213. An Infection Prevention Education Program Targeting Resident Physicians
Session: Poster Abstract Session: Criticare, HAIs: Pneumonia and Chlorhexidine
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • LVEACHidweekposter.pdf (466.5 kB)
  • Background: Residents often receive little formal training in infection prevention yet they are key members of the healthcare team. In 2007 UnityPoint Health-Des Moines initiated a formal resident education program in infection prevention.  Increased knowledge was demonstrated by pre and post testing and a decrease in healthcare associated infections was observed.

    Methods: UPHDM sponsors four physician residency programs: internal medicine, pediatrics, general surgery and family practice.  The course, Preventing Infections in Acute Care (PIAC), had full support from each program director and consisted of six, one hour didactic sessions and a central line placement simulation lab. The didactic sessions focused on device related, surgical site, multi-drug resistant organism, and healthcare associated viral infections and were presented to each program separately, targeting their specific patient population. The format was case-based and interactive, employing an audience response system.  The central line placement simulation lab was conducted by a surgical critical care physician emphasizing central line associated bloodstream infection (CLABSI) prevention. Pre and post testing was conducted online.

    Results: Posttests demonstrated increased resident knowledge. Additionally, the residents felt the course was useful. When comparing data from three year periods before and after institution of PIAC, a decreased rate of hospital associated BSI (0.84 to 0.55), C. difficile infections (0.79 to 0.39), and pneumonia (0.53 to 0.36) was demonstrated. The decrease was sustained in 2011. Data is reported as overall health system infection rates based on patient days. There were no significant changes in the severity of illness or patient mix over this period of time. Contribution of the PIAC program to improved infection rates is unknown. A system wide hand hygiene campaign was instituted in mid-2008 and other initiatives, including a longstanding VAP Prevention team, have been in place.

    Conclusion: The course is now an integral part of residency education at UPHDM.  Recent changes include online learning and further emphasis on a case based format. An emphasis on antimicrobial stewardship will be added this year.

     

    Lisa Veach, MD, FACP and Julie Gibbons, BSN, RN, Unitypoint Health-Des Moines, Des Moines, IA

    Disclosures:

    L. Veach, None

    J. Gibbons, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.