HANSRAJ NAYYAR MEDICAL INDIA

L8 LAXMI INDUSTRIAL ESTATE NEW LINK ROAD ANDHERI W MUMBAI 400 053
Phone: 26304581 26304582 26304583
E-Mail: mumbai@hansrajnayyar.com Web: www.hansrajnayyar.com

GovtruneyecentreOTshutdownagain
July16,2015,DHNS:
Patientcontractsinfectionpostsurgery
TheDelhigovernmentrunGuruNanakEyeCentrewasforcedtoshutdownitsoperationtheatrelastweekafterapatient
reportedlycontractedinfectioninthepostoperativestate.
EventhoughthegovernmentofficialsmaintainedthatalltheOTsareoperationalnow,aseniordoctorclaimedthataroundfive
operationaltableswerenotoperationalevensinceMonday.
Theoperationtheatresarefullyfunctionalnow,accordingtotheofficialstatementthatwehavereceived.TheOTswereshutdown
foraroundthreedayslastweek.TheOTwasfumigatedafterthis.Wewillinspectthehospitaltomorrowandtakestockofthe
situation,saidRajeshGupta,HealthParliamentarySecretary.
ThegovernmentwillnowinvestigateifthisisareturnoflastyearsinfectionattheOT,followingwhichthetheatreshadtobeshut
thricesinceMay,2014.
Bacterialinfectionintheoperationtheatreandcontaminationofwatersourcehadforcedthehospitaltoshutdownitsoperation
theatreforlongperiodslastyear.
Contaminationsource
Accordingtohospitalsources,thevisionofatleastfiveparseonswereaffectedthen.Foralongtime,theteaminspectingthehospital
wasunabletolocatethesourceofcontamination.
Thegovernmenthadalsoidentifiedthefaultystructuraldesignoftheoperationtheatreoneentrypointandoneexitasoneof
thecausesoftherecurringinfection.
Lastweek,threepersonscontractedinfectioninthepostoperativestate.Oneofthepersonsisrespondingwelltotreatment.Two
othersarealsounderobservation,saidaseniordoctor,requestinganonymity.
HospitalsourcessaidafewoperationaltablesintheOTarestillnotfunctional.
Moreover,onlyextraocularoperationsarebeingconducted.Intraocularoperations,likecataractwhicharemoresensitiveoperations
andhavehigherchancesofinfection,arebeingavoided,saidthedoctor.
Withtheongoingconstructionworkonthecampusandstaffnotmaintaininghighlevelsofhygienestandards,theoperationtheatre
hasincreasedchancesofinfectionrecurring,saiddoctors.
OncetheOTremainsshutforlongerperiodoftime,thewaitingperiodforpatientsgetsextended.WithGuruNanakEyeCentrebeing
oneofthekeygovernmentruneyecarehospitals,patientsfaceaharrowingtimewiththeOTsremainingshut.
In2013,around14,000operationswereconducted,saidanotherseniordoctor.Thenumbersdrasticallycamedowntoslightlyover
5,000lastyear,thedoctoradded.
Source
http://www.deccanherald.com/content/489567/govtruneyecentreot.html

Kochi

Hygieneincasualtyatmedicalcollege
TNN|Oct8,2014,01.05PMIST
KOCHI:Adayaftertwooperationtheatreswereshutdownbythegovernmentmedicalcollege,Ernakulam,followingcasesof
infection,authoritieshaveadmittedthatthereisnosupervisorymechanisminplacetoensurehygiene.
Thetheatrecommittee,assignedtomonitorsafetyaspectsinoperationtheatres,hasbeendefunctforquitesometime.
However,theincidentinwhich14personsallegedlycontractedtheatreborneinfectionseemstohavewokenuptheauthorities.
"Thetheatrecommitteehasbeendefunctforquitesometime.WehaveconvenedanurgentmeetingofthecommitteeonWednesday,"
saidmedicalcollegeprincipalDrPraveenlalKuttichira.
"Thecommitteewillprovideguidelinesonsafetymeasurestobetaken.Itisuptothecommitteetomanageandmonitorthe
cleanlinessintheatres.Theywilldecideonhowmanytheatersortablesaretobegiventoeachdepartment,"hesaid.
Itwilltakealmostaweekfortheclosedtheatrestoresumefunctioning."Butwehavetakenmeasurestoensurethatpatientsdonot
suffermuch.OnTuesday,wehadtopostpone78surgeries.ButfromWednesday,wewilluseoperationtheatresforemergencycases
alsoforroutinecases,"Kuttichirasaid.
Thepreliminaryinquiry,conductedbythecollegeprincipal,hasputthenumberofpostsurgeryinfectionsateight.
"Ineightcases,patientshaddevelopedfeversaftersurgery.Inallthecasesexceptone,thefeverhadsubsidedafterweadministereda
fewdoseofantibiotics,"hesaid.

Source
http://timesofindia.indiatimes.com/city/kochi/Hygieneincasualtyatmedicalcollege/articleshow/44698025.cms

JPrevMedHyg.2013Sep;54(3):1317.

Operatingtheatrequalityandpreventionofsurgical
siteinfections.
SpagnoloAM,OttriaG,AmiciziaD,PerdelliF,CristinaML.

Abstract
Surgicalsiteinfections(SSI)accountfor14%to17%ofallhospitalacquiredinfectionsand38%ofnosocomial
infectionsinsurgicalpatients.SSIremainasubstantialcauseofmorbidityanddeath,possiblybecauseofthe
largernumbersofelderlysurgicalpatientsorthosewithavarietyofchronicandimmunocompromising
conditions,andemergenceofantibioticresistantmicroorganisms.Factorscausingsurgicalsiteinfectionare
multifarious.Severalstudieshaveidentifiedthemainpatientrelated(endogenousriskfactors)andprocedure
related(externalriskfactors)factorsthatinfluencetheriskofSSI.Therateofsurgicalwoundinfectionsis
stronglyinfluencedbyoperatingtheatrequality,too.Asafeandsalubriousoperatingtheatreisanenvironment
inwhichallsourcesofpollutionandanymicroenvironmentalalterationsarekeptstrictlyundercontrol.This
canbeachievedonlythroughcarefulplanning,maintenanceandperiodicchecks,aswellasproperongoing
trainingforstaffManyinternationalscientificsocietieshaveproducedguidelinesregardingtheenvironmental
featuresofoperatingtheatres(positivepressure,exchangesoffilteredairperhour,airconditioningsystems
withHEPAfilters,etc.)andissuedrecommendationsonhealthcareassociatedinfection,includingSSI,
concerningsurveillancemethods,interventiontoactivelypreventSSIandapproachestomonitoringthe
implementationofsuchstrategies.Therefore,thepreventionofSSIrequiresamultidisciplinaryapproachand
thecommitmentofallconcerned,includingthatofthosewhoareresponsibleforthedesign,layoutand
functioningofoperatingtheatres.

Source
http://www.ncbi.nlm.nih.gov/pubmed/24783890