Microbiology

Microbiology

Department of Microbiology and Infection Control imbibes the mission and vision of ILBS in amulgumating Clinical Research, Diagnostics, and unmatched patient care. Department is a multidisciplinary unit consisting of Bacteriology, Mycology, Parasitology, Mycobacteriology and infection control.Timebound and accurate reports forms our core strength, and provide a defininig edge to evidence based medicine. Real time online reporting and use of state-of-the-art equipment have made this goal possible to achieve. Our department is the flag bearer of the Quality commitment incorporated in every aspect of ILBS. NABL accreditation validates our commitment for upholding the high standards of quality. We follow strict quality control (Q.C.) and quality assurance (Q.A.) practices, having participated in EQAS and Interlab comparisons with approved National Reference Centres for the past many years. Infection control activities and Antibiotic stewardship programme provides continuous liasioning between the clinicians and the lab. The Infection Control Department performs surveillance of Hospital Associated Infections, monitors the environs,health care providers and the patients to prevent the spread and acquisition of MDROs and other infectious agents .We also trains and motivate all categories of staff to follow good infection control practices to prevent the spread.

Services rendered

  • Clinical Microbiology and Infection Control activities
  • Microbiological Services
Services 2015 January’16 to November’16
Aerobic culture 26945 27347
Fungal culture 516 524
AFB culture 193 194
Stain 9228 7785
Stool Examination 585 854
TB PCR 343 299
Serology 9432 11391
Hospital surveillance   701
Aerobic culture 26945 27347

Bacterial Isolates at ILBS

  • Infection Control Activities- the hospital has a comprehensive infection control programme for Prevention and Control of Healthcare Associated Infections and multidrug Resistant Organisms.
  • We practice evidence-based recommendations and guide the health care workers toward strategies to prevent nosocomial infections and multidrug resistant organisms. New guidelines and measures are adopted to curtail the HAIs.
  • The Infection control department addresses all issues related to the spread of infections within the healthcare setting (whether patient-topatient, from patients to staff and from staff to patients, or amongstaff), including prevention (via hand hygiene/hand washing, cleaning/disinfection/sterilization, vaccination, surveillance).
  • Monitoring/investigation of demonstrated or suspected spread of infection within a particular health-care setting (surveillance and outbreak investigation), and management (interruption of outbreaks).
  • Data collection and statistical analysis of HAI indices, Hand Hygiene compliance, MRSA screening form the core of infection control activities. The incidence of all major indices is weekly reported to the Director of the institute and Quarterly to NABH.
  • Regular training and education & orientation of new employees and existing staff is done to prevent and control of HAI & MDROs.
  • Regular environmental surveillance in form of air culture, water culture, surface culture, hand sampling is done to prevent, pre-empt and control any outbreak.
  • Patient education, oversight of regulatory compliance, isolation of potentially infectious patients. Management of Occupational exposures involving employees are important components of our routine work.
  • The infection control committee meets regularly on last Tuesday of every month to discuss any issues, to formulate and update patient care policies, to develop system of identifying, reporting, investigating and controlling the hospital acquired infection, and formulation of preventive and corrective programs in view of infectious hazards. Policies and protocols on the methods of sterilization and disinfection guidelines for segregation and disposal of hospital waste are regularly reviewed.
  • Antimicrobial stewardship: Antimicrobial stewardship forms an important component of infection control rounds. Discussion and review of antimicrobial treatment is carried by the infection control officer routinely. Antibiogram is prepared based on susceptibility patterns and temporal trends of aggregated data are analysed and shared with faculty . Antibiotic policy is formulated based on in-house antibiogram and globally accepted clinical guidelines. Escalation and de-escalation of antimicrobials is done to optimize the treatment and to prevent the emergence of MDROs(multiple drug resistant organisms).
  • Antibiotic restriction, Escalation and de-escalation and dosage optimization of antimicrobials is done.
  • Restricted antimicrobials are administered only after due consideration and clearance from the concerned Faculty and infection control officer their usage monitored, quantified and rationale documented.
  • The infection control manual and antibiotic policy is available on HIS (hospital information system) and can be readily accessed for referral in all areas.
  • The infection control nurse meets daily to the infection control officer.The ICO share the data to the head operation.
  • Restricted antimicrobials are administered only after due consideration and clearance from the concerned Faculty and infection control officer. their usage is monitored, quantified and rationale documented.

New Services and Facilities

  • Quantitative Procalcitonin estimation
  • Galactomannan assay
  • Quantitative C-Reactive Protein (CRP) estimation
  • Rapid test for Giardia in stool
  • Rapid test for Helicobacter pylori in stool

Courses Offered

Name of the Course Number of Candidates
Short Term Training in Clinical Microbiology 2

Department Achievements

  • Training and sensitization programme of House keeping staff for Biomedical waste management.
  • Factors effecting adherence to standard precautions by Nursing professionals –a Feedback exercise.
  • The pre-analytical optimization of blood cultures - the clinical importance of Pre-analytical variables refining the phlebotomy skill .
  • Behavioural medication for better hand hygiene compliance - Identifying the psychological barriers to compliance of hand hygiene.
  • Hospital associated infections - importance of critical care nursing.
  • Principal of sepsis and asepsis - Revising the Basics.
  • Disinfection of critical care equipment - training of nursing staff.
  • Training of technical staff - Hands on workshop - Recent Advances and Technical Skills In Bacteriology, Technical skills in Mycology
  • Laboratory and Hospital waste disposal training workshop.
 

Faculty

  • ECHO
  • ECHO
  • APASL
  • Acuteon
  • DORSO
  • NSI
  • HBSCE

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