Lets keep Delta a safe environment: how disinfection & hygiene - - PowerPoint PPT Presentation

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Lets keep Delta a safe environment: how disinfection & hygiene - - PowerPoint PPT Presentation

Dec 03, 2023 7 likes •553 views

Lets keep Delta a safe environment: how disinfection & hygiene is ensured throughout the hospital Dr Yves De Gheldre Laboratoire de microbiologie Equipe Oprationnelle dHygine Hospitalire ospital Group INTRODUCTION How is

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Let’s keep Delta a safe environment: how disinfection & hygiene is ensured throughout the hospital

Dr Yves De Gheldre

Laboratoire de microbiologie Equipe Opérationnelle d’Hygiène Hospitalière

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INTRODUCTION

➢ How is hygiene achieved throughout the hospital

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INTRODUCTION

➢ Patient ✓ Prevention, management and control

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➢ Environment ✓ Cleaning procedure ✓ Air managment ✓ Environment microbiological controls ➢ Material ✓ Disinfection, sterilization, single use ✓ Microbiological controls ➢ Hospital linen & dishes & wastes ✓ Cleaning procedure

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Patient

HCW Environnement Linen Dishes Wastes Material

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CHIREC – SITE DELTA

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CHIREC – SITE DELTA Presentation

➢ 104.000 m² ➢ 8 floors (3 with care units) ➢ 577 beds (63% single rooms) ➢ 28 operating rooms ➢ 18 intensive care beds

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CHIREC – SITE DELTA Presentation

➢ 23.500 standard admissions in 2018 ➢ 26.000 one-day admissions in 2018

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CHIREC – SITE DELTA Presentation

➢ ~ 410 HCW ➢ ~ 450 doctors ✓ 49 specialities ✓ 49 x n procedures…

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Hygiene organization and Hospital Hygiene Operationnal Team

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HH-AR du 26 avril 2007 Defines

➢ Composition of hygiene comity ➢ Missions of HC ➢ Working of HC ➢ Responsabilities of HC ➢ Funding of HH

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HYGIENE COMITY CHIREC

➢ 3 local HC (1 HC/site) and 1 global HC

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HYGIENE COMITY CHIREC

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HYGIENE COMITY CHIREC How does it work

➢ 4 meetings/y for each HC ➢ EOHH ➢ Application

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national and international recommendations ➢ Information to the HCW ➢ Continuous education ✓ HCW (meetings and Intranet support) ✓ HC members (congres and locoregional hygiene plateforms) ➢ External and consequently internal control via quality/performance indicators (audit) ➢ MDRO national and consequently local surveillance

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86/100

IQ Results 2017

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INFORMATION CHIREC INTRANET

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Patient

Prevention Management Control

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PATIENT

➢ Prevention of nosocomial infections / Health Care Associated Infections ✓ Basic hygiene procedures ✓ Specific hygiene procedure ✓ Control emergence of MDRO ✓ Control acquisition/spread of MDRO

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BASIC HYGIENE PROCEDURES

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SPECIFIC HYGIENE PROCEDURES Care bundles

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SPECIFIC HYGIENE PROCEDURES Care bundles

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PREVENTION / CONTROL / MANAGMENT OF MDRO

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MDRO Multi Drug Resistant Organism

➢ MRSA ➢ VRE ➢ BSLE ➢ CPE

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Wild type Penicillinase (TEM-1, SHV-1) ESBLs (CTX-M, TEM, SHV, ..) Carbapenemases (VIM, NDM, OXA-48, ..) 1940 1970 1990 2000

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MDRO PREVENTION Management of antimicrobial policy

➢ MRSA ➢ VRE ➢ BSLE ➢ CPE

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MDRO CONTROL Detection of carriers / Isolation

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MDRO CONTROL Detection of carriers / Isolation

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MDRO CONTROL STOP P to P SPREAD

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MDRO MANAGMENT

➢ Health care (Kine, Rx) ➢ Stop isolation procedure ➢ Transfer ➢ Rest house ➢ At home ➢ Family ➢ Local statistics ✓ AB resistance ✓ Nosocomial acquisition ➢ Epidemics if any ➢ Obligatory national recording

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P25 < Delta < P50

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Environment

Cleaning Controls Air

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HYGIENE & DISINFECTION OF THE ENVIRONMENT

n = 65 workers

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HYGIENE & DISINFECTION OF THE ENVIRONMENT

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EUROPEAN STANDARDS

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EVERYWHERE EXCEPT ➢ Operating room ➢ Intensive Care Unit ➢ Emergency ➢ AMP ➢ Neonatal Care Unit ➢ « Infected room » ➢ Epidemic EOHH defines products Dedicated mops & wipes Single use mops & wipes

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BELGIAN STANDARDS

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Material

Disinfection Single use Controls Sterilization

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Linen Waste Dishes

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CONCLUSION 2.97 ETP

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CONCLUSION Hygiene is a continuous process requiring all HCW and

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world

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