infectious-diseases-2018-posters-abstracts

13 / 35

Infectious Diseases 2018 Journal of Prevention and Infection Control
ISSN: 2471-9668 Page 51
June 07-08, 2018
London, UK
8th Edition of International Conference on
Infectious Diseases
Hospital-associated infection (HAIs) has an impact on patients,
personnel and the hospital. This interrupted time series
design study aimed to assess the effect of using collaborative
quality improvement (CQI) of infection prevention in tertiary care
hospital. The samples were selected by purposive sampling
from the patients, who were HAIs and admitted into 6 intensive
care units (ICUs) and 36 general wards. Data were collected
from May, 2017 to January, 2018. The study instruments were a
surveillance form of HAI and impacts of HAI form developed by
research. Data were analyzed using descriptive and multiple linear
regression statistics. The results revealed that reduction in HAIs,
from 35.7% (1,219/3,417 patients) before implementing CQI to
27.6% (994/3,608 patients) after implementing CQI at a 0.05
statistically significant levels. Indicated the highest infection rate
was from ventilator-associated pneumonia (VAP) 5.6 per 1,000
ventilator-days, followed by catheter-associated urinary tract
infection (CAUTI) 3.1 per 1,000 catheter-days and central line-
associated bloodstream infection (CLABSI) 1.9 per 1,000 catheter-
days. Case fatality rate from VAP, CLABSI and CAUTI were 38.4%,
31.7% and 17.3%. Cost of antibiotic treatment for VAP, CAUTI and
CLABSI were 91,153.45 USD, 74,342.72 USD and 20,114.27 USD,
respectively. These finding imply that the concept of CQI could be
applied to reduce incidence and preventive of HAIs. However, it is
interesting to see if the results are sustainable and hospital still
proceed with their work.
Recent Publications
1. Goulding L, Parke H, Maharaj R, Loveridge R, McLoone A,
Hadfield S, et al (2015) Improving critical care discharge
summaries: a collaborative quality improvement project
using PDSA. BMJ Open Quality doi: 10.1136/bmjquality.
u203938.w3268
2. Hsu YJ, Weeks K, Yang T, Sawyer M D and Marsteller J
A (2014) Impact of self-reported guideline compliance:
bloodstream infection prevention in a national
collaborative. American Journal of Infection Control
42:S191-S196.
3. Mocanu V, Buth K J, Johnston L B, David I, Hirsch G M
and Legare J F (2015) The importance of continued
quality improvement efforts in monitoring hospital-
acquired infection rates: a cardiac surgery experience.
The Annals of Thoracic Surgery 99:2061-2069.
4. Murni I K, Duke T, Kinney S, Daley A J and Soenarto
Y (2015) Reducing hospital-acquired infectious and
improving the retional use of antibiotics in a developing
country: an effectiveness study. Archives of Disease in
Childhood 100:454-459.
5. Ocran I and Tagoe D N A (2014) Knowledge and attitude
of healthcare workers and patients on healthcare
associated infections in a regional in Ghana. Asian
Pacific Journal of tropical Disease 4(2):135-139.
Biography
Kampong Kamnon is an infection control nurse, expertise of infection and preven-
tion control. She currently works at Rajavithi hospital, Bangkok Thailand. She have
experience in supervising, doing the project, consulting and research. Research and
presentations include: 2013- Presented research “Effects of using video media on
knowledge and health beliefs in prevention of tuberculosis transmission of newly di-
agnosed pulmonary tuberculosis.” presented in the session “oral presentation of schol-
arship awardees papers” 13th International congress of the international federation of
infection control. Buenos Aires, Argentina. 2016- Presented research “Development of
clinical nursing practice guidelines for sepsis patients, tertiary care hospital, Bangkok,
Thailand.” presented in the session “poster presentation papers” International sepsis
forum. Sepsis 2016 Paris, France. 2017- Presented research “Effects of using clinical
nursing practice guidelines for sepsis patients, tertiary care hospital, Bangkok, Thai-
land.” poster presentation papers” TNMC & WANS International Nursing Research
Conference 2017 “Culture, co-creation, and collaboration for global health, Bangkok,
Thailand.
Effect of using collaborative quality improvement of infection
prevention in tertiary care hospital, Bangkok, Thailand
Kampong Kamnon, Jinjutha Kaewmak and Panit Juntabau
Rajavithi Hospital, Thailand
Kampong Kamnon et al., J Prev Infect Cntrol 2018, Volume 4
DOI: 10.21767/2471-9668-C1-003