No Abstract available.
Cross Infection*

No Abstract available
Cross Infection*

No abstract available.
Cross Infection*

No abstract available.
Cross Infection*

No abstract available.
Cross Infection*

Background: Environmental surfaces harbor pathogens that transmit them and there is a need for environmental cleaning and disinfection to prevent the spread of infection. Objective: This study aimed to determine if the use of fluorescent marking (FM) technique in high touch areas can be used as an index of cleanliness and disinfection as determined by aerobic colony count. Methods: This was an experimental study done at the University of the Philippines Philippine General Hospital Neonatal Intensive Care Unit (NICU). A total of 40 surfaces were swabbed for cultures with aerobic colony count (ACC) then adjacent areas are marked with fluorescent gel. After cleaning and disinfection, checking for residual fluorescent markings with congruent environmental culture with an aerobic colony count of the same surface was done. The rate of removal and colony count were then compared to assess the specificity and sensitivity of the fluorescent marking technique as a gauge of cleanliness of high touch surface areas. Any residual fluorescence of the marked areas was considered unclean and an aerobic colony count of < 2.5 – 5CFU/ml 2 were considered an acceptable level of cleanliness. Result: A total of 40 high contact surfaces were sampled from 5 areas were collected. Prior to cleaning, 60% (24) of the surfaces (60%) did not contain microorganisms. After cleaning, the (FM) had 38% and in the ACC 83% were assessed to be clean. The sensitivity of FM is 85.71% and specificity of 42.42%. The positive predictive value (PPV) is 24% with the positive likelihood ratio (positive LR) of 1.49 and the negative predictive value (NPP) is 93.33%. Conclusion The use of Fluorescent Marking technique in high touch areas as an index of cleanliness and disinfection is a good marker for cleanliness and disinfection. Furthermore, it is a simple, rapid, inexpensive and has potential to increase awareness of the environment that can be utilized as an objective parameter to assess cleanliness and disinfection.
Cross Infection

From December 1999 to April 2001, a survey performed in Dong Da Hospital (Ha Noi) showed that in aseptic operation room, asmosphere met 90% of the standard criterion, and in ordinary operation room 80%. In post operation rooms and resuscitation room high possibility of microbiological pollution was noted. 10 examinations showed the number of anaerobic bacteria on 1m3 of air is over the permissible criterion. In 2 operating rooms and post operative room, 100% of intact surgical instruments draining tubes and perfusion tubes are met the demand, while aspirators and rolling cars are polluted. 11 on 30 patients (36.7%) had any bacteria in the operated lesion. There is some rate of pollution in the cloths and the fingers of patients (33.3% and 26.7% respectively) and there is some rate of bacterial infested in the skin area of infection and installation of drain (10% and 20% respectively)
Cross Infection ; Bacteria ; Infection

No abstract available.
Cross Infection* ; Infection Control*

A survey was conducted at 5 hospitals in Hanoi: Phu San, Thanh Nhan, Dong Da, Saint Paul, and Duc Giang of Hanoi Department of Health by using WHO Infection Control Audit Tool. The results showed that the average performance scores of nosocomial infection control in these hospitals was 46.4/114 (40.7%). Medical waste management achieved at 92% of total scores, SARS prevention at 86.3%, and hand washing practice at 60%. Some activities were incompletely implemented in these five hospitals, such as policies for safe antibiotics use, surveilance of antibiotic-resistant bacterial strains, and preventive measures for special areas. Nosocomial infection control policy, food safety and hygiene, and disinfection and sterilization for medical equipment were 22%, 20% and 20% total standard score, respectively.
Cross Infection ; Infection ; Hospitals

Background: Surgical site infection (SSI) poses a serious threat in Neurosurgery. The mere presence of SSI would warrant a prompt medical and/ or surgical intervention for the outcome is very poor. This study aims to establish whether a pre-operative hospital stay of >7 days & other risk factors predisposes to surgical site infections. Methods: Retrospective, cross-sectional study of all pediatric patients who underwent clean neurosurgical procedures for the first time from January 1, 2011- June 30, 2014, in the Philippine General Hospital. The primary outcome was the development of a surgical site infection within 30 days from spine surgery or 90 days from intracranial surgery. Univariate and multivariate logistic regression analyses were performed to show the association of demographic and clinical factors with the development of SSI. Results: 279 medical charts were available for review. Median age was 1 year(5 days to 18 years old). The overall prevalence rate of SSI was 11.26%. Patients with >7 days pre-operative hospital stay had an incidence rate for SSI of 76.47% compared to 23.53% in patients with <7 days pre-operative hospital stay (OR 1.61, CI 0.68-3.84, p=0.280). Conclusions The incidence of SSI is high compared to other centers. There was no association of preoperative hospital stay with SSI. The association was significant only for the history of nosocomial infection. Early pre-operative clearance and surgery are recommended. Further prospective studies and surveillance are warranted
Surgical Wound Infection ; Cross Infection