The goal of starting the post doctoral fellowshipcourse on ‘Hospital infection control’ is to train microbiologists in various aspects of hospital infection control.
Infection Control is an essential component of any health care delivery system. Implementing infection control measures from simple hand washing to high-level disinfection of surgical instruments can prevent transmission of disease in health care settings. Though infection control was not formal medical discipline until very recently, its practice in healthcare set ups has become an obligation due to many reasons such as pressure for accountability among clinicians and laboratory professionals, the escalating cost of health care and also for accreditation point of view . A robust Antimicrobial Stewardship program is the sine qua non of any competent and effective infection control programme of a hospital. Microbiologists play a crucial role in implementing the infection control programme. Infection control programmes in the best of the hospitals in India are managed and headed by microbiologists. When Government of India is planning to bring the infection control as a separate learning objective for the MBBS and M.D. students, it is the need of the hour for every microbiologist to enhance their knowledge on infection control. Unfortunately, an effective and robust infection control programme is lacking in most of the hospitals in our country. One of the very important reason is lack of academic course in hospital infection control. Keeping this in mind, the Department of Microbiology is planning to start a course in ‘PDCC in Hospital infection control’ to train Medical Microbiologists in various aspects of infection control and prevention.
ELIGIBILITY: MD Microbiology
ADMISSION PROCEDURE: Through written exam (MCQ)
DURATION OF COURSE: One year
COURSE SYLLABUS IN DETAIL
SECTION I : HOSPITAL INFECTION CONTROL
- Hospital infection control committee- structure and function
- HAI (Health care associated infection) (pathogenesis and diagnosis)
- HAI (Health care associated infection) Surveillance
- HAI (Health care associated infection) prevention/bundle care
- Standard precaution
- Hand hygiene
- Personal protective equipment (PPE)
- Transmission based precaution
- Biomedical Waste Management
- Central sterile services department (CSSD)
- Screening of patients/HCWs for MDROs
- Environmental surveillance
- Clostridium difficile infection (CDI) detection and prevention
- Laundry infection control policy
- Kitchen, and Pest control policy
- Autopsy- infection control policy while handling dead bodies
- Disinfection policy including disinfection testing and endoscopy reprocessing, spillage management
- Staff health issues
- Work restriction
- Staff Immunization
- Needle stick injury management
- Outbreak investigation
- Engineering control
- Role of biostatistics in infection control
SECTION II : ANTIMICROBIAL STEWARDSHIP PROGRAMME (AMSP)
Sub section 1: General concepts in Antimicrobial Stewardship (AMSP)
- Antimicrobial Stewardship Programme –necessity and global scenario
- Role of Microbiology in implementing AMSP
- Automation
- Biomarkers
- Biofire and other rapid diagnostic methods
- Methods of implementation of AMSP
- Front end strategy (Restrictive strategy and antimicrobial cycling)
- Back end strategy (Prospective audit and feedback)
- Monitoring of AMSP
- Antimicrobial Agents and their PK/PD
- Syndromic approach for empirical therapy
- Antimicrobial susceptibility testing (AST)
Sub section 2: Antimicrobial Stewardship Programme Audit
Antimicrobial Stewardship Programme in Medical unit
Antimicrobial Stewardship Programme in Surgical unit
Antimicrobial Stewardship Programme in Medical oncology unit