Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh

Mohammad Mahabubul Alam; Mohammad Saiful Islam; Md. Shamsuzzaman Khan; Shamima Hamid; Md. Nazrul Islam; Mafia Afsin Laz; Shantona Rani Paul

doi:doi:10.11648/j.ijidt.20210603.13

Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh

Mohammad Mahabubul Alam, Mohammad Saiful Islam, Md. Shamsuzzaman Khan, Shamima Hamid, Md. Nazrul Islam, Mafia Afsin Laz, Shantona Rani Paul

Published in International Journal of Infectious Diseases and Therapy (Volume 6, Issue 3)

Received: 21 June 2021 Accepted: 5 July 2021 Published: 4 August 2021

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Abstract

Health-Care Associated Infection (HCAI) is such a risk and 1.4 millions of people worldwide suffer from HCAIs at any time. To describe the current practice for prevention of health-care associated infections in surgical settings of academic and private hospitals in Dhaka and to propose intervention for improving the conditions with existing resources. This is a descriptive type of exploratory, cross-sectional study and was designed to focus on various dimensions of infection prevention and control that includes- optimum designing of care settings, existing systems, clean-hygienic physical environment and safe practices. This study revealed that uninterrupted water supply and natural ventilation, two basic structural facilities of pivotal importance in infection control engineering were present on all premises under study. However, inadequate toilet and hand washing basins, absence of isolation room, overcrowding of wards was found to pose continuous threat to infection in most of the inpatient wards. Absence of explicit and comprehensive infection control program, clear and current policies on various infection control interventions like hand hygiene, isolation precaution, environmental cleaning, prevention and management of blood borne pathogen, antibiotic usage, injection safety and management of job related illness was revealed from this study. None of the other hospitals maintained post exposure evaluation and follow-up procedures. Although healthcare workers were formally trained in the following matters, unsafe practices for injection, improper use of personal protective equipment, low level of adherence to hand hygiene and cough etiquette were frequently observed during the study. From this study it can be concluded that academic and private hospitals, whether it is government, autonomous or private could not establish the policy, infrastructure, program, processes and safety culture in terms of standard infection prevention and control interventions, except one private service hospital.

Published in	International Journal of Infectious Diseases and Therapy (Volume 6, Issue 3)
DOI	10.11648/j.ijidt.20210603.13
Page(s)	97-115
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Infection Control, Surgical Settings, Existing Systems, Healthcare System

References

[1]	World Health Organization, 2005. World alliance for patient safety; Global patient safety challenge: 2005-2006, World Health Organization, Geneva, Switzerland.
[2]	World Health Organization, 2005. The Global Patient Safety Challenge 2005-2006: clean care is safer care. Geneva, WHO. Available at: http://www.who.int/patientsafety/events/05/GPSC_Launch_ENGLISH_FINAL.pdf?ua=1 [Accessed on June 11, 2014].
[3]	World Health Organization, 2006. The World Health Report 2006: working together for health. Geneva: WHO; 2005. Available at: http://www.who.int/whr/2006/en/. [Accessed on June 11, 2014].
[4]	NHS England, 2011. English national point of prevalence survey on healthcare-associated infections and antimicrobial use, 2011: preliminary data. Available at: https://www.gov.uk/government/collections/healthcare-associated-infections-hcai-guidance-data-and-analysis. [Accessed on 9 September, 2015].
[5]	National guideline on hand hygiene for prevention of hospital acquired infection, Hand hygiene & Surgical Care, WHO Ban activity 2010-2011. Available at: http://www.hsmdghsbd.org/Documents/Doc_NATIONAL%20GUIDELINE%20ON%20HAND%20HYGIENE.pdf. [Accessed on 8 February 2014].
[6]	Center for Disease Control (CDC), 2011. Infection Prevention Checklist for Outpatient Settings: Minimum Expectations for Safe Care. [Accessed on 10 May, 2014].
[7]	Center for Disease Control (CDC), 2014. CDC/NHSN Surveillance Definitions for specific types of infections. Available at: http://www.cdc.gov/nhsn/pdfs/pscmanual/17pscnosinfdef_current.pdf. [Accessed on 1 January, 2014].
[8]	APIC, 2013. Infection Surveillance, Prevention and Control Program (ISPC): Brief History, EPI: 101. Available at: [Accessed on 11 May, 2014].
[9]	ASC Infection Control Surveyor Worksheet, 2013. Available at: [Accessed on 13 April, 2014].
[10]	Faruquzzaman, 2011. Positive associations of nosocomial infections in surgical ward with etiological clinical factors. BratislLekListy, 112 (5), pp 273-277.
[11]	Darmstadt GL, Ahmed ASMNU, Saha SK, Chowdhury MAKA, Alam MA, Khatun M, Black RE and Santosham M, 2005. Infection control practices reduce nosocomial infections and mortality in preterm infants in Bangladesh. Journal of Perinatology, 25, pp 331–335.
[12]	Zimring C and Ulrich R, 2004. The Role of the Physical Environment in the Hospital of the 21st Century: a Once-in-a-lifetime Opportunity. Concord, CA: The Center for Health Design.
[13]	Raka L and Osmani GM, 2012. Infection Control in Developing World. Faculty of Medicine, University of Prishtina & National Institute of Public Health of Kosova, Prishtina Kosova. Available at http://cdn.intechopen.com/pdfs-wm/28878.pdf [Accessed on 1 May, 2015].
[14]	Hasan Z, 2010. How big a challenge to initiate three basic infection control practices in hospitals of Bangladesh? Editorial, Bangladesh J Med Microbiol, 04 (02), pp 1-2.
[15]	Ulrich RS, Zimring C, Barch XZ, Dubose J, Seo HB, Choi YS, Quan X and Joseph A, 2008. A review of research literature on evidence based healthcare design. HERD 1: 61-125.
[16]	Icddr, b, 2012. Health and Science Bulletin, 10 (3), pp 9-15.
[17]	Shill MC, Fahad BM, Sarker S, Dev S, Rufaka HK and Das AK, 2011. Injection Practices at Primary Healthcare Units in Bangladesh: Experience at Six Upazilla Health Complexes. Australia’s Med J, 41, pp 26-42.
[18]	Sarma, JB and Ahmed, GU, 2010. Infection control with limited resources: why and how to make it possible? Indian Journal of Medical Microbiology, 28 (1), pp 11-16.
[19]	Allegranzi B, Nejad SB, Combescure C, Graafmans W, Attar H, Donaldson L and Pittet D, 2011. Burden of endemic health care-associated infection in developing countries: systematic review and meta-analysis. The Lancet, 377, pp 228–241.
[20]	Department of Health, 2006. The Health Act 2006, Code of Practice for the Prevention and Control of Health Care Associated Infections, 1st October 2006. Available at http://www.rcpath.org/Resources/RCPath/Migrated%20Resources/Documents/M/Health%20Act%202006%20Code%20of%20Practice%20for%20the%20prevention%20and%20control%20of%20healthcare.pdf [Accessed on 28th August 2014].
[21]	Boyce JM and Pittet D, 2002. Guideline for hand hygiene in healthcare settings. MMWR, 51 / RR-16; 1-44. Available at: www.cdc.gov/mmwr/preview/mmwrhtml/rr5116a1.htm [Accessed on 10 January, 2014].
[22]	Nessa K, Quaiyum M A, Khuda B, 2001. Waste management in healthcare facilities: a review. ICDDR, B: Centre for Health and Population Research, Working Paper No. 144.

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APA Style

Mohammad Mahabubul Alam, Mohammad Saiful Islam, Md. Shamsuzzaman Khan, Shamima Hamid, Md. Nazrul Islam, et al. (2021). Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh. International Journal of Infectious Diseases and Therapy, 6(3), 97-115. https://doi.org/10.11648/j.ijidt.20210603.13

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ACS Style

Mohammad Mahabubul Alam; Mohammad Saiful Islam; Md. Shamsuzzaman Khan; Shamima Hamid; Md. Nazrul Islam, et al. Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh. Int. J. Infect. Dis. Ther. 2021, 6(3), 97-115. doi: 10.11648/j.ijidt.20210603.13

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AMA Style

Mohammad Mahabubul Alam, Mohammad Saiful Islam, Md. Shamsuzzaman Khan, Shamima Hamid, Md. Nazrul Islam, et al. Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh. Int J Infect Dis Ther. 2021;6(3):97-115. doi: 10.11648/j.ijidt.20210603.13

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@article{10.11648/j.ijidt.20210603.13,
  author = {Mohammad Mahabubul Alam and Mohammad Saiful Islam and Md. Shamsuzzaman Khan and Shamima Hamid and Md. Nazrul Islam and Mafia Afsin Laz and Shantona Rani Paul},
  title = {Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh},
  journal = {International Journal of Infectious Diseases and Therapy},
  volume = {6},
  number = {3},
  pages = {97-115},
  doi = {10.11648/j.ijidt.20210603.13},
  url = {https://doi.org/10.11648/j.ijidt.20210603.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20210603.13},
  abstract = {Health-Care Associated Infection (HCAI) is such a risk and 1.4 millions of people worldwide suffer from HCAIs at any time. To describe the current practice for prevention of health-care associated infections in surgical settings of academic and private hospitals in Dhaka and to propose intervention for improving the conditions with existing resources. This is a descriptive type of exploratory, cross-sectional study and was designed to focus on various dimensions of infection prevention and control that includes- optimum designing of care settings, existing systems, clean-hygienic physical environment and safe practices. This study revealed that uninterrupted water supply and natural ventilation, two basic structural facilities of pivotal importance in infection control engineering were present on all premises under study. However, inadequate toilet and hand washing basins, absence of isolation room, overcrowding of wards was found to pose continuous threat to infection in most of the inpatient wards. Absence of explicit and comprehensive infection control program, clear and current policies on various infection control interventions like hand hygiene, isolation precaution, environmental cleaning, prevention and management of blood borne pathogen, antibiotic usage, injection safety and management of job related illness was revealed from this study. None of the other hospitals maintained post exposure evaluation and follow-up procedures. Although healthcare workers were formally trained in the following matters, unsafe practices for injection, improper use of personal protective equipment, low level of adherence to hand hygiene and cough etiquette were frequently observed during the study. From this study it can be concluded that academic and private hospitals, whether it is government, autonomous or private could not establish the policy, infrastructure, program, processes and safety culture in terms of standard infection prevention and control interventions, except one private service hospital.},
 year = {2021}
}

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TY  - JOUR
T1  - Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh
AU  - Mohammad Mahabubul Alam
AU  - Mohammad Saiful Islam
AU  - Md. Shamsuzzaman Khan
AU  - Shamima Hamid
AU  - Md. Nazrul Islam
AU  - Mafia Afsin Laz
AU  - Shantona Rani Paul
Y1  - 2021/08/04
PY  - 2021
N1  - https://doi.org/10.11648/j.ijidt.20210603.13
DO  - 10.11648/j.ijidt.20210603.13
T2  - International Journal of Infectious Diseases and Therapy
JF  - International Journal of Infectious Diseases and Therapy
JO  - International Journal of Infectious Diseases and Therapy
SP  - 97
EP  - 115
PB  - Science Publishing Group
SN  - 2578-966X
UR  - https://doi.org/10.11648/j.ijidt.20210603.13
AB  - Health-Care Associated Infection (HCAI) is such a risk and 1.4 millions of people worldwide suffer from HCAIs at any time. To describe the current practice for prevention of health-care associated infections in surgical settings of academic and private hospitals in Dhaka and to propose intervention for improving the conditions with existing resources. This is a descriptive type of exploratory, cross-sectional study and was designed to focus on various dimensions of infection prevention and control that includes- optimum designing of care settings, existing systems, clean-hygienic physical environment and safe practices. This study revealed that uninterrupted water supply and natural ventilation, two basic structural facilities of pivotal importance in infection control engineering were present on all premises under study. However, inadequate toilet and hand washing basins, absence of isolation room, overcrowding of wards was found to pose continuous threat to infection in most of the inpatient wards. Absence of explicit and comprehensive infection control program, clear and current policies on various infection control interventions like hand hygiene, isolation precaution, environmental cleaning, prevention and management of blood borne pathogen, antibiotic usage, injection safety and management of job related illness was revealed from this study. None of the other hospitals maintained post exposure evaluation and follow-up procedures. Although healthcare workers were formally trained in the following matters, unsafe practices for injection, improper use of personal protective equipment, low level of adherence to hand hygiene and cough etiquette were frequently observed during the study. From this study it can be concluded that academic and private hospitals, whether it is government, autonomous or private could not establish the policy, infrastructure, program, processes and safety culture in terms of standard infection prevention and control interventions, except one private service hospital.
VL  - 6
IS  - 3
ER  -

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Author Information

Mohammad Mahabubul Alam

Department of Pediatric Surgery, Cumilla Medical College, Cumilla, Bangladesh
Mohammad Saiful Islam

Department of Pediatric Surgery, Bangabondhu Sheikh Mujib Medical University, Dhaka, Banglad
Md. Shamsuzzaman Khan

Department of Pediatric Surgery, Shaheed Suhrawardi Medical College, Dhaka, Bangladesh
Shamima Hamid

Department of Pathology, National Institute of Laboratory Medicine & Refarrel Centre, Dhaka, Bangladesh
Md. Nazrul Islam

Department of Pediatric Surgery, Bangabondhu Sheikh Mujib Medical University, Dhaka, Banglad
Mafia Afsin Laz

Department of Pediatric Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh
Shantona Rani Paul

Department of Pediatric Surgery, Rajshahi Medical College, Rajshahi, Bangladesh

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APA Style

Mohammad Mahabubul Alam, Mohammad Saiful Islam, Md. Shamsuzzaman Khan, Shamima Hamid, Md. Nazrul Islam, et al. (2021). Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh. International Journal of Infectious Diseases and Therapy, 6(3), 97-115. https://doi.org/10.11648/j.ijidt.20210603.13

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ACS Style

Mohammad Mahabubul Alam; Mohammad Saiful Islam; Md. Shamsuzzaman Khan; Shamima Hamid; Md. Nazrul Islam, et al. Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh. Int. J. Infect. Dis. Ther. 2021, 6(3), 97-115. doi: 10.11648/j.ijidt.20210603.13

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AMA Style

Mohammad Mahabubul Alam, Mohammad Saiful Islam, Md. Shamsuzzaman Khan, Shamima Hamid, Md. Nazrul Islam, et al. Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh. Int J Infect Dis Ther. 2021;6(3):97-115. doi: 10.11648/j.ijidt.20210603.13

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@article{10.11648/j.ijidt.20210603.13,
  author = {Mohammad Mahabubul Alam and Mohammad Saiful Islam and Md. Shamsuzzaman Khan and Shamima Hamid and Md. Nazrul Islam and Mafia Afsin Laz and Shantona Rani Paul},
  title = {Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh},
  journal = {International Journal of Infectious Diseases and Therapy},
  volume = {6},
  number = {3},
  pages = {97-115},
  doi = {10.11648/j.ijidt.20210603.13},
  url = {https://doi.org/10.11648/j.ijidt.20210603.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20210603.13},
  abstract = {Health-Care Associated Infection (HCAI) is such a risk and 1.4 millions of people worldwide suffer from HCAIs at any time. To describe the current practice for prevention of health-care associated infections in surgical settings of academic and private hospitals in Dhaka and to propose intervention for improving the conditions with existing resources. This is a descriptive type of exploratory, cross-sectional study and was designed to focus on various dimensions of infection prevention and control that includes- optimum designing of care settings, existing systems, clean-hygienic physical environment and safe practices. This study revealed that uninterrupted water supply and natural ventilation, two basic structural facilities of pivotal importance in infection control engineering were present on all premises under study. However, inadequate toilet and hand washing basins, absence of isolation room, overcrowding of wards was found to pose continuous threat to infection in most of the inpatient wards. Absence of explicit and comprehensive infection control program, clear and current policies on various infection control interventions like hand hygiene, isolation precaution, environmental cleaning, prevention and management of blood borne pathogen, antibiotic usage, injection safety and management of job related illness was revealed from this study. None of the other hospitals maintained post exposure evaluation and follow-up procedures. Although healthcare workers were formally trained in the following matters, unsafe practices for injection, improper use of personal protective equipment, low level of adherence to hand hygiene and cough etiquette were frequently observed during the study. From this study it can be concluded that academic and private hospitals, whether it is government, autonomous or private could not establish the policy, infrastructure, program, processes and safety culture in terms of standard infection prevention and control interventions, except one private service hospital.},
 year = {2021}
}

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TY  - JOUR
T1  - Current Status of Infection Control Practice in Surgical Settings of Leading Academic and Private Service Hospitals in Dhaka, Bangladesh
AU  - Mohammad Mahabubul Alam
AU  - Mohammad Saiful Islam
AU  - Md. Shamsuzzaman Khan
AU  - Shamima Hamid
AU  - Md. Nazrul Islam
AU  - Mafia Afsin Laz
AU  - Shantona Rani Paul
Y1  - 2021/08/04
PY  - 2021
N1  - https://doi.org/10.11648/j.ijidt.20210603.13
DO  - 10.11648/j.ijidt.20210603.13
T2  - International Journal of Infectious Diseases and Therapy
JF  - International Journal of Infectious Diseases and Therapy
JO  - International Journal of Infectious Diseases and Therapy
SP  - 97
EP  - 115
PB  - Science Publishing Group
SN  - 2578-966X
UR  - https://doi.org/10.11648/j.ijidt.20210603.13
AB  - Health-Care Associated Infection (HCAI) is such a risk and 1.4 millions of people worldwide suffer from HCAIs at any time. To describe the current practice for prevention of health-care associated infections in surgical settings of academic and private hospitals in Dhaka and to propose intervention for improving the conditions with existing resources. This is a descriptive type of exploratory, cross-sectional study and was designed to focus on various dimensions of infection prevention and control that includes- optimum designing of care settings, existing systems, clean-hygienic physical environment and safe practices. This study revealed that uninterrupted water supply and natural ventilation, two basic structural facilities of pivotal importance in infection control engineering were present on all premises under study. However, inadequate toilet and hand washing basins, absence of isolation room, overcrowding of wards was found to pose continuous threat to infection in most of the inpatient wards. Absence of explicit and comprehensive infection control program, clear and current policies on various infection control interventions like hand hygiene, isolation precaution, environmental cleaning, prevention and management of blood borne pathogen, antibiotic usage, injection safety and management of job related illness was revealed from this study. None of the other hospitals maintained post exposure evaluation and follow-up procedures. Although healthcare workers were formally trained in the following matters, unsafe practices for injection, improper use of personal protective equipment, low level of adherence to hand hygiene and cough etiquette were frequently observed during the study. From this study it can be concluded that academic and private hospitals, whether it is government, autonomous or private could not establish the policy, infrastructure, program, processes and safety culture in terms of standard infection prevention and control interventions, except one private service hospital.
VL  - 6
IS  - 3
ER  -

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