpringer Journals

Published: Jun 16, 2015

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