Linda McKinley, BSN, MPH, CIC
  Infection Control Practitioner
Wm. S. Middleton Memorial VA Hospital
Medical Camp
Home visits
Kibera slum
Infection Control Nurses Chapter
          Nairobi, Kenya
Infection Control
 Going Global?
International Committee Responsibilities
  The International Committee is responsible for
  promoting international infection control and
  infectious disease epidemiological awareness
  among APIC MN members. Members of the
  committee keep appraised of world health issues
  and practices as they relate to infection
  control. The committee and APIC MN members
  collaborate with other countries to support
  humanitarian efforts of its members and other
  world Infection Control organizations seeking
  assistance with infection control knowledge and
  Collaborative Basic Infection Control in
           Budapest, Hungary .
                             (AJIC 2004; 32: E127-E128)
ISSUE: The APIC Minnesota chapter (APIC-MN) and Hungarian Association of Practitioners in
   Infection Control (HAPIC) have had a sister chapter relationship for 5 years. During exchange
   programs, a need was expressed by members of HAPIC for assistance in developing and
   offering a model infection control educational program.
PROJECT: Members of APIC-MN International Committee developed educational materials
   including PowerPoint programs on basic aspects of infection control, including epidemiology,
   microbiology, surveillance, and the four major nosocomial issues: surgical sites, respiratory,
   vascular, and urinary tract infections. These modules were sent to our colleagues in Hungary
   for assessment of applicability to Hungarian practice. Preceding the October 2003 course in
   Budapest, the Hungarian and U.S. faculty reviewed materials and educational methods to be
   used. Following the course, faculty reviewed student evaluations, performed an assessment of
   teaching techniques and materials, and began preliminary plans for the next expanded course.
   Using materials from APIC-MN, the course was taught by five Hungarian ICPs and an APIC-
   MN ICP with a translator. The six registrants, from several facilities with varying levels of
   expertise in infection control, were encouraged to ask questions and to participate in group
RESULTS: Six ICPs from Hungary may implement and practice contemporary infection control
   methods in their facilities. The Hungarian members of the faculty developed further expertise
   in education and were encouraged to continue offering courses.
LESSONS LEARNED: Building relationships are critical to the success of collaborative
   ventures. Reviewing and using adult learning theories increases instructor and student
   learning. This project emphasized our common values to improve patient safety and meet the
   same standards of infection control.
           Building Bridges to
    International Infection Prevention
              (APIC News 2007; 26:41)
   APIC International Steering
    Committee is partnering with
    international colleagues (WHO, JC
    International, and IFIC).
   Expanding international attendees at
    APIC annual conferences.
   In 2007 APIC launched its first
    annual Infection Colleague Exchange
    Program (ICEP)
     APIC International Colleague
      Exchange Program 2008
What is the International Colleague Exchange Program? In 2007, APIC
  launched its very first International Colleague Exchange Program. The
  program gives Infection Control Professionals from around the world the
  chance to connect with one another, to observe their profession in a
  foreign context, and to rethink their approach to infection prevention
  based on their experiences abroad.
What is the purpose of the program? The purpose of the exchange is to
  learn about how infection prevention and control is practiced in another
  country in light of the social, economic, political, and cultural
  circumstances particular to that region. The goal is to foster relationships
  between ICPs and encourage them to share ideas, experiences, and
  resources that will challenge them professionally and ultimately improve
  the effectiveness of infection prevention efforts globally.
What happens? During the program, an APIC member and an international
  infection prevention and control colleague will travel to one another’s
  countries and hospitals for approximately ten days to observe the infection
  prevention and control programs that are in place there. Colleagues will
  stay in one another’s homes during their visit. APIC will then send them to
  the APIC 2008 Annual Conference in Denver, Colorado where they will give
  a brief presentation on their experiences. All travel expenses including
  airfare, meals, and Denver hotel accommodations will be paid for by APIC
   SHEA External Affairs Committee- This
    committee is tasked with organizing SHEA
    courses held by allied societies in the US
    and abroad. Paul A. Tambyah, MD, Chair
   SHEA International Councilor- Paul
    Ananth Tambyah, MBBS
    National University of Singapore
   2008 SHEA Conference “Making a
    Difference in Infection Control: Scaling Up
    From Local to Global” Dr. Didier Pittet
    University of Geneva Hospitals
Clean Care is Safer Care
               Blood Safety
                “Clean Products”
               Injection and
                Immunization Safety
                “Clean Equipment”
               Safe Clinical
                “Clean Practices”
               Safe Water and
                “Clean Environment”
               Hand Hygiene
                “Clean Hands”
Our Vision
Every nation has a functioning infection
 control organization

Our Mission
To provide the essential tools,
 education materials and
 communication that unite the existing
 Infection Control societies and foster
 development of Infection Control
 organizations where they are needed.
Barriers to Implementation of Infection Control
   Guidelines in Resource Limited Settings
                   (AJIC 2007;35:494-500)
   Poor physical environment (sinks)
   Unreliable and inappropriate supply of equipment
    and supplies
   Limited microbiologic diagnostic facilities
   Lack of healthcare worker knowledge
   Budgetary constraints
   Poor sterilization capabilities
   None or limited infection control programs
   Lack of institutional support
   Local customs and culture
   Other health priorities (nutrition, infant mortality,
   Local studies and local expertise underutilized
Strategies to Adapt Available Infection Control
     Guidelines to Resource Limited Settings
                   (AJIC 2007;35:494-500)
   Assess existing situation (interviews, site visits
    and observation)
   Adopt flexible approach to implement or
    reinvigorate infection control programs
   Institute a broadly representative infection
    control committee with strong leadership support
   Appoint and train dedicated HCWs to become
   Establish surveillance mechanisms where
    indicated, focusing on high-risk areas
   In collaboration with local HCWs, review and
    modify available guidance (e.g., CDC) to suit
    local conditions, practice and resources, using
    low-tech, low-cost approach.
   WHO and CDC                      "Infection Control for Viral Hemorrhagic

                  Fevers In the African Health Care Setting"

Supplies- If a recommended item is not available, or if the quantity is limited, make a substitute
    item from available materials. For example, the manual recommends using plastic sheeting to
    cover mattresses. If plastic sheeting is not available, use plastic cloth normally used to cover
    kitchen tables. This is usually available in the local market.
Disinfection- Ordinary household bleach, soap and water are useful disinfectants against viruses
    causing VHF. They are low in cost and commonly available.
   If the supply of gloves is limited, wear one pair of gloves. Disinfect them after each contact
    with the VHF patient. If gloves are not available, use plastic bags to cover the hands. If
    nothing is available to serve as a glove or hand covering, make sure health facility staff wash
    their hands with soap and water immediately
   If surgical masks are not available, use cotton masks made from four or five layers of cotton
    cloth sewn together
   When the supply of disposable gowns is limited, wear a cotton surgical gown that can be
    washed and reused. If the supply of cotton surgical gowns is limited, make additional gowns
    from local cotton fabric.
   Wear a plastic apron over the outer gown. When a supply of commercial plastic aprons is not
    available, make aprons from plastic sheeting, rubber, or plastic cloth normally used to cover
    kitchen tables.
   If boots are not available, wear two layers of plastic bags.
                 Badger APIC
                Nairobi APIC

         (“hello” or “greetings” in Swahili)

Please help Badger APIC support our
 sister chapter in Nairobi, Kenya by
 donating Infection Control-related
        educational materials.
              Asante Sana
             (“thank you very much”)

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