hospital infection control committee, jipmerjipmer.puducherry.gov.in/sites/default/files/hospital...

HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER

HOSPITAL ACQUIRED INFECTION SURVEILLANCE REPORT, JIPMER, SEPTEMBER 2017– ICU

Block

ICU

VAP Rate CLABSI Rate CAUTI Rate SSI Rate

Burn

Wound

Infection

Rate

Bed sore

Rate

Sheath

Infection

Rate

JIPMER

NHSN

75

percentile

JIPMER NHSN

75 percentile JIPMER

NHSN

75 percentile

JIPMER JIPMER JIPMER JIPMER

EMS

BURNS 0.00 6.7 0.00 5.2 0.00 8.1 0.00 6.06 0.00 0.00

CCU 8.26 1.3 7.52 1.9 0.00 3.5 20.00 - 0.00 0.00

TC ICU 0.00 6 0.00 2.4 0.00 5.6 0.00 - 0.00 0.00

MAIN

MICU 10.96 1.6 10.68 1.9 0.00 3.9 0.00 - 4.26 0.00

Ward 43 Stepdown ICU 0.00 1.6 0.00 1.9 0.00 3.9 0.00 - 0.00 0.00

SICU 0.00 3.1 7.63 1.8 0.00 2.5 0.00 - 0.00 0.00

32-A ICU 0.00 3.1 0.00 1.8 9.17 2.5 0.00 - 9.17 0.00

SSB

BMT 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00

CTVS ICU 0.00 2.5 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00

KTP 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00

NUEROMED ICU 38.46 2.5 19.61 1.6 0.00 5 0.00 - 0.00 0.00

NUEROSURG ICU 16.95 2.9 0.00 1.9 0.00 6.2 0.00 - 0.00 0.00

PAED SURG ICU 0.00 0.9 44.12 2.1 0.00 3.8 31.25 - 0.00 0.00

PL SURG ICU 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00

RCC ICU 0.00 1.3 0.00 1.5 0.00 2.3 0.00 - 0.00 0.00

SGE ICU 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 12.27 0.00

URO ICU 0.00 2.8 0.00 1.2 0.00 2.5 0.00 - 0.00 0.00

SURGICAL

ONCOLOGY ICU 0.00 2.8 0.00 1.2 0.00 2.5 17.65 - 0.00 0.00

WCH NICU 0.00

<750gm-2.4

>750gm-00 0.00

<750gm-4 .9

>750gm-3.3 0.00 0 0.00 - 0.00 0.00

PICU 0.00 0.9 0.00 1.5 0.00 3.1 0.00 - 0.00 0.00

JIPMER( ICU, average) 3.73 4.48 0.46 3.45 6.06 1.29 0.00


Building Ward

VAP Rate CLABSI Rate CAUTI Rate SSI Rate Burn Wound

Infection Rate Bed sore Rate

Sheath

Infection Rate

No

. o

f V

AP

case

s

To

tal

No

. o

f

Ven

tila

tor

da

ys

VA

P r

ate

No

. o

f C

LA

BS

I

case

s T

ota

l n

o.

of

Cen

tra

l li

ne

da

ys

CL

AB

SI

rate

No

. o

f C

A-U

TI

case

s

To

tal

no

. o

f

cath

eter

da

ys

CA

UT

I R

ate

No

. o

f S

SI

No

. o

f S

urg

erie

s

do

ne

SS

I R

ate

No

. o

f w

ou

nd

infe

ctio

ns

in

bu

rn p

ati

ents

N

o.

of

pa

tien

ts

da

ys

Bu

rn W

ou

nd

Infe

ctio

n R

ate

No

. o

f b

ed s

ore

No

. o

f p

ati

ent

da

ys

Bed

so

re R

ate

No

. o

f S

hea

th

infe

ctio

n c

ase

s

No

. o

f sh

eath

da

ys

Sh

eath

In

fecti

on

Ra

te

EMS

BURNS 0 0 0.00 0 40 0.00 0 43 0.00 0 0 0.00 1 165 6.06 0 165 0.00 0 0 0

CCU 1 121 8.26 1 133 7.52 0 153 0.00 1 5 20.00 - - - 0 155 0.00 0 39 0

TC ICU 0 85 0.00 0 96 0.00 0 150 0.00 0 24 0.00 - - - 0 163 0.00 0 0 0

MAIN

MICU 4 365 10.96 3 281 10.68 0 450 0.00 0 2 0.00 - - - 2 470 4.26 0 65 0

Ward 43 Stepdown ICU 0 48 0.00 0 49 0.00 0 126 0.00 0 0 0.00 - - - 0 160 0.00 0 13 0

SICU 0 52 0.00 1 131 7.63 0 185 0.00 0 33 0.00 - - 0 205 0.00 0 7 0

32-A ICU 0 44 0.00 0 75 0.00 1 109 9.17 0 3 0.00 - - - 1 109 9.17 0 6 0

SSB

BMT 0 0 0.00 0 53 0.00 0 16 0.00 0 0 0.00 - - - 0 53 0.00 0 0 0

CTVS ICU 0 49 0.00 0 118 0.00 0 110 0.00 0 25 0.00 - - - 0 178 0.00 0 4 0

KTP 0 0 0.00 0 8 0.00 0 4 0.00 0 0 0.00 - - - 0 53 0.00 0 0 0

NEUROMED ICU 2 52 38.46 1 51 19.61 0 105 0.00 0 0 0.00 - - - 0 174 0.00 0 0 0

NEUROSURG ICU 1 59 16.95 0 143 0.00 0 160 0.00 0 22 0.00 - - - 0 178 0.00 0 0 0

PAED SURG ICU 0 23 0.00 3 68 44.12 0 36 0.00 5 16 31.25 - - - 0 169 0.00 0 0 0

PL SURG ICU 0 6 0.00 0 12 0.00 0 15 0.00 0 16 0.00 - - - 0 48 0.00 0 0 0

RCC ICU 0 20 0.00 0 32 0.00 0 66 0.00 0 0 0.00 - - - 0 214 0.00 0 11 0

SGE ICU 0 23 0.00 0 65 0.00 0 113 0.00 0 29 0.00 - - - 2 163 12.27 0 17 0

URO ICU 0 5 0.00 0 35 0.00 0 102 0.00 0 43 0.00 - - - 0 134 0.00 0 23 0

SURGICAL ONCOLOGY

ICU 0 10 0.00 0 18 0.00 0 47 0.00 3 17 17.65 - - - 0 81 0.00 0 0 0

WCH NICU 0 123 0.00 0 294 0.00 0 19 0.00 0 0 0.00 - - - 0 2310 0.00 0 0 0

PICU 0 225 0.00 0 154 0.00 0 148 0.00 0 0 0.00 - - - 0 464 0.00 0 0 0

HOSPITAL INFECTION CONTROL COMMITTEE, JIPMER FORMULAE OF HAI INFECTIONS RATES

HAI Infection Rates Formulae

1. VAP Rate= No. of VAP cases/ total no. of ventilator days X 1000

2. CLABSI Rate = No. of CLABSI cases/ total no. of central line days X 1000

3. CA-UTI Rate= No. of CA-UTI cases/ total no. of catheter days X 1000

4. SSI Rate= No. of SSI/ No. of surgeries done X100

5. Burn Wound Infection Rate = No. of wound infections in burn patients/ No. of patient days X 1000

6. Bed sore Rates= No. of bed sores/No. of patient days X 1000

7. Sheath Infection Rate = No. of sheath infection cases / total no. of Sheath daysX 1000


ICU

HOSPITAL ACQUIRED INFECTION SURVEILLANCE SEPTEMBER 2017

8.26 10.96

38.46

16.95

7.5210.68

7.63

19.61

44.12

9.17

20.00

31.25

17.65

6.064.26

9.17

12.27

0

5

10

15

20

25

30

35

40

45

50

VAP Rate

CLABSI Rate

CAUTI Rate

SSI Rate

Burn Wound Infection Rate

Bed sore Rate

Sheath Infection Rate


HOSPITAL ACQUIRED INFECTION SURVEILLANCE REPORT, JIPMER

SEPTEMBER 2017- WARD

WARD

VAP

Rate

CLABSI

Rate

CAUTI

Rate

SSI

Rate

Open

Wound

Infection

Rate

Bed sore

Rate

Sheath

Infection

Rate

LSCS

Rate

Episiotomy

Rate

PS

Rate

EMS

TC Ward (M) 0 0.00 0.00 0.00 0.00 0.00 0.00 - - -

TC Ward (F) 0 0.00 0.00 0.00 0.00 0.00 0.00 - - -

PMRC A & C 0 0.00 22.99 19.05

- 2.81 0.00 - - -

PMRC POW 0 0.00 34.48 - 0.00 0.00 - - -

MAIN

Ward 31 0 0.00 7.41 0.00 - 0.00 0.00 - - -

Ward 34 0 0.00 15.04 0.00 - 0.00 0.00 - - -

Ward 36 0 0.00 0.00 35.71 - 0.00 0.00 - - -

Ward 37 0 26.32 0.00 10.20 - 1.02 0.00 - - -

SSB

CTVS Ward 0 0.00 0.00 14.29 - 0.00 0.00 - - -

Nephrology Ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -

Neuro Medicine Ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -

Neuro Surgery Ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -

Paediatric Surgery Ward 0 0.00 0.00 24.24 - 0.00 0.00 - - -

Pl surg ward 0 0.00 0.00 5.26 - 0.00 0.00 - - -

RCC Special Ward 0 10.81 0.00 0.00 - 0.00 0.00 - - -

RCC Male Ward 0 15.15 0.00 0.00 - 0.00 0.00 - - -

RCC Female Ward 0 23.81 0.00 0.00 0.00 0.00 - - -

SGE Ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -

Surgical Oncology Ward 0 0.00 0.00 50.00 - 0.00 0.00 - - -

Urology ward 0 0.00 0.00 0.00 - 0.00 0.00 - - -

WCH

Ward 178 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 -

Ward 179 0 0.00 0.00 0.00 - 0.00 0.00 2.22 0.00 -

Ward 301 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 -

Ward 302 0 0.00 0.00 0.00 - 0.00 0.00 2.54 0.49 -

Ward 401 0 0.00 12.50 12.31 - 0.00 0.00 0.00 2.47 -

Ward 466 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 -

Ward 552 0 0.00 0.00 0.00 - 0.00 0.00 1.11 0.00 -

Ward 553 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 0.00

Ward 554 0 0.00 0.00 0.00 - 0.00 0.00 0.00 0.00 -


Bu

ild

ing

Ward VAP Rate CLABSI Rate CAUTI Rate SSI Rate Open Wound

Infection Rate Bed sore Rate

Sheath Infection

Rate Episiotomy Rate LSCS Rate PS Rate

No

. o

f V

AP

ca

ses

To

tal

no

. o

f

Ven

tila

tor

da

ys

VA

P R

ate

No

. o

f C

LA

BS

I

ca

ses

To

tal

no

. o

f

Cen

tral

lin

e

da

ys

CL

AB

SI

Ra

te

No

. o

f C

A-U

TI

ca

ses

To

tal

no

. o

f

ca

thete

r d

ay

s

CA

UT

I R

ate

No

. o

f S

SI

No

. o

f S

urg

erie

s

do

ne

SS

I R

ate

No

. o

f o

pen

wo

un

d

infe

cti

on

s

No

. o

f p

ati

en

ts

da

ys

Op

en

Wo

un

d

Infe

cti

on

Ra

te

No

. o

f b

ed

sore

No

. o

f p

ati

en

t

da

ys

Bed

so

re R

ate

No

. o

f S

hea

th

infe

cti

on

ca

ses

No

.o

f sh

eath

da

ys

Sh

ea

th

Infe

cti

on

Ra

te

EP

IS S

SI

Ep

isio

tom

y

AD

M

Ep

isio

tom

y

Ra

te

LS

CS

SS

I

LS

CS

AD

M

LS

CS

Ra

te

PS

SS

I

PS

AD

M

PS

Ra

te

EM

S TC Ward (M) 0 0 0 0 48 0.00 0 235 0.00 0 2 0.00 0 1148 0.00 0 1148 0.00 0 1 0.00 - - - - - - - - -

TC Ward (F) 0 0 0 0 32 0.00 0 148 0.00 0 3 0.00 0 652 0.00 0 652 0.00 0 1 0.00 - - - - - - - - -

PMRC A & C 0 0 0 0 16 0.00 4 174 22.99 24 126 19.05

- - - 4 1421 2.81 0 0 0.00 - - - - - - - - -

PMRC POW 0 0 0 0 0 0.00 1 29 34.48 - - - 0 488 0.00 0 0 0.00 - - - - - - - - -

MA

IN

Ward 31 0 0 0 0 48 0.00 1 135 7.41 0 36 0.00 - - - 0 1032 0.00 0 18 0.00 - - - - - - - - -

Ward 34 0 0 0 0 28 0.00 2 133 15.04 0 41 0.00 - - - 0 1009 0.00 0 0 0.00 - - - - - - - - -

Ward 36 0 0 0 0 41 0.00 0 76 0.00 10 28 35.71 - - - 0 1003 0.00 0 4 0.00 - - - - - - - - -

Ward 37 0 0 0 1 38 26.32 0 104 0.00 5 49 10.20 - - - 1 982 1.02 0 0 0.00 - - - - - - - - -

SS

B

CTVS Ward 0 0 0 0 0 0.00 0 2 0.00 2 14 14.29 - - - 0 750 0.00 0 28 0.00 - - - - - - - - -

Nephrology

Ward 0 0 0 0 34 0.00 0 10 0.00 0 1 0.00 - - - 0 538 0.00 0 165 0.00 - - - - - - - - -

Neuro

Medicine Wd 0 0 0 0 0 0.00 0 37 0.00 0 0 0.00 - - - 0 527 0.00 0 0 0.00 - - - - - - - - -

Neuro Surgery Wd

0 0 0 0 25 0.00 0 91 0.00 0 0 0.00 - - - 0 492 0.00 0 0 0.00 - - - - - - - - -

Paediatric

Surgery Wd 0 0 0 0 0 0.00 0 62 0.00 8 33 24.24 - - - 0 487 0.00 0 0 0.00 - - - - - - - - -

Pl surg wd 0 0 0 0 0 0.00 0 45 0.00 1 19 5.26 - - - 0 439 0.00 0 0 0.00 - - - - - - - - -

RCC Special

Wd 0 0 0 2 185 10.81 0 54 0.00 0 0 0.00 - - - 0 472 0.00 0 0 0.00 - - - - - - - - -

RCC Male wd

0 0 0 1 66 15.15 0 15 0.00 0 0 0.00 - - - 0 482 0.00 0 0 0.00 - - - - - - - - -

RCC Female

ward 0 0 0 2 84 23.81 0 121 0.00 0 0 0.00 0 691 0.00 0 0 0.00

SGE Wd 0 0 0 0 67 0.00 0 20 0.00 0 0 0.00 - - - 0 551 0.00 0 0 0.00 - - - - - - - - -

Surgical

Oncology Wd 0 0 0 0 1 0.00 0 8 0.00 3 6 50.00 - - - 0 440 0.00 0 0 0.00 - - - - - - - - -

Urology Wd 0 0 0 0 3 0.00 0 211 0.00 0 11 0.00 - - - 0 744 0.00 0 24 0.00 - - - - - - - - -

WC

H

Ward 178 0 3 0 0 8 0.00 0 103 0.00 0 0 0.00 - - - 0 203 0.00 0 0 0.00 0 24 0.00 0 46 0.00 - - -

Ward 179 0 3 0 0 0 0.00 0 52 0.00 0 28 0.00 - - - 0 167 0.00 0 0 0.00 0 16 0.00 1 45 2.22 - - -

Ward 301 0 0 0 0 0 0.00 0 0 0.00 0 8 0.00 - - - 0 3526 0.00 0 0 0.00 0 25 0.00 0 17 0.00 - - -

Ward 302 0 0 0 0 0 0.00 0 37 0.00 0 4 0.00 - - - 0 4956 0.00 0 0 0.00 5 1026 0.49 10 394 2.54 - - -

Ward 401 0 0 0 0 0 0.00 1 80 12.50 8 65 12.31 - - - 0 2222 0.00 0 0 0.00 2 81 2.47 0 30 0.00 - - -

Ward 466 0 1 0 0 21 0.00 0 23 0.00 0 7 0.00 - - - 0 1937 0.00 0 0 0.00 0 13 0.00 0 0 0.00 - - -

Ward 552 0 0 0 0 0 0.00 0 363 0.00 0 0 0.00 - - - 0 651 0.00 0 0 0.00 0 0 0.00 3 271 1.11 - - -

Ward 553 0 0 0 0 0 0.00 0 31 0.00 0 0 0.00 - - - 0 215 0.00 0 0 0.00 0 0 0.00 0 47 0.00 0 115 0

Ward 554 0 0 0 0 0 0.00 0 103 0.00 0 76 0.00 - - - 0 212 0.00 0 0 0.00 0 0 0.00 0 0 0.00 - - -


FORMULAE OF HAI INFECTIONS RATES

HAI Infection Rates Formulae

1. VAP Rate= No. of VAP cases/ total no. of ventilator days X 1000

2. CLABSI Rate = No. of CLABSI cases/ total no. of central line days X 1000

3. CA-UTI Rate= No. of CA-UTI cases/ total no. of catheter days X 1000

4. SSI Rate= No. of SSI/ total no. of surgeries done X100

5. Open Wound Infection Rate = No. of open wound infections / No. of open wound cases admitted X 1000

6. Bed sore rates= No. of bed sores/total no. of patient days X 1000

7. Sheath Rate = No. of sheath infection cases / total no. of Sheath daysX 1000

8. LSCS SSI Rate = No. of LSCS SSI cases / total no. of LSCS Adm. X 100

9. Episiotomy Rate = No. of Episiotomy SSI cases / total no. of Episiotomy Adm. X 1 00

10. PS Rate (Permanent Sterilization) = No. of PS SSI cases /total no. of PS Adm. X 100


EMS & PMRC BLOCK

HOSPITAL ACQUIRED INFECTION SURVEILLANCE, SEPTEMBER 2017

22.99

19.05

2.81

34.48

0

5

10

15

20

25

30

35

40

VAP Rate CLABSI Rate CAUTI Rate SSI Rate Open Wound Infection Rate

Bed sore Rate Sheath Infection Rate

TC Ward (M)

TC Ward (F)

PMRC A & C

PMRC POW


MAIN BLOCK


7.41

15.04

35.71

26.32

10.20

1.02

0

5

10

15

20

25

30

35

40

VAP Rate CLABSI Rate CAUTI Rate SSI Rate Bed sore Rate Sheath Infection Rate

Ward 31

Ward 34

Ward 36

Ward 37


SSB& RCC BLOCK


10.81

15.15

23.81

14.29

24.24

5.26

50.00

0

10

20

30

40

50

60

VAP Rate

CLABSI Rate

CAUTI Rate

SSI Rate

Bed sore Rate

Sheath Infection Rate


WCH BLOCK


2.222.54

0.49

12.50 12.31

2.47

1.11

0

2

4

6

8

10

12

14

VAP Rate CLABSI Rate CAUTI Rate SSI Rate Bed sore Rate

Sheath Infection

Rate

LSCS Rate Episiotomy Rate

PS Rate

Ward 178

Ward 179

Ward 301

Ward 302

Ward 401

Ward 466

Ward 552

Ward 553

Ward 554

hospital infection control committee, jipmerjipmer.puducherry.gov.in/sites/default/files/hospital...

Documents