Date:16^th/Dec/Wed/09 17:00～18:30

Place: Chikusui event hall at Kurume university

Subject: Why is ICN necessary now?

Mrs. Siew Stielow Infection Control Consultant，Radiation Safety Officer

 The Royal Victorian Eye & Ear Hospital,Australia

Total participants:61

Contents:

• Australian Commission on Safety and Quality in Health Care (ACSQHC)
• Australian Infection Control Association (AICA)
• Victorian Hospital Acquired Infection Surveillance System (VICNISS)
• Hand Hygiene Victoria, WHO and Australia

ACSQHC

5Key Initiatives

1. National Surveillance System

To reduce harm to patients from hospital associated infections through the use of surveillance

2.National Infection Control Guidelines

To improve useability and provide permanent currency of information

3.National Hand Hygiene Project

4.Building clinician capacity

To increase the ability of infection control practitioners by providing them with skills and resources to engage and educate clinicians, managers and healthcare consumers to adopt a collective HAI prevention mindset

5.Antimicrobial Stewardship

Development of a national system to monitor antibiotic usage

National Surveillance System

National Surveillance Committee setting up criteria to determine ways forward over the next three years.
National Infection Control Guidelines – currently under review

Hand Hygiene in Health Care Setting

Major transmission route for multi-resistant organisms (MRO) in health care faclities are by :

- direct contact via hands or

- possibly indirectly via contaminated equipment that is not cleaned between patients

10 modules for Novice Infection Control Professionals

1.Principle of Infection Control
2.Epidemiology and statistic
3.Surveillance
4.Basic microbiology and MRO
5.Infectious diseases of interest to infection control
6.Staff health and immunisation

7.Outbreak management

8.Building works

9.Occupational exposure

10.Cleaning, disinfection and sterilisation

Hand Hygiene Project

In 2004 the VQC (Victorian Quality Council) initiated and funded the Victorian Hand Hygiene Project as a pilot in six 6 Victorian public hospitals to reduce incidence of hospital acquired infections.

The Project Involves:

• actively promote the use of Alcohol-Based Hand Rubs (ABHRS) for all Health Care workers (HCWs)
• hand hygiene audits were conducted to monitor HCWs compliance. Feedback provided to HCWs
• monitoring of methicillin resistant staphylococcus aureus (MRSA) rates data collection of ABHRS supply

The VQC project was the successfully rolled out during 2005-06 to all public hospitals in Victoria.
From July 2007 the Department of Human Services has continued the Victorian Quality Council HH Project.

WHO Advanced Draft Guidelines on Hand Hygiene in Health Care

• Began in 2004
• Two international consultations attended by experts from all over the world and technical experts from WHO
• A core group of experts reviewed available scientific evidence
• Over 100 international experts contributed to preparing the document
• WHO advisers and members of the WHO Consultations and Task Forces on Hand Hygiene actively participated in the work process up to final publication

  
  

Part I -reviews scientific data on hand hygiene practices in health care and in health-care settings in particular  
Part II - provides consensus recommendations of the international panel of experts mandated by WHO to summarize the evidence and proposes guidelines that could be used worldwide

Part III - discusses outcome and process measurements.

Part IV - addresses the issue of promoting hand hygiene on a large scale

Part V - covers public information

Hand Hygiene Australia

• 3 years funding from ACSQHC to implement National Hand Hygiene Initiative
• Report to ACSQHC
• Leverage off existing Hand Hygiene programs
• Prof Lindsay Grayson
• Independent of jurisdiction and hospital
• Based at Austin Health, Victoria

  
  

Objectives

• Develop reliable indicators of hand hygiene compliance
• Accurately measure hand hygiene compliance
• Reduce rates of healthcare associated infection
• Make hand hygiene ‘core business’ for all health care workers

  
  
  

• It is the role of university hospital to lay emphasis on raising of ICN passing in the world.
• I was able to recognize the important of hand hygiene.
• The cause of infection and spreading are different between Japan and other countries,but it is important to share experience and knowledge in each country.

They made a presentation about real activities contents of a link nurse in Kurume university hospital about disinfection ,waste matter,hand hygiene,cleaning and sterilization management and exchanged opinions eagerly.

Participants:Link nurses 10; others 6