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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
surgery
”
Stephanie Thomas
1
, Abdul Shaffi
2
, Jay Turner-Gardner
1
.
1
University
Hospital South Manchester,
2
Manchester University
Background:
Prosthetic Vascular Graft Infection (PVGI) is a significant
complication of arterial reconstructive-surgery. Incidence is 1
–
6%
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!
Aim(s)/Objective(s):
To develop a patient information leaflet, given to
patients at pre-op clinic, to inform, educate and limit the risk of PVGI.
Results:
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
control.
•
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
1
, Sheikhah Al-Hajeri
2
.
1
Mubarak Al- Kabeer Hospital,
Ministry of Health,
2
Infection Control Directorate, Ministry of Health,
Kuwait
Background:
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.
Aim(s)/Objective(s):
To report the SSIs from PVBY surgeries stratified
by risk index.
Method(s):
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.
Results:
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
1
, Aghnyia Dau
2
, Abdallah El-Bouzedi
3
,
Mohamed O Ahmed
4
.
1
Department of Medical Microbiology
&Immunology, Faculty of Medicine, P O BOX 82668, Tripoli-Libya,
2
Faculty
of Medicine, Tripoli University,
3
Department of Laboratory Medicine,
Faculty of Biotechnology, Tripoli,
4
Department of Microbiology and
Parasitology, Faculty of Veterinary, Tripoli University
Background:
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
involved.
Methods:
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
factors.
Results:
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.
CClin
Paris-Nord
Background:
In addition to non-mandatory vaccination, protective
measures are recommended to decrease the transmission of influenza
in health-care facilities (HCF).
Aim(s)/Objective(s):
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
–
S134
S115