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March-Workshop-Repor 26, March 2015 Partnering for Health: Practical Steps to Infection Control …..sharing healthcare best practices March 2015 Workshop Report N O 34, R AYMOND NJOKU STREET , OFF AWOLOWO ROAD , IKOYI , LAGOS . ..........sharing healthcare best practices Workshop Report This report provides a short summary of the recent workshop hosted by The Society for Quality in Healthcare in Nigeria at the Lagos Travel Inn, Ikeja, Lagos on the 26th of March, 2015. The main purpose of the workshop was to give its participants, a hands-on-experience, to practical solutions to the implementation of everyday infection control practices both at home and in the hospital. To also enlighten the participants on the importance of the appropriate segregate of medical waste all in the bid of improving infection control practices of patient safety and most of all, to impart knowledge. This report, has been prepared for circulation to participants but it is also intended as a resource for those interested in Infection Control who were for one reason or another, unable to attend. - Cross Section of Participants A total of 34 Participants attended the Workshop and the attendance cut across Healthcare Personnel including medical practitioners, nurses, pharmacists, clinicians, and members of the society. WORKSHOP THEME & OBJECTIVES - Cross section of Partcipants 1 The Theme of the Workshop: Partnering for Health: Practical Steps to Infection Control. The specific Workshop objectives were: Dr. Oluborode giving the SQHN Opening We 1 1. To remind us infection control never ends 2. Understand the components of a successful hand hygiene program 3. Learn how to manage an outbreak in the hospital setting 4. Effective use of antibiotics 5. Prevention of health and environmental danger through medical waste management Page 2 of 17 ..........sharing healthcare best practices PROGRAMME Meeting Name SQHN WORKSHOP THEME Partnering For Health: Practical Steps of Infection Control DATE & TIME 26TH March 2014; Time: 9:00am – 4:00pm Location Lagos Travel Inn, 39, Toyin Street, Ikeja, Lagos. Conference Objectives 1. To remind us infection control never ends 2. Understand the components of a successful hand hygiene program 2. Learn how to manage an outbreak in the hospital setting 3. Effective use of antibiotics 4. Prevention of health and environmental danger through medical waste management CONFERENCE AGENDA & SCHEDULE TIME TOPIC FACILITATOR 8:30 – 9:00 Registration & Administration Mrs. Ehizogie Bridget am Welcome Remarks Mrs. Njide Ndili 9:00 – Welcome & Introduction Secretary, SQHN 9:30am SQHN Information 9:30 – Prof. E.A. Elebute Opening Remarks / Address 9:45am Chairman SQHN Session 1 Basics of Infection Control, how do we start? Dr. Oyinlola Oduyebo 9:45 – Challenges & Change Management for Infection Associate Professor 10:45am Control Microbiology Dept. LUTH 10:45 – Tea Break 11:05am Session II Dr. Mike Oji Consultant Orthopedic 11:05 – Surgeon Chairperson Antimicrobial Stewardship Programme 12:05pm Infection Control, Lagoon Hospitals Session III Mr. Jide Onayiga 12:05 – Consultant Critical Medical Waste Management Practices in 12:40pm Medical Waste Infection Control Management, LAWMA Page 3 of 17 ..........sharing healthcare best practices 12:40 – LUNCH 1:10pm Session IV Dr. Benjamin Ohiaeri 1:10 – Infection Control : Medical Director 2:10pm First Consultants Experience of Ebola Virus Disease First Consultants Hospital, and Clinical Governance In Infection Control Lagos Session V Patients & Families Responsibilities in Infection Dr. Bamidele Mutiu MBBS, 2:10 – control FMCPATH, Head of Medical 3:10pm Microbiology, LASUTH 3:10 – Question & Answer Session 3:40pm Dr. Adenike Adewakun 3:40 – Wrap up (Moderator) 4:00pm INTRODUCTION The registration process for the workshop kicked off at exactly 8:00am. The workshop started at about 10:30am and this was as a result of the heavy traffic experienced all over Lagos State on that day, which incidentally was 2days to the Presidential elections. The opening welcome address and remarks was presented by the SQHN Executive Manager, Dr. Olawumi Oluborode, who had to stand in for Mrs. N. Ndili who was stuck in traffic, Dr. Oluborode, also stood in as moderator, for Dr. Adenike Adewakun who was also unavoidably absent. Dr. Oluborode, welcomed the participants and briefed them on the expectations and agenda for the workshop. She gave more insight on what SQHN was all about, membership, activities and journey towards accreditation. Members of the Board that were present also made contributions. She then introduced the first speaker Dr. Mike Oji, of Lagoon Hospitals who presented the first paper on behalf of Dr. Oyin Oduyebo who was also unavoidably absent. Page 4 of 17 ..........sharing healthcare best practices - Dr. Oluborode giving the SQHN Opening Remarks Session I: Basics of Infection Control, how do we start? Challenges and Change Management for Infection Control – Dr. Mike Oji Dr Mike Oji had to stand in to present this paper on behalf of Dr Oyin Oduyebo who was unavoidably absent. He stated the objectives of the topic, which includes; . Understand basic infection control (IC) concepts . Understand the causes of nosocomial infections . Understand the components of an infection control program . Understand how the Infection Control Committee and Drug Therapeutic Committee(DTC) can decrease the incidence of nosocomial infections and antimicrobial resistance (AMR) The outline of the topic includes; Page 5 of 17 ..........sharing healthcare best practices . Key Definitions . Introduction . Epidemiology of Nosocomial Infections . Control and Prevention of Nosocomial Infections . Setting up an infection control committee and responsibilities . Core Strategies for Reducing the Risk of Nosocomial Infections . Implications for the DTC . Conclusion He started by defining what infection control and nosocomial infections are, he also stressed the importance of Infection Control Infection control -The process by which health care facilities develop and implement specific policies and procedures to prevent the spread of infections among health care staff and patients Nosocomial Infection - an infection contracted by a patient or staff member while in a hospital or health care facility (and not present or incubating on admission) Dr Oji also defined sterilization and disinfection and he pointed out the major differences between the two. The most common sites for nosocomial infections were stated as Surgical incisions, Urinary tract (i.e., catheter-related), Lower respiratory tract and Bloodstream (i.e., catheter-related). He also mentioned microorganisms that are involved in the transmission of infection. Infection Control Members may include; . Doctors . General physician . Infectious disease specialist . Surgeon . Clinical microbiologist . Infection control nurse . Representatives from other relevant departments . Laboratory . Housekeeping . Pharmacy and central supply . Administration He also went further to state the role and functions of Infection Control Committee. Hand hygiene was stated as the most important strategy of reducing nosocomial infections. The role of the Drug Therapeutic and Infection Control Committee is to monitor and control the use of antibiotics to prevent antimicrobial resistance. He summarized the presentation by stating that : . IC procedures are vital to preventing nosocomial infections and for controlling hospital costs. Simple, inexpensive strategies can prevent many infections. DTC can support many IC activities: . Hand washing and use of appropriate antiseptics and disinfectants . Monitoring IV and injection preparation and administration . DTC should actively promote better use of antimicrobials: . Guidelines for treatment and surgical prophylaxis . Selection of appropriate antimicrobials for the formulary . Antimicrobial use reviews . Infection Control Committees or programs, when functioning effectively, will Page 6 of 17 ..........sharing healthcare best practices . Reduce the spread of infectious diseases . Decrease morbidity and mortality due to nosocomial infections . Maintain employee health and morale . Decrease the incidence of AMR . Decrease health care costs - Dr. Mike Oji answering questions Session II: Antimicrobial Stewardship Programme – Dr. Mike Oji (Consultant Orthopedic Surgeon Chairperson Infection Control, Lagoon) The outline of the topic included: ●Introduction ●Definitions ●The Burden - Why a Stewardship Programme? ●Strategies for Anti-Microbial Stewardship Programme He started his presentation by introducing antimicrobials as one of the most useful medicaments of the last 2-3 centuries, he also talked about the problem of abuse, emergence of resistance being a global problem and that we are presently running out of antibiotics and new ones may not be released soon. Page 7 of 17 ..........sharing healthcare best practices He defined and mentioned the differences between antimicrobials and antibiotics. Antibiotic resistance was likened to a time bomb that is about to explode and explained the extent of the burden with data and Nigeria has the highest figure of percentage of Methicillin Resistance Staphylococcus Aureus amongst other African countries. He stressed the importance of the Stewardship programme which includes abuse of antibiotics, misuse of antibiotics and improving antibiotic use improves safety and medical care. Objectives of the antimicrobial stewardship programme ; best clinical outcome, minimize toxicity and ADR, reduce selective pressure on antibiotics, Reduce
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