Does structured educational intervention programme lead to

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Diagnoses were BSI-45%, HAP-35%, Urosepsis-10%, CAP-5% and Aspiration ... design. Proforma encompassing Knowledge of student towards Infection.
Abstracts Diagnoses were BSI-45%, HAP-35%, Urosepsis-10%, CAP-5% and Aspiration Pneumonia-5%. Kunin’s Appropriateness criteria was highest for Cat II and Cat V with 27% each, 30% got definitive therapy and de-escalation in 72%. Mean LOS was 8 (IQR 4-15), APACHE II-38, SOFA-14 and TISS-28 score20. Mean DOT/ 1000 patient days for restricted antimicrobials were Colistin34.5, Meropenam-16, Vancomycin-10, Teicoplanin-16, Pip-Tazo-98, Cefoperozone+Sulbactum-68 with a mean Direct ICU cost /patient (US$) Was-Ventilated:620 and Non-Ventilated:340. Conclusion & Future work: Data collection for the PreCDSS implementation period using AU-Crit is currently underway and the CDSS is on developmental stage with SQLite database for data storage and security.

DISINFECTANT TESTING CRITERIA FOR CLOSTRIDIUM DIFFICILE Trevor Glasbey, Dr, Greg Whiteley Whiteley Corporation, Tomago, Australia Introduction: The efficacy of disinfectants and disinfectant wipes against the spore forming Clostridium difficile (C difficile) is important to Infection Preventionists (IPs). There are variety of test methods for assessing disinfectant efficacy against C difficile and contact time claims are dependent on which test method is applied. The guidelines for Therapeutic Goods Order 54 (TGO54) do not specify a particular test for environmental disinfectants thus allowing manufacturers to select the method that provides the lowest contact time without improving underlying efficacy. This study examines presents results using various test methods for C difficile and other anaerobic spores using various standardised disinfectant active materials. Methods: Disinfectant testing using internationally recognised test methods were conducted against C difficile and other spore forming bacteria. Test methods including EN 13704, ASTM E2197 and suspension based methods outlined in the Guidelines for TGO54 were assessed. The suspension tests included both vegetative and spore enriched suspensions as well as the USA EPA method with spores dried onto carriers. Other variables included the organic and inorganic soils. Results: Differences in the test results are shown with a standardised concentration of disinfectant molecules including PAA and chlorine. The contact time required to meet the requirements of each test protocol was observed from 30 seconds to 20 minutes. Conclusion: Different test methods produce starkly different indications on efficacy again C difficile and anaerobic spores generally. IPs require more information than simply the “kill time” to accurately assess the likely in-situ performance of disinfectants or disinfectant wipes.

125 respectively and were statistically equivalent. The CHG hand wash produced a 1.53 LR and was statistically inferior to the alcohol sanitizer and TCS hand wash. Conclusions: No differences in susceptibility to ABHR 70% alcohol was shown by antibiotic resistant bacteria when compared to the sensitive strains. Hand washes should be chosen carefully due to the variable susceptibility showed by MRSA strains tested, and the formulation specific performance of these biocides.

DOES STRUCTURED EDUCATIONAL INTERVENTION PROGRAMME LEAD TO SUSTAINABLE KNOWLEDGE IMPROVEMENT ON INFECTION CONTROL PRACTICES AMONG UNDER GRADUATE MEDICAL STUDENTS? Usha Balasundaram, Dr, Shanmuga Vadivoo Natarajan, Dr Annapoorana Medical College & Hospital, Salem, India Introduction: Medical students should have adequate Infection control knowledge for better compliance. This study aimed to assess the effectiveness of structured training on improving the infection control practices. Method: This study is a quasi-experimental type with before and after design. Proforma encompassing Knowledge of student towards Infection control practices under five domains was used. Following this a structured package of educational intervention comprised of one day Continued Medical Education, Audio Visual Demonstration followed by bedside real time hands on training on infection control practices was provided. Finally knowledge and skill was assessed by Objective structured practical examination (OSPE) and post-test questionnaire. Domain wise proportions of correct responses were compared between pre and post intervention using z test. Results: A total of 382 Medical undergraduate students participated. Of the five domains, biomedical waste management (43%) and personal protective equipment (52%) got least scoring. Knowledge was more in the domain of antibiotic resistance (72%) and hand washing (60%). Invariably, all five domains showed significant knowledge improvement from the baseline to immediately after training as well as six months later. [Proportion of correct knowledge on personal protective equipments: pretest-52% Vs immediate post intervention: 93% Vs 6 months post intervention: 88.4%, p