Infection Control Unit

“To achieve the best infection prevention and control in Egypt”

Healthcare-associated infections are serious issues linked to high mortality, increased morbidity, length of stay and cost of care.We believe in the infection control unit of TBRI that Infection control is an art of how to touch people in such a way to change their behavior. It is a practical application to what built in mind with great beneficial effect on patient safety, hospital quality and country economy. On the other hand, health measures of employees should be considered assets to be developed rather than costs to be cut.

The mission of the Infection Control Unit since its construction in 2001 at TBRI Hospital is to ensure that there is a managed environment at the facility which minimizes the risk of infection to patients, healthcare workers and visitors by putting infection control and basic hygiene at the heart of good management and clinical practice.

Head of unit
Prof. Hala El-Sayed Badawi
Professor of Medical Microbiology
Head of the Infection Control Unit and Supervisor of the Central Sterilization and Health Care Waste Management Units
Email: Hala_badawi@hotmail.com

Staff Members of Infection Control Unit
Infection Control Doctors
Assist. Prof. Manal El Said El Sayed
Assistant Professor of Medical Microbiology
Dr. NahedYehia Ismail
Lecturer of Medical Microbiology
Dr. Amira Talal el Far
Lecturer of Medical Microbiology
Dr. Ahmed el Shennawy
Lecturer of Medical Microbiology
Dr. Reham Magdy
Assistant Lecturer of Microbiology
Dr. Omar Mohamed Helmy
Assist. Lecturer of Electron Microscopy

Infection Control Nurses
Mr. Abdel-Aziz Samir
Mrs. Zeinab Saleh Ahmed
Mrs. Nagat Ibrahim Mohamed
Mrs. Hanan Abdel- Moniem Abdel Kader
Mrs. Doaa Adel Mahmoud
Mrs. Hoda Mohamed Fawzy

Computer Specialists
Mr. Hassan Mosaad Shehata
Mrs. Rasha Mohamed Abdel- Aziz
Miss Sara Mohamed Abdel- Salam
Mr. Mohamed Abdel- Moniem Abdallah
Ahmed Abdel- MoniemAbdallah

Secretary
Mrs. Sabah Abdel Aziz Ahmed

Staff Members of Central Sterilization Unit

Infection ControlNurses
Mrs. Nagwa Abdel Ghany Hassan
Mrs. Amani Abdel Mongy Abdel Razek
Mrs. Naglaa Sabry Hassan
Mrs. Tahra Helal Sayed
Mrs. Nahed Mohamed

Technicians
Mohamed El-Sayed Mabrouk

Staff Members of Health Care Waste Management Unit

Supervising Technical
Mohamed El-Sayed Mabrouk

Administrative
Mr. Khaled Ouf

Nurses
Mrs. Zeinab Saleh

Technicians
Mr. Gamal Maihoub

First: Infection Control Unit structure and facilities
1- Head Office supplied with Training Facilities
2- Room for Computer work, secretary and infection control nurses

Second: Central Sterilizationand Safe Healthcare Waste Management Units structure and facilities

Structure
• Two changing rooms
• Meeting room
• Delivery room
• Washing room
• Cotton & gauze room
• Linen room
• Packing area
• Steam sterilization room
• Low temperature sterilization room
• Clean storage
• Storage separate room

Equipment
• Autoclaves
• Sealing machines
• Gas plasma
• Instruments disinfection washing machines
• Water Distillation apparatus
• Ultrasonic surgical instruments disinfection machines
• Rapid incubators: 48 hrs, 24 hrs, 3 hrs
• Electrical Scissors
• Air pistols
• Compressor for air jetting
• Computers
• Sewing machines
• Machines
• Surveillance cameras
• Monitor for camera display
• Water filter
• Heaters
• Refrigerators
• Washing machines
• Trolleys

Supplies
• Steam rolls
• Plasma rolls
• Crip papers
• Sterilization containers
• Sterilization indicators
• Chemical indicators
• Biological indicator

Third: Environmental Assessment Unit Structure and Facilities

Structure
Three partitions for monitoring of
• Water quality
• Air quality
• Environmental sampling

Equipment:
• Air sampler
• Memmert incubator
• Millipore water system
• Device for bacterial count of environmental and food swabs based on ATP detection

• Establishing a reliable, focused surveillance program
•  Streamlining data management activities
•  Analyzing HAI rates
•  Benchmarking our data with international data
•  Educating staff regarding infection control principles
•  Identifying opportunities for performance improvement and facilitating performance improvement projects with concerned parties
•  Writing and periodically reviewing infection control policies
•  Overseeing infection related issues relevant to employees’ health
•  Carrying outbreak investigations when an outbreak is identified
•  Participating in research projects

The infection control unit has successfully organized numerous trainings and workshops in the scope of:

1.  Infection control as fundamental integrant for quality of healthcare settings
2.  Organization of infection control
3.  Hand Hygiene: Protocols, recourses – compliance and auditing
4.  Isolation Precautions in Health Care settings.
5.  Cleaning, Disinfection protocols in hospitals
6.  Sterilization protocols in hospitals
7.  Safe protocols for Landry
8.  Safe management of healthcare waste
9.  Safe management of sharps waste
10.  Infection control in high risk areas:
       •  Dialysis units
       •  Endoscopy units
       •  ICU (ventilation associated infections)
       •  Operating Theatres
       •  Laboratories
       •  Blood bank
11.  Invasive procedures: vascular catheters, urinary catheters, artificial feeding, paracentesis, safe injection and sampling
12. Food safety protocols
13. Hazards analysis and critical control points
14. Adoption of Antibiotic Policy: preparation –implantation and auditing
15. Alternative to antibiotics usage: Probiotics
16. Monitoring of water quality: Microbiology, Chemically and Physically
17. Hospital surveillance and checklists
18. Auditing and evaluation of healthcare workers
19. Infection rates and its impact in hospitals
20. Outbreak investigations
21. Endemic and emerging infectious diseases:
      •  Hepatitis
      •  Avian flu
      •  Surgical site infections (necrotizing fasciitis)
      •  Multidrug resistance infections (practically: MRSA and ESBLS)
22. Pest control
23. Occupational health

Running Techniques :

Infection Control Program

1. 1. Implementation and continuous monitoring of infection control program to detect and minimize Nosocomial infection.
   2.  Monitoring cleaning, disinfections and sterilization policies.
   3.  Monitoring a program for safety disposal of healthcare waste. Monit
   4. oring of safety measures in the kitchen and laundry.

Surveillances

1. 1.  Microbiological surveillance by which sources and types of infection could be elicited, and infection rates could be analyzed.
   2.  Auditing the practice of the healthcare workers with patients to investigate the degree of adherence to infection control measures and compliance to infection control protocols
   3.  Outbreak investigation

Notification and Isolation

1. 1.  Implementation and monitoring a notification policy.
   2.  Monitoring isolation policies.

Adoption of an antibiotic policy

• • Continuous monitoring of bacterial antibiotic resistance and accordingly sharing in adoption of an antibiotic policy with annual cycling.

Pest control

• • Friendly environmental measures

Environmental assessment

1. 1. Monitoring of water quality
              • Drinking water
              • Dialysis water
   2. Monitoring of air quality
             • Operation theatres
             • Isolation rooms
             • Renovation
   3. Monitoring of environmental sampling
             • Swab cultures
             • ATP device

Continuous Education for the infection control team and healthcare workers.

Head of unit :
Prof. Hala El-Sayed Badawi
halabadawi2@yahoo.com
hala_badawi@hotmail.com
Direct Tel: 02-35407555

Members of Infection Control Unit :
Dr. Nahed Yehia Ismail
Nahed.y.58@hotmail.com

Dr. Omar Mohamed Helmy
Omar.sayyouh@gmail.com