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ID: 5038

Development of a patient information leaflet:

Taking Care of Your

Vascular Graft: A short guide on how to care for your graft after


Stephanie Thomas


, Abdul Shaffi


, Jay Turner-Gardner





Hospital South Manchester,


Manchester University


Prosthetic Vascular Graft Infection (PVGI) is a significant

complication of arterial reconstructive-surgery. Incidence is 1


depending on surgical location. Treatment is extremely challenging

and involves graft removal, revascularization, debridement and often

empirical broad spectrum antibiotics for prolonged courses.

Early postoperative grafts are especially at risk. Transient bacteraemia

secondary to; poor dental hygiene, skin breakdown/diabetic compli-

cations, recurrent urinary-tract infection, constipation, poor general

hygiene all pose significant risks to the in-situ graft.

Prevention is better than cure!


To develop a patient information leaflet, given to

patients at pre-op clinic, to inform, educate and limit the risk of PVGI.


A patient information leaflet was constructed clearly stating

risks of transient bacteraemia.

Specifically encouraging:

Good general hygiene; good hand hygiene and genitourinary

cleanliness (especially if the surgery scar is located in the groin),

keeping dressings clean, checking for signs of infection and

contacting the GP if concerned, no sharing of personal items like

razors/ toothbrushes.

Maintenance of good skin care: keeping the skin moisturised to

prevent cracking, regular diabetic check-ups and good glucose


Maintaining good dental hygiene; preventing plaque build-up,

regular dental check-ups, avoiding rinsing after brushing.

Treatment of genito-urinary infections: good toilet habits and

avoiding constipation, keeping hydrated, for males over 60 years

old reporting problems that many be prostate related.

Discussion and/or Conclusion(s):

The simple but effective leaflet

addresses a previously neglected area. It gives basic information on

maintaining good health after surgery and may help prevent the

catastrophic complication of graft surgery in the form of PVGI.

ID: 5046

Surgical site infections (SSIs) from peripheral vascular bypass

(PVBY) surgeries in a Governmental Hospital in Kuwait

Mona Salama


, Sheikhah Al-Hajeri




Mubarak Al- Kabeer Hospital,

Ministry of Health,


Infection Control Directorate, Ministry of Health,



While advances have been made in infection control

practices, SSIs remain a substantial cause of morbidity, prolonged

hospitalization and death. Surveillance of SSI with feedback of

appropriate data to surgeons has been shown to be an important

component of strategies to reduce SSI risk. A successful surveillance

program includes the use of epidemiologically-sound infection

definitions and effective surveillance methods, stratification of SSI

rates according to risk factors associated with SSI development, and

data feedback.


To report the SSIs from PVBY surgeries stratified

by risk index.


This is a prospective study in which all cases of PVBY

surgeries are reported in a special denominator sheet and all infected

procedures are reported on numerator sheet. Case definition of health

care associated SSI is adopted from National Health Safety Network

(NHSN). The study started from January 1st 2015 until December 31st

2015. Cases are stratified by risk index which assigns surgical patients

into categories based on the presence of three major risk factors:

operation lasting more than the duration cut point, wound class and

ASA score.


The total number of PVBY was 29, 12 with risk index 0 and the

remaining 17 were under risk index 1. Two procedures out of the 12

with risk index 0 were infected with cumulative incidence 16.7. Five

procedures out of the 17 with risk index 1 were infected with

cumulative incidence 29.4.

Discussion and/or Conclusion(s):

This study demonstrates the value

of calculating surgical site infection rates by operative category.

Topic: Surveillance and epidemiology

ID: 4477

The epidemiology of HCV and HIV among African immigrants

crossing towards Europe

Mohamed Ali Daw


, Aghnyia Dau


, Abdallah El-Bouzedi



Mohamed O Ahmed




Department of Medical Microbiology

&Immunology, Faculty of Medicine, P O BOX 82668, Tripoli-Libya,



of Medicine, Tripoli University,


Department of Laboratory Medicine,

Faculty of Biotechnology, Tripoli,


Department of Microbiology and

Parasitology, Faculty of Veterinary, Tripoli University


Immigration is considered to be a dynamic vector for

transmission of viral diseases. This study aimed to determine; 1-

Prevalence of HCV, HIV and HCV genotypes among African immigrants

crossing towards Europe; 2- Demographic and attributable factors



A total of 14205 serum samples collected within three year

period (2013

2015) from immigrants of North and Sub-Saharan Africa

resided in African immigrant campus, Tripoli-Libya. The participants

were interviewed, and relevant information was collected, including

socio-demographic, ethnic, and geographic variables. Each samplewas

tested for HCV and HIV using ELISA. The genotypes were assigned

using specific genotyping assay and correlated with demographic



Of the immigrants studied, 1078(7.6%) were positive for HCV,

192(1.4%) HIV and 479(3.4%) for both HCV &HIV. The prevalence of

HCV was higher among individuals from Nile river (3.6

18.7%) of

North Africa(NA), followed by those from West Africa(WA) (2.1 to

14.1%), Horn of Africa(HOA)(6.8

9.9%) and less among those from

Maghreb countries(1.4 to 2.7%). HIV and HCV/HIV co-infection were

higher among HOA (60 (1.7%)&175 (5%) and WA (95 (1.9%) & 211(4.2%).

Five genotypes were detected including genotypes 4, 1 and 2

accounted for 329(36.1%), 326(35.8%) and 131(14.4%) followed by

genotype 3 for 87(9.5%) strains. Genotype 5 was isolated from HOA 18

(2%) and WA 20(2.2%) individuals. The prevalence of HCV, HIV and

HCV/HIV co-infection were considered to be high with a unique

disparate distribution among African immigrants crossing towards

Europe. This should be reflected on the prevention efforts in Europe

and North & sub-Saharan Africa.

ID: 4485

Preventing spread of influenza: health-care workers vaccination

and mask wearing awareness campaign

Apolline Adé, Elise Seringe, Karin Lebascle, Pascal Astagneau.




In addition to non-mandatory vaccination, protective

measures are recommended to decrease the transmission of influenza

in health-care facilities (HCF).


The aim of the study is to assess vaccination

coverage among health-care workers (HCW) in 2016, the organization

of vaccination and mask wearing awareness campaigns.

Method(s): A descriptive study was carried out during the 2016 flu

epidemic. Data were collected via an online platform available to

Infection Control Teams (ICT) of all HCF of the region. Requested items

were HCW vaccination coverage, type of information/vaccination

campaigns, information about masks.

Abstracts of FIS/HIS 2016

Poster Presentations / Journal of Hospital Infection 94S1 (2016) S24