phic sing matters in infection control

The SHIP Makes a Turn for VAE’s

Jodor A. Lim MD

PHICS

Objectives• To review the SHIP data on Ventilator Associated

Pneumonia (VAP)

• To present the rationale for the change in VAP definitions

• To present the revised VAE Protocol of the NHSN

• To define Ventilator Associated Conditions (VAC), Infection-Related Ventilator-Associated Complications (IVAC) and Possible Ventilator Associated Pneumonia (PVAP)

S - Surveillance of

H - Hospital acquired

I - Infections in the

P - Philippines

S.H.I.P.

2014 Report

Infection Rates

Rates by device-days

*Catheter–associated UTI rate = # of UTI in pts with FC x 1000

# of FC days

*Central-line Assoc BSI rate = # of BSI in pt with cath x 1000

# of central line days

*Ventilator Assoc Pneu rate= # of PNEU in pt on Vent x 1000

# of ventilator days

SHIP

VAP/ 1000 Vent Days

2010 - 2013

0

2

4

6

8

10

12

14

16

VAP 2010 2011 2012 2013 SHIP NHSN INNIC

VAP 2010 2011 2012 2013 SHIP NHSN INNIC11.4 11.6 10.72 11.06 11.2 2.2 14.7

SHIP

VAP/ 1000 Vent Days

Comparative Data

0

5

10

15

20

25

A B C GOV D E F G H I PVT 20132010-2013

NHSN

INNIC

VAP 14.3 21.6 19.7 18 4.2 2.2 13.1 10.5 13.6 17.7 8.4 11.1 11.2 2.2 14.7

Summary

• Vent utilization – 0.48 (0.39 -.70 )

• Vent utilization – 50th percentile

• VAP rates alarming 11.06 per 1000 ventilator days (4.17-21.62)

• Lower than 3rd world countries but beyond the 90th percentile of the US data

SHIP

VAP/ 1000 Vent Days

Comparative Data

0

5

10

15

20

25

A B C GOV D E F G H I PVT 20132010-2013

NHSN

INNIC

VAP 14.3 21.6 19.7 18 4.2 2.2 13.1 10.5 13.6 17.7 8.4 11.1 11.2 2.2 14.7

0

5

10

15

20

25

Jan

Feb

Mar

Ap

r

May Jun

Jul

Au

g

Sep

Oct

No

v

Dec

20

14

AHMC 2014VAP/1000 vent days

2.64 VAP/ 1000 Vent Days

Will you join the SHIP in making a turn?

• Is your hospital at least a 100 bed institution with ICU’s?

• Are you a PHICS or PHICNA member?• Do you want your hospital to join the surveillance

program?• Can you convince your Hospital Director to allow

your hospital to share your surveillance data?• Will you want to join the workshop on VAE’s?• If the answer to all the questions above is YES,

submit your letter of intent to PHICS