Establishing robust infection control at a new hospital: the AIIMS Rajkot experience

Authors

  • Abhishek Padhi Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Rajkot
  • Mayuri Bhise Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Rajkot
  • Anil Chaudhary Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Rajkot
  • Radha Vyas Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Rajkot
  • Vidhi Talwar Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Rajkot
  • Ashwini Agarwal Department of Microbiology, All India Institute of Medical Sciences (AIIMS), Rajkot
  • CDS Katoch Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Rajkot

DOI:

https://doi.org/10.3396/ijic.v21.23790

Keywords:

infection control, healthcare-associated infections, hospital infection control committee, training, surveillance, outbreak investigation, AIIMS Rajkot

Abstract

The establishment of robust infection control practices is crucial in any new healthcare facility to ensure patient safety and prevent healthcare-associated infections (HAIs). All India Institute of Medical Sciences (AIIMS) Rajkot, a newly inaugurated medical institution in Western India, faced the significant challenge of implementing these practices from the ground up, beginning with its Outpatient Department services initiation on 31 December 2021.

The AIIMS Rajkot initiated its infection control program by forming a Hospital Infection Control Committee and appointing dedicated Infection Control Officers and Infection Control Nurses. This initiative was supported by comprehensive training programs, the implementation of advanced infection control measures such as bundle care, HAI surveillance, and the development of outbreak investigation teams. Furthermore, the hospital focused on the continuous improvement of these practices through routine audits and the use of a digital Infection Control Risk Assessment form.

The institution successfully integrated a structured infection control framework that includes rigorous training sessions, the implementation of a Hospital Infection Control Manual, and the establishment of a robust needle stick injury management team. These measures have led to improved compliance with infection prevention protocols, as evidenced by hand hygiene audits and reduced incidence of HAIs.

The journey of establishing infection control practices at AIIMS Rajkot highlights the importance of a structured approach in new healthcare settings. The successful integration of these practices not only enhances patient and staff safety but also sets a standard for future healthcare facilities. The AIIMS Rajkot’s proactive measures and continuous improvement efforts serve as a model for effectively addressing the challenges of infection control in a dynamic healthcare environment.

Downloads

Download data is not yet available.

References

1. World Health Organization. Report on the burden of endemic health care-associated infection worldwide. Geneva: World Health Organization; 2011.

2. Centers for Disease Control and Prevention. Guidelines for the prevention of intravascular catheter-related infections. Atlanta, GA: CDC; 2011.

3. World Health Organization. Practical guidelines for infection control in health care facilities. Geneva: World Health Organization; 2004.

4. Centers for Disease Control and Prevention. Guideline for hand hygiene in health-care settings. MMWR Recomm Rep 2002; 51(RR-16): 1–45.

5. World Health Organization. WHO guidelines on hand hygiene in health care: first global patient safety challenge clean care is safer care. Geneva: World Health Organization; 2009.

6. Association for the Advancement of Medical Instrumentation. ANSI/AAMI ST79:2017 & A1:2018 comprehensive guide to steam sterilization and sterility assurance in health care facilities. Arlington, TX: AAMI; 2018.

7. Siegel JD, Rhinehart E, Jackson M, Chiarello L, Healthcare Infection Control Practices Advisory Committee. 2007 guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. Atlanta, GA: CDC; 2007.

8. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet 2000; 356(9238): 1307–12. doi: 10.1016/S0140-6736(00)02814-2

9. Pittet D, Allegranzi B, Boyce J. The World Health Organization guidelines on hand hygiene in health care and their consensus recommendations. Infect Control Hosp Epidemiol 2009; 30(7): 611–22. doi: 10.1086/600379

10. Harbarth S, Sax H, Gastmeier P. The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect 2003; 54(4): 258–66. doi: 10.1016/S0195-6701(03)00150-6

11. Carling PC, Parry MF, Von Beheren SM, Healthcare Environmental Hygiene Study Group. Identifying opportunities to enhance environmental cleaning in 23 acute care hospitals. Infect Control Hosp Epidemiol 2008; 29(1): 1–7. doi: 10.1086/524329

12. Gastmeier P, Geffers C. Surveillance of nosocomial infections: a powerful tool for infection control. Curr Opin Infect Dis 2006; 19(4): 326–9.

13. Resar R, Pronovost P, Haraden C, Simmonds T, Rainey T, Nolan T. Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. Jt Comm J Qual Patient Saf 2005; 31(5): 243–8. doi: 10.1016/S1553-7250(05)31031-2

14. Haverkos HW. Outbreak Investigations around the World: Case Studies in Infectious Disease Field Epidemiology. Emerg Infect Dis 2009; 15(11): 1882. doi: 10.3201/eid1511.090931

15. Tarantola A, Golliot F, Astagneau P, Fleury L, Brücker G, Bouvet E. Occupational blood and body fluids exposures in health care workers: four-year surveillance from the Northern France network. Am J Infect Control 2003; 31(6): 357–63. doi: 10.1016/S0196-6553(03)00040-3

Published

2025-01-28

How to Cite

Padhi, A., Bhise, M., Chaudhary, A., Vyas, R., Talwar, V., Agarwal, A., & Katoch, C. (2025). Establishing robust infection control at a new hospital: the AIIMS Rajkot experience. International Journal of Infection Control, 21. https://doi.org/10.3396/ijic.v21.23790

Issue

Section

Practice Forum

Similar Articles

> >> 

You may also start an advanced similarity search for this article.