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. 2023 Jan;51(1):29-34.
doi: 10.1016/j.ajic.2022.04.014. Epub 2022 May 13.

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

Sonal Katyal  1 , Sharad Srivastav  1 , Omika Katoch  1 , Camilla Rodrigues  2 , Priscilla Rupali  3 , Arunaloke Chakrabarti  4 , Pallab Ray  4 , Manisha Biswal  4 , Vibhor Tak  5 , Reema Nath  6 , Chiranjay Mukhopadhyay  7 , Sanjay Bhattacharya  8 , Kanne Padmaja  9 , Vijayshri Deotale  10 , Vimala Venkatesh  11 , Chand Wattal  12 , Thirunarayan Ma  13 , Vijaya Lakshmi Nag  5 , Raja Ray  14 , Bijayini Behera  15 , Sujata Baveja  16 , Tadepalli Karuna  17 , Sanjeev K Singh  18 , Bashir Fomda  19 , Sulochana K Devi  20 , Padma Das  21 , Neeta Khandelwal  22 , Prachi Verma  23 , Premkumar Thangavelu  3 , Shaista Nazir  19 , Vandana K Eshwara  7 , Muralidhar Varma  24 , Tushar S Mishra  25 , Rashmi R Das  26 , Rajesh Malhotra  27 , Kamini Walia  28 , Randeep Guleria  29 , Purva Mathur  30
Affiliations

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

Sonal Katyal et al. Am J Infect Control. 2023 Jan.

Abstract

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.

Keywords: Healthcare associated infections; IPCAT-H; National survey; Surveillance.

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