After achieving national accreditation with Central Board for Accreditation of Healthcare Institution (CBAHI) on December 2011, Abdul Latif Jameel Hospital (ALJH) has recently received international ac-creditation by the Austra-lian Council on Healthcare Standards International (ACHSI). (ACHSI) is a subsidiary of the Australian Council on Healthcare Standards (ACHS), which is an inde-pendent organization dedi-cated to improving the quality of health care through continual review of performance, assessment and accreditation. It is a four-year membership pro-gram for establishing and maintaining quality care and services in healthcare organizations across the world. ACHSI success was achieved after the hospital under– went a full 4-day hospital-

Inside this issue:

Abdul Latif Jameel

Gains ACHSI

Status

1

Capturing the

moments during

hospital - wide

survey

2

Final Moments

with the ACHSI

Surveyors

3

IC Education An-

nouncement

4

Let’s talk About

Microbes:

Varicella Zoster

Virus

4

Infection Control

Fun Page

5

IPC Indicators

Year 2013

6-8

January 2014

Volume 4, Issue No. 1

Abdul Latif Jameel Hospital

Infection Prevention &

Control Newsletter

wide survey, by two survey-ors, one from Australia and the other from Hongkong on December 8-11, 2013. The Hospital not only achieved the level required in all ar-eas related to the care of the patients but was also rated at an excellent level in a number of different areas including Infection Control. The ACHSI standards not only look at the actual clini-cal care provided to the pa-tient but also all other areas of Hospital management including, fire and safety, infection control, medica-tion safety, food safety, fa-cility safety, emergency, planning, staff selection, licensure, ethics and the overall governance of the hospital.

This is another milestone for ALJH and is one part of the hospital’s mission to provide “safe” and “quality care” for our clients. While waiting for the official ACHSI Accredita-tion Award, Infection Prevention and Control Department wishes to congratulate and thank all the staff of Abdul Latif Jameel Hospital, for you all helped achieve the landmark status for the hospital to become inter-nationally accredited hospital with ACHSI. ALJH is the first rehabili-tation centre in the king-dom to achieve such recognition.

Abdul Latif Jameel Hospital Gains ACHSI Status

On the left is Mr. David

Miller (ACHSI

Surveyor) as he

delivers half of the

conclusion, summary &

results of the survey

In the mid-dle is Dr.

Herman Lau (ACHSI

Surveyor) as he delivers the other half of the

conclusion, summary &

results of

the survey

On the right is Dr. Youssef

Abdelrahman, overwhelmed of the results as he

makes his closing

remarks, thank-ing everyone for achieving

ACHSI Accreditation.

This newsletter has been

designed to share information

and educate staff of ALJH on

programs and activities of

Infection Prevention and Control

Department. The author would

be interested in hearing from

you, if you would like to

contribute an article, a news

story, an event relevant to

Infection Prevention and Control

or have any comments on this

subject, please get in touch. Con-

tact details: candolb@alj.com or

in extension no. 1511. Be safe

everyone!

A

Message

From The

Author

To all ALJH staff members …….

CHEERS!

Volume 4, Issue No. 1 Page 2

Welcoming the ACHSI Surveyors– Dr. Herman Lau and Mr. David Miller

Facility Tour with Dr. Youssef Abdelrahman (CEO)

Presentation of Abdul Latif Jameel Hospital Infection Prevention & Control Program

Volume 4, Issue No. 1 Page 3

ALJH Family with the ACHSI Surveyors

Mr. David Miller announces results

Surveyors pose with ALJH staff

Conference Room 2 with Dr. Herman Lau & Team of presenters.

Close up on the left front:

Dr. Youssef Abdelrahman

(CEO) and Dr. Herman Lau

(ACHSI Surveyor).

On the right

photo is ACHSI Surveyor for

Infection Control

Mr. David Miller poses with In-

fection Control Practitioner Ms. Lucita B. Cando.

Congratulations to all ALJH Staff Members for achieving the goal in the recent accredi-tation with ACHSI. You worked hard and proved to yourself and everyone what you are capable of. Best wishes for continued success.

Page 4 Volume 4, Issue No. 1

Infection Control Education Announcement

January 16, 2013—Infection Prevention &

Control Induction

February 27, 2013—Employee Health

April 10, 2013—Standard & Transmission-

Based Precautions

May 1, 2013—International Hand Hygiene

Day Presentation

WHERE? ALJH Auditorium

TIME? 1200H

Photo courtesy of gardenrain.wordpress.com

VZV is known by many names, including: chickenpox virus, varicella

virus, zoster virus, human herpes virus type 3 (HHV-3).

Primary VZV infection results in chickenpox (varicella), which may

rarely result in complications including encephalitis or pneumonia (either

direct viral pneumonia or secondary bacterial pneumonia). Even when

clinical symptoms of chickenpox have resolved, VZV remains dormant in

the nervous system of the infected person (virus latency), in the trigemi-

nal and dorsal root ganglia. In about 10–20% of cases VSV reactivates

later in life producing a disease known as shingles or herpes zoster.

VZV is more likely to reactivate in pa-

tients with severely compromised im-

mune systems, such as AIDS patients.

Serious complications of shingles in-

clude postherpetic neuralgia, zoster mul-

tiplex, myelitis, herpes ophthalmicus, or

zoster sine herpete.Ramsay Hunt syn-

drome; VZV rarely affects the geniculate

ganglion giving lesions that follow spe-

cific branches of the facial nerve. Symp-

toms may include painful blisters on the

tongue and ear along with one sided fa-

cial weakness and hearing loss.

Source:

Steiner I; Kennedy PG; Pachner AR (2007). "The neurotropic

herpes viruses: herpes simplex and varicella-zoster". Lancet

Neurol 6 (11): 1015–28. doi:10.1016/S1474-4422(07)70267-3.

PMID 17945155.

Photo courtesy of pharmainfo.med

Let’s Talk About Microbes

VARICELLA ZOSTER VIRUS

(VSV)

Photo courtesy of phoenixrising.me

Page 5 Volume 4, Issue No. 1

GAME INSTRUCTIONS: Print out this page, complete the cross word puzzle game referring from the hints listed above & send to IC Office. The first five ALJH staff members who got all the answers correct will receive a simple gift from Infection Prevention and Control Department. Fore more information contact ICP in extension no. 1511.

Name: _ _ _ _ _ _ _ _ _ _

Signature _ _ _ _ _ _ _ _ _

Department: _ _ _ _ _ _ _ _

1 2

3

4

5 6

7

8

9

10

11

12

13

14

15

16

17

18

19 20

21

22

23 24

25

26

27

Infection Control Fun

Page

ACROSS: 1. Refers to the presence of microorgan-

isms in or on a host with growth and multiplication, but without tissue inva-sion or damage

6. A fungus that grows in the form of multicellular filaments called hyphae.

8. Color of hamper bag where infectious linen are placed

9. Any place where an infectious agent lives

10. Color of hamper bag where regular linens are placed

12. Color of the door signage we used for droplet precautions

13. The acronym is a type of blood test used to determine the amount of glu-cose in the blood

14. Color of the plastic bag used for regular or non-infectious waste

16. _________ precautions is a level of precautions relates to all aspects of care

18. Most effective way of preventing Healthcare-Associated Infection (2 words)

20. Mosquito-borne infectious disease of humans and other animals caused by parasitic protozoans

22. It is transmitted through the air by coughs or sneezes, creating aerosols containing the virus

25. The acronym is an infection that af-fects part of the urinary tract

26. It is an inflammatory condition of the lung-affecting primarily the micro-scopic air sacs known as alveoli.

27. It is the process by which an individ-ual's immune system becomes fortified against an agent.

DOWN: 1. The acronym is a national accreditation body that is established to formulate and implement quality

standards in all health sectors across the country. 2. It means that germs are in or on the body and make you sick, which results in signs and symptoms

such as fever, pus from a wound, a high white blood cell count, or pneumonia. 3. Any microorganism that is capable of producing an infection, (2 words) 4. It is a type of virus that can cause illnesses ranging in severity from the common cold to Severe Acute

Respiratory Syndrome (SARS), (2 words) 5. a muscle-paralyzing disease caused by a toxin made by a bacterium called Clostridium botulinum. 6. The acronym is a type of Staph that is resistant to some of the antibiotics that are often used to treat

Staph infections. 7. Method of transmission of infection generated from the respiratory tract of the source patient during

coughing or sneezing 11. The color of the plastic bag where infectious or regulated wastes are disposed. 15. Any bacterium that has a spherical shape (plural form) 17. The name of the Chinese Surveyor of ACHSI, (3 words) 19. It is the molecular unit of heredity of a living organism 21. The first name of one of the surveyors of ACHSI. 23. A type of bacteria that lives in your intestines and in the intestines of animals, (short term) 24. The acronym is a type of urinary tract infection that is associated with urinary catheter

CROSSWORDS to keep your brain young!

Page 6 Volume 4, Issue No. 1

Infection Prevention & Control Indicators 2013

Reason for selecting the indica-tor: To monitor trends in HAI rates as a tool in evaluating effectiveness of infection control and preven-tion measures. Type of Indicator: Outcome/Process /CBAHI & ACHSI Related. Dimensions of Performance: Safety/Appropriateness/Effectiveness

Benchmarked with National Healthcare Safety Network (NHSN) Report, Data Summary for 2011, Device-Associated Module, Posted online on April 1, 2013. ALJH Rate com-pared to NHSN Adult Freestanding Rehabili-tation Unit with pooled mean of 3.0 per 1000 / catheter days, (50th percentile 1.4; 75th percentile of 3.9).

Page 7 Volume 4, Issue No. 1

Infection Prevention & Control Indicators

Reason for selecting the indicator:

1.Hand hygiene indicator

serves to examine the trends in the standard of care in ALJ Hospital beyond fulfilling regulatory requirements.

2.The hand hygiene audit was

undertaken as a quality improvement initiative in all ALJH Staff Groups.

3.Hand hygiene is a proven,

low-cost intervention to prevent the spread of Healthcare-Associated Infections (HAIs).

Type of Indicator: Process /CBAHI & ACHSI- Related Dimensions of Performance: Appropriateness/Effectiveness

End_Page 8 Volume 4, Issue No. 1

Infection Prevention & Control Indicators 2013

Sharps injuries are a well-known risk in the healthcare setting. Sharps contaminated with an infected pa-tient's blood can transmit many in-fections and diseases. Because of this transmission risk, sharps inju-ries can cause worry and stress to the healthcare workers (HCWs) who receive them and therefore im-provement programs should be done to increase awareness of HCWs in preventing needlesticks and sharps injuries in ALJH.

What is the risk? The main risk from a sharps injury is the potential exposure to infections such as blood-borne viruses (BBV). This can occur where the injury involves a sharp that is contaminated with blood or a bodily fluid from a patient. The blood-borne viruses of most concern are:

Hepatitis B (HBV)

Hepatitis C (HCV)

Human immunode-ficiency virus (HIV).