Subject category:
Production and Operations Management
Originally published in:
2022
Version: 14-Feb-2022
Length: 23 pages
Data source: Published sources
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Abstract
In any healthcare setting, the Neonatal Intensive Care Unit (NICU) is a high-risk area for Healthcare Associated Infections (HCAIs), and HCAIs are endemic across all levels of neonatal care - both intensive and non-intensive and not only relate to poor standards of care but are also responsible for up to half of all neonatal deaths among hospital-born babies. Unfortunately, hospitals in developing countries are hotbeds of infection transmission, and expectations of improved neonatal outcomes get subverted by HCAI and associated morbidity, mortality and cost. Narrating the developments at Shushrutha Hospital that saw a BCC outbreak in February 2020, this case study explains the importance of Infection Prevention and Control (IPC) and Water Sanitation and Hygiene (WASH) programmes in healthcare settings. The BCC (Burkholderia cepacia complex) bacteria have an innate potential to survive and proliferate in the hospital environment, growing on moist surfaces such as water tanks, washrooms, and others, making these nosocomial pathogens very successful in causing serious life-threatening infections in patients. In several hospital outbreaks, the BCC bacteria are one of the main causative pathogens, attributed to various sources such as disinfectants, nebulizer solutions, incubators, warmers, bath tubs, etc. Importantly, IPC and WASH programmes can help in preventing avoidable infections to save lives. The IPC committee at Shushrutha Hospital noticed many other problems pertaining to IPC compliance while investigating the BCC outbreak. It concluded that the fundamental strategy to improve infection control practices was to probe into the entire system of care delivery for the mother and the neonate. However, they also knew that factors such as inadequate capital and human resources, poor nurse-to-patient ratio, overcrowding at the hospital, insufficient availability of IPC equipment, lack of updated knowledge, and inconsistent training were some of the many challenges that had to be addressed to ensure 100% IPC-WASH implementation and compliance.
Teaching and learning
This item is suitable for postgraduate and executive education courses.Geographical setting
Region:
World/global
Featured company
Administrative Staff College of India
Employees:
201-500
Type:
Educational
Industry:
Education
Other keywords:
The Administrative Staff College of India is an institution of excellence and national importance. ASCI is a registered society by the constitution. It is an autonomous, self-supporting, public-purpose institution with the objectives of a think-tank for policy inputs and to build the capacities of practicing professionals in the management of government and business enterprises.
Featured protagonist
- Dr. Bhawna Gulati (female), Associate Professor
Subject category:
Production and Operations Management
Originally published in:
2022
Version: 14-Feb-2022
Length: 10 pages
Data source: Published sources
About
Abstract
In any healthcare setting, the Neonatal Intensive Care Unit (NICU) is a high-risk area for Healthcare Associated Infections (HCAIs), and HCAIs are endemic across all levels of neonatal care - both intensive and non-intensive and not only relate to poor standards of care but are also responsible for up to half of all neonatal deaths among hospital-born babies. Unfortunately, hospitals in developing countries are hotbeds of infection transmission, and expectations of improved neonatal outcomes get subverted by HCAI and associated morbidity, mortality and cost. Narrating the developments at Shushrutha Hospital that saw a BCC outbreak in February 2020, this case study explains the importance of Infection Prevention and Control (IPC) and Water Sanitation and Hygiene (WASH) programmes in healthcare settings. The BCC (Burkholderia cepacia complex) bacteria have an innate potential to survive and proliferate in the hospital environment, growing on moist surfaces such as water tanks, washrooms, and others, making these nosocomial pathogens very successful in causing serious life-threatening infections in patients. In several hospital outbreaks, the BCC bacteria are one of the main causative pathogens, attributed to various sources such as disinfectants, nebulizer solutions, incubators, warmers, bath tubs, etc. Importantly, IPC and WASH programmes can help in preventing avoidable infections to save lives. The IPC committee at Shushrutha Hospital noticed many other problems pertaining to IPC compliance while investigating the BCC outbreak. It concluded that the fundamental strategy to improve infection control practices was to probe into the entire system of care delivery for the mother and the neonate. However, they also knew that factors such as inadequate capital and human resources, poor nurse-to-patient ratio, overcrowding at the hospital, insufficient availability of IPC equipment, lack of updated knowledge, and inconsistent training were some of the many challenges that had to be addressed to ensure 100% IPC-WASH implementation and compliance.
Teaching and learning
This item is suitable for postgraduate and executive education courses.Settings
Geographical setting
Region:
World/global
Featured company
Administrative Staff College of India
Employees:
201-500
Type:
Educational
Industry:
Education
Other keywords:
The Administrative Staff College of India is an institution of excellence and national importance. ASCI is a registered society by the constitution. It is an autonomous, self-supporting, public-purpose institution with the objectives of a think-tank for policy inputs and to build the capacities of practicing professionals in the management of government and business enterprises.
Featured protagonist
- Dr. Bhawna Gulati (female), Associate Professor
Related
Subject category:
Production and Operations Management
Originally published in:
2022
Version: 14-Feb-2022
Length: 10 pages
Data source: Published sources