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السالم عليكم

Use of Modern Technology in Infection Control

Assistant Professor: Iyad M.Abou RabiiDDS. OMS. MSc. PhD

• Doctor of Dental Surgery (Hama-Syria 1991)• MSD in Oral and Mxillo-Facial Surgery (Damascus- Syria 1995)• MSc Models and instruments of Research (Grenoble, France

1999)• Postgraduate Diploma in General Pharmacology (Grenoble,

France 1998)• Postgraduate Diploma in Pharmaceutical Engineering

(Clermont-Fd, France 2002)• PhD in Dental Pharmacology (Clermont-Fd, France 2004)• Postgraduate Diploma of Dental Implantology (Liege, Belgium

2005)• Actually Assistant Professor in Dental Pharmacology and Head

of Dental Informatics and E-learning Unit (Qassim University, College of dentistry)

Please mute Your cell!

Chain of Infection

• Infection-control procedures help reduce the spread of pathogenic microorganisms by breaking the chain of infection during vital periods in the fabrication, repair, & delivery of prostheses.

1. Information Technology utilization2. Education and Training evolution3. Tools and Softwars4. Construction

Agenda

Information Technology in Infection Control

1st

Surveillance/Data Management

• Detect • Collect

Detecting

Information Technology

passive laborat

ory surveillance

active "virtu

al" proce

ss

Lanzafame et al has described a revolutionary system (ESCMID Conference 2009), That converts

Information Technology

A software is developed and once integrated with the databases of the laboratories, can carry out a systematic and real-time research of the possible epidemic events, of the warning/alert events which can thus precociously activate the necessary precautions to limit infectious events.At the same time, it can periodically control antibiotic-resistance and infection prevalence.

Information Technology

This software is made up of three components: 1. Import, which imports data in real time through a

connection to the data-base of the laboratory; 2. Elaboration, which filters the alarms on the basis of the

established rules;3. Report, which produces the report according to the

queries defined by the user These data are sent to the ward in electronic format using the visualisation system of the laboratory reports and, at the same time, a notification file is produced for the infection control unit.

Information Technology

In the second phase of the process, the wards give the notification with the clinical information back to the laboratory and it is filed in a normalised and standardised data structure for a real-time monitoring which also constitutes a historical database for longer periods.The described system has proved able to increase the monitoring, control, treatment and prevention power against hospital infections

Infection Control using Genetic Technology

• MITSUDA TOSHIHIRO 2006 described Infection control using genetic technology.

• He describes genetic screening methods in the infectious disease region, and trends of the world in countermeasures against multiple drug resistant microbes

Data Mining Technology

• Improving Infection Control Surveillance Using Data Mining Technology.

• The use of Data Mining Surveillance Service (DMSS, patent-pending, MedMined, Inc) as an aid to infection control (IC) surveillance in the Birmingham VAMC was investigated.

• Results from the retrospective study are very encouraging and suggest that DMSS analysis may add significant value to infection control within the VA.

Statistical Calculator for Epidemiology

• EpiTool v. 1.03A Handheld Statistical Calculator for Epidemiology

• It is a tool for performing basic statistical analysis of exposure and outcomes on Palm and PalmOS-based (e.g. Handspring) handheld computers.

Education and Training2nd

Education and Training

• Staff should be familiar with the elements of their organization’s infection prevention and control program.

• This requires institutional level orientation in addition to departmental, work-area, and job specific educational interventions.

Education and Training

Using computer technology to deliver an infection control update on hand hygiene

• Media coverage of life-threatening hospital infections highlights the importance of ongoing infection control education for healthcare workers.

• Using computer technology to deliver infection control updates to healthcare workers has the advantage of being accessible throughout the 24-hour shift pattern.

• The update can therefore be undertaken at a time to suit the healthcare worker and their workload.

Education and Training

• A.M. Columbine and H.J. Wharrad 2007 described the development process required to produce a computer-aided learning (CAL) package on hand hygiene, suitable for use as an infection control update for hospital nurses.

• It was trialled by 12 nurses who found it an enjoyable and acceptable method of updating.

De 'MEDICI Systems

• De 'MEDICI Systems, Palo Alto, Calif., is a new computer-assisted learning system designed to help health care facilities comply with new Occupational Safety and Health Administration regulations and reduce incidences of AIDS and hepatitis B.

• The mobile education workstation, "Preventing AIDS and Hepatitis B in the Workplace," uses a computer to guide health care workers through infection control procedures and regulations.

De 'MEDICI Systems

• The unit provides 16 learning tracks geared for everyone from laundry and cleaning personnel to phlebotomists and therapists, according to Kenneth Coleman, president. The system also records employee training sessions and can print out training logs, he said.

De 'MEDICI Systems

• The program takes most employees about 22 minutes to run, reducing the need to hire temporary replacements for staff attending infection education seminars, he said.

Education on the Road

• Kimberly Clark Health Care — mobile education, part of a 30-city mobile tour, visiting 39 hospitals in eight months via the HAI Education Bus.

• The 45-foot-long bus houses a mobile classroom outfitted with all of the modern accoutrements necessary to teach busy HCWs on the go.

• Kimberly-Clark is helping by delivering these courses directly to the hospital’s front door through the HAI Education Bus tour.

• On the bus, busy physicians and nurses can reinforce their knowledge of HAIs through interactive education programs that fit their schedules. Through individual computer workstations, satellite Internet connectivity and online educational courses.

Education on the Road

• The bus can also offer onsite access to expert speakers, group presentations and round-table discussions that cover a range of infection prevention topics, including: – Infection management, wound care and post-operative healing – Preventing airborne infectious diseases and bloodstream

infections – Reducing the risk of oral infection or ventilator-associated

pneumonia – The role of nursing in diagnosing and treating pneumonia and

infection – Discussing HAIs with patients and what patients can do to reduce

HAIs

Education on the Road

Tools and Software3rd

Clinics management system : Patient History

Press on this Tab to move to the Treatment

History

All the procedures created by dentist will

appear in this page also the voided procedures

The Notes written by dentist appear in the

note area

Antibiotic-resistance

• Antibiotic-resistant microorganisms are a growing threat in healthcare settings.

• More than seventy percent (70%) of the bacteria that cause healthcare-associated infections are resistant to at least one of the drugs most commonly used to treat them

Get Informed

• Handheld ebooks and pharmaceutical data bases.(Lexi comp, medical wizard, skyscape)

• Online drug information resource for medicines, dentists, and pharmacists. (online lexi, Vidal, Martindhale)

USAF Dental Evaluation & Consultation Service

Dental Lab

• Infection control (IC) is an essential part of dentistry

• Potential for disease transmission in the dental lab is well documented

• Potential pathogens can be transported to lab via orally soiled impressions, dental prostheses/appliances

USAF Dental Evaluation & Consultation Service

Dental Lab• Communicate cleaning & disinfection procedures

DENTAL LAB

PROVIDER

PROVIDER

Communication with Dental Lab

• Is essential between lab and dental office– To ensure proper procedures are followed

• Clearly describe requirements for case submission• Specifically delineate responsibilities• Personnel must understand the proper steps to ensure

disinfection of materials entering lab• Reason: to prevent duplication of disinfection protocol,

and to prevent potential lab contamination

Communication with Dental Lab

• Using Web based Patient records and notes It is a web-native system that would require only a browser to use and develop a synchronization process to ensure better communication between dentists and/or with dental lab professionals.

• patient notes were organized into individual files and the system acted as a document repository that tracked when files were uploaded and by whom.

Clinic Management SystemDental Lab

Chart ButtonPen to draw on

the Chart

Pen WidthEraser to erase what

you draw on the Chart

Write a text on the Chart

Add IconClear all drawing on

the Chart

Constructions4th

Hospital Design

• Private hospital rooms• Because infections significantly add to the cost of

medical care, reductions in infection rates significantly reduce the operational costs of the hospital and the overall costs of medical care, as well as making the hospital a safer environment for the patient

• Recent hospital design and construction guidelines incorporate this new evidence and require a private room design for new construction and remodeling.

Ventilation

• It is interesting to know that 100% fresh air can be achieved in a specific room with all windows opened

• Airborne Isolation Room would require a negative pressure control with airflow from clean to dirty area, with 6-12 ACH (air change per hour) and exhaust to outside or re-circulated with HEPA (High Efficiency Particulate Air) filter.

Air treatment

• Traditional mechanical high efficiency particulate arrestance (HEPA) air filtration, with or without laminar airflow ventilation, does reduce airborne fungal contamination and the incidence of invasive aspergillosis in a hospital setting. But the cost often precludes large-scale utilization.

Air treatment

• AirInSpace, which owns a patented core technology, HEPA-MD™ —the next generation of its initial Plasmer™ platform — that is designed to inactivate lethal airborne microorganisms.

• Dijon Hospital conducted a 13-month pre-construction study to determine if the AirInSpace Plasmair mobile unit could indeed reduce the incidence of indoor fungal contamination in high-risk hospital rooms. Results of the study, “The use of Plasmair air-decontamination units for the prevention of invasive pulmonary aspergillosis in neutropenic patients,” were published in the Journal of Hospital Infection.2

Dangerous Devices

• Mobile computers can bring both information and infection to the point of care.

• A recent market research study of the current state of physician computer adoption in the United States found that 65 percent of physicians interviewed believe mobile computing devices pose infection control risks at the point of care due to poor physician hand-washing habits.

Handheld

• While physicians have said having a vast array of patient information instantaneously at their fingertips is beneficial, few will discuss the possibilities of pathogens being transferred via personal digital assistants (PDAs).

• Such devices can provide the perfect resting ground for pathogens

References

• BROSSETTE SE, TAYLOR BD, WARREN B, AVENT KC, MOSER SA; Improving Infection Control Surveillance Using Data Mining Technology. Interscience Conference on Antimicrobial Agents and Chemotherapy (41st : 2001 : Chicago, Ill.).

• The use of Plasmair air-decontamination units for the prevention of invasive pulmonary aspergillosis in neutropenic patients, J Hosp Infection. 2007:65;156-162.

• Poirot JL, etal. Evaluation of a new mobile system for protecting immune-suppressed patients against airborne contamination. Am J Infect Control. Sept. 2007. 35:460-6

• Centers for Disease Control and Prevention. Guidelines for environmental infection control in health-care facilities: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR 2003; 52 (No. RR-10).

• Farr B. “Reasons for Noncompliance With Infection Control Guidelines.” Infection Control andHospital Epidemiology. 21.6 (June 2000): 411-416.

• A.M. Columbine , H.J. Wharrad, Using computer technology to deliver an infection control update on hand hygiene British Journal of Infection Control, Vol. 8, No. 3, 14-19 (2007)

Contact DetailsDr.Iyad Abou Rabii

Qassim University, College of Dentistry3800050 Ext 2039

Iyad.abou.rabii@qudent.edu.sa

Thank you for your attention!

Any Questions?