|Year : 2014 | Volume
| Issue : 3 | Page : 355-356
Hospital infection prevention: Principles and practices
FACHE, Head, Hospitals/Health Systems, Technical Advisor (HHR), Ministry of Health and Family Welfare, GoI, Public Health Foundation of India, 4, Institutional Area, Vasant Kunj, New Delhi - 110 070, India
|Date of Web Publication||10-Jul-2014|
FACHE, Head, Hospitals/Health Systems, Technical Advisor (HHR), Ministry of Health and Family Welfare, GoI, Public Health Foundation of India, 4, Institutional Area, Vasant Kunj, New Delhi - 110 070
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Naraya K. Hospital infection prevention: Principles and practices. Indian J Med Microbiol 2014;32:355-6
Editors: Chand Wattal and Nancy Khardori
It is indeed a privilege to review the work of two notable names in Infection Prevention and control in India and globally today, titled 'Hospital Infection Prevention: Principles and Practices'. Dr Chand Wattal and Dr Nancy Khardori truly deserve to be applauded for their efforts in creating this classic text book on infection control.
I have spent considerable time helping hospitals adopt a 'system' or 'organizational culture change' perspective when dealing with Healthcare-Associated Infections
(or 'hospital-acquired infections', as they are still referred to, often, in India). In doing so, our curriculum team has deliberately worked on interspersing management and leadership skills to all levels of healthcare workers while delivering highly technical modules on infection prevention and control. Also, our faculty uses teaching material drawn from a wide variety of global literature and resources on the
I can positively say that this is indeed one of the first comprehensive and easily-comprehensible books on the topic that may be recommended for all levels of healthcare practitioners in India-physicians, nurses and all allied health professionals in their final year of undergraduate works as well as those in clinical or administrative practice and formally responsible for ICP in their institutions.
Several experts have rendered their knowledge and wisdom to this book, yet it manages to flow from one critical topic to the next without style changes distracting the reader. The very first chapter on 'The Mighty World of Microbes' is an exhaustive (and formidable) listing of microorganisms that will ensure that all readers go on to the next chapters and understand how to deal with these mighty creatures. It seems to make sense that the chapter immediately following is one on vaccines and their role in infection prevention.
Practices related to hospital infection prevention and control have been detailed in the chapter by the various authors, ensuring that almost no critical technical aspect is left out unaddressed. The chapter on the role of housekeeping and materials management including disinfection and waste management practice is detailed well. It must be noted, however, that some rules and regulations cited in this chapter pertain to the US Environment Protection Act of 1986. The equivalent regulatory agencies and policies pertaining to other countries, where applicable, will have to be separately considered by the practitioner. Similarly, the average Indian hospital will have to bear in mind that the starting climate and resource conditions necessary to establish an effective ICP program may be currently far removed from the recommendations in the book. In such cases, it will be important for the reader to contextualize the learning to his or her setting or, in cases of administrative or clinical leadership, hopefully work towards making adequate investment towards creating an enabling environment.
The chapters on monitoring of each of the typical high-risk areas for infections in hospitals are detailed well and are followed by ICP practices for hospital wards as the concluding chapter.
Particularly noteworthy is the chapter that describes a 4-step process for antibiotic stewardship in India, following a description of the role of such a program. Also, as a reader with an administrative background, I was also delighted to see authors Pallab Ray and Lipika Singhal touch on the human element of making all of this possible: The hospital infection control committees. Ultimately, for any principle or practice to be institutionalized in a hospital setting, the importance of leadership buy-in and an empowered team-based approach cannot be overstated. The specific roles of each of the constituents of HICCs have been described well.
The book is rich with monographs, tables and references that will make a practitioner keep this handy in his or her bookcase and reach out for answers to queries multiple times. That being said, given the technical nature of the contents, a bibliography to link contents back to the specific chapters would have been very helpful.
Overall, congratulations again to Drs Wattal, Khardori and the whole team of authors for a high-quality contribution to the global knowledge bank on hospital infection control. I will most certainly be recommending this book to our faculty and training participants as well as referring to the content on many occasions in the future.