Authors (including presenting author) :
Tong FH(1), Yip CH(1), Mak KM(1), Cheng YY(1), Chan CL(1), Fanny Chan(1), Ip KF(1), Yu SW(1), Virginia Wong(1), Ho LF(1), Poon HM(1), Cheng CY(1), Helen Tong(1), Christine Chan(1), Yan TL(1), Fong SM(1), Chong KY(1), Li WS(1), Shirley Li(1)
Affiliation :
Medicine and Geriatric Department, Princess Margaret Hospital(1)
Introduction :
Infection control is always a big challenge to Department of M&G as wards are over-crowed with patients persistently. In July 2020, F3 had an outbreak of Candida Auris and increasing HAI MDRO cases, the MDRO (HAI)/1000 patient-bed day is 1.24 in M&G whereas F3 is 2.29 in 1Q-21. Therefore, trial run of using modified contact precaution signage in F3 then rolling out to all M&G wards to enhance staff alertness and compliance on infection control
Objectives :
1. To modify precaution signage of current contact precaution signage 2. To reduce HAI rate after program rollout 3. To engage each rank of staff as a ward ambassador 4. To increase staff alertness on assessment of risk of infectious status of newly admitted patient 5. To put up appropriated modified signage and promptly saving specimen for culture if clinically indicated 6. To brief all M&G staff including medical staff and ward cleansing staff on PPE usage of contact precaution for No. 2, 3 and 4 signage
Methodology :
1. All ward staff would be observed randomly and evaluated by the hand hygiene audit form under WHO standard 2. The consumed amount of cleaning material including Alcohol handrub, hand washing soap, alcohol wipe and Clinell wipe would be checked and recorded 3. Ward onsite IC training record would be checked and evaluated the new comers’ fundamental understanding to “MPS” system by the infection control knowledge assessment form 4. The hospital acquired MDRO report from ICT would be adopted to analyse the effect in minimizing HAI
Result & Outcome :
The MDRO (HAI)/1000 patient-bed day is decreased by 38%, from 1.24 (1Q-21) to 0.76 (2Q-22) in M&G. Whereas the rate in F3 is decreased by 87% from 2.29 (1Q21) to 0.28 (2Q-22) after rolling out of the program till 2Q-2022.
