Phic sing matters in infection control
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Dr. Jodor Lim gives as an introduction on the new surveillance definitions for VAP and how to apply it during surveillance activities in the hospital
Phic sing matters in infection control
- 1. The SHIP Makes a Turn for VAE’s Jodor A. Lim MD PHICS
- 2. Objectives • To review the SHIP data on Ventilator Associated Pneumonia (VAP) • To present the rationale for the change in VAP definitions • To present the revised VAE Protocol of the NHSN • To define Ventilator Associated Conditions (VAC), Infection-Related Ventilator-Associated Complications (IVAC) and Possible Ventilator Associated Pneumonia (PVAP)
- 3. S - Surveillance of H - Hospital acquired I - Infections in the P - Philippines S.H.I.P. 2014 Report
- 4. Infection Rates Rates by device-days *Catheter–associated UTI rate = # of UTI in pts with FC x 1000 # of FC days *Central-line Assoc BSI rate = # of BSI in pt with cath x 1000 # of central line days *Ventilator Assoc Pneu rate= # of PNEU in pt on Vent x 1000 # of ventilator days
- 6. SHIP VAP/ 1000 Vent Days 2010 - 2013 0 2 4 6 8 10 12 14 16 VAP 2010 2011 2012 2013 SHIP NHSN INNIC VAP 2010 2011 2012 2013 SHIP NHSN INNIC 11.4 11.6 10.72 11.06 11.2 2.2 14.7
- 7. SHIP VAP/ 1000 Vent Days Comparative Data 0 5 10 15 20 25 A B C GOV D E F G H I PVT 2013 2010- 2013 NHS N INNI C VAP 14.3 21.6 19.7 18 4.2 2.2 13.1 10.5 13.6 17.7 8.4 11.1 11.2 2.2 14.7
- 8. Summary • Vent utilization – 0.48 (0.39 -.70 ) • Vent utilization – 50th percentile • VAP rates alarming 11.06 per 1000 ventilator days (4.17-21.62) • Lower than 3rd world countries but beyond the 90th percentile of the US data
- 64. SHIP VAP/ 1000 Vent Days Comparative Data 0 5 10 15 20 25 A B C GOV D E F G H I PVT 2013 2010- 2013 NHS N INNI C VAP 14.3 21.6 19.7 18 4.2 2.2 13.1 10.5 13.6 17.7 8.4 11.1 11.2 2.2 14.7
- 65. 0 5 10 15 20 25 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2014 AHMC 2014 VAP/1000 vent days 2.64 VAP/ 1000 Vent Days
- 74. Will you join the SHIP in making a turn? • Is your hospital at least a 100 bed institution with ICU’s? • Are you a PHICS or PHICNA member? • Do you want your hospital to join the surveillance program? • Can you convince your Hospital Director to allow your hospital to share your surveillance data? • Will you want to join the workshop on VAE’s? • If the answer to all the questions above is YES, submit your letter of intent to PHICS