Surveillance of Hospital Acquired Infection at Post-operative ICU/ Al Shaab Teaching Hospital, Khartoum State/ Sudan, December 2016

Purpose: The purpose of this study is to: evaluate the 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 a 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 the number of patients exceeds 8. Only 1 shallow hand wash station with a 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 an unclean dark blue partition between beds. They clean the floor with chlorine twice a day using heavy gloves. General waste is 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.
Conclusion and Recommendations: No written policies, practice procedures. Staff not trained on IPC. Medications are not available on demand. Recommendations include: gaining administrative support to assure resources allocation, planning for educational programs at the time of recruitment and in service, improving the work environment, ensuring medical supply and maintaining availability and regular equipment checkup, creating a regular surveillance system.

Author(s): Muna Osman

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