Krishnaveni Malisetti Consultant Microbiologist, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India
Anil Kumar Bilolikar Lab Director, Krishna Institute of Medical Sciences, Secunderabad, Telangana., India
Shiva Priya Eswaran Consultant Microbiologist and HOD, Krishna Institute of Medical Sciences, Secunderabad, Telangana., India
Rafath Fatima Consultant Microbiologist, Krishna Institute of Medical Sciences, Secunderabad, Telangana., India
Address for correspondence: Krishnaveni Malisetti, Consultant Microbiologist, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India E-mail: dr.mkrishnaveni28@gmail.com
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Krishnaveni Malisetti, Anil Kumar Bilolikar, Shiva Priya Eswaran et. al, Periodic review of Benchmarks
contributing to reduction of Healthcare Associated Infections: An observational study in a Tertiary Care Hospital.
Int J Practical Nurs. 2025; 13(3): 75-79.
Timeline
Received : December 04, 2025
Accepted : January 07, 2025
Published : December 30, 2025
Abstract
Purpose: The pattern of HAIs (Healthcare Associated Infections) [device associated infections such as Catheter Associated Urinary Tract Infection (CAUTI), Ventilator Associated Event (VAE), Central Line-Associated Bloodstream Infection (CLABSI) & Surgical Site Infection (SSI)] is analysed and their occurrences are compared to review benchmarks for HAIs in a tertiary care hospital for a period of 4 years. Methods: Passive surveillance data is collected by infection control nurses from the microbiology lab following reporting of culture specimens Active surveillance data is collected by the infection control nurses during their daily rounds in wards and ICUs. The data is compiled and analysed by the microbiologist and infection control officer. The data collection forms are prepared and updated as per Centers for Disease Control and Prevention (CDC) and National Healthcare Safety Network (NHSN) guidelines. Results: Over a four year period, the average of CAUTI rate is 0.31, VAE is 1.38, CLABSI is 1.29 & SSI is 1.1%. Following annual analysis of rates of healthcare associated infections, the benchmarks have been revised to 0.5 for CAUTI, 1.5 for VAE, 1 for CLABSI and 0.5% for SSI. Conclusions: Analysing institutional data periodically to establish in-house benchmarks enables scope for improvement in infection control practices, thereby, contributing to patient safety.
References
1. Ministry of Health and Family Welfare Government of India. National Guidelines for Infection Prevention and Control in Healthcare Facilities. National Centre for Disease Control, Directorate General of Health Services Ministry of Health and Family Welfare, Government of India, January 2020. Available from: https://cdn.who.int/media/docs/ default-source/searo/india/antimicrobialresistance/ipcguidelines-web-sep2020. pdf?sfvrsn=9e77fcb0_2.
2. National Healthcare Safety Network (NHSN) Patient Safety Component Manual. January 2024.
3. Centers for Disease Control and Prevention. National Healthcare Safety Network (NHSN). http://www.cdc.gov/nhsn/about.html 4. The International Nosocomial Infection Control Consortium (INICC) web site. http:// www.inicc.org/english/index.php 5. World Health Organization. Report on the Burden of Endemic Health Care-Associated Infection Worldwide. A systematic.
6. review of the literature; 2011. http://whqlibdoc. who.int/publications/2011/9789241501507 eng.pdf
7. Kay JF. Health care benchmarking. Medical Bulletin 2007;12.
8. Ettorchi-Tardy A, Levif M, Michel P. Benchmarking: a method for continuous quality improvement in health. Healthcare Policy 2012;7:e101—19.
9. Arias K. Surveillance. The association for professionals in infection control and epidemiology (APIC) text of infection control and epidemiology. 3rd ed. Washington, DC, USA: APIC; 2009.
10. Bilolikar AK, Banerjee J, Thomas KM. Device associated and surgical site infections, quality indicators in a tertiary care hospital: A 5 year study. J Med Sci Res. 2021; 9(3):132-146. DOI: http://dx.doi.org/10.17727/JMSR.2021/9-20.
11. WHO. Global report on infection prevention and control. Geneva: World Health Organization, 2022. 12. Rosenthal VD, Bat-Erdene I, Gupta D, et al. International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2012–2017: device-associated module. Am J Infect Control 2020; 48: 423–32.
13. Allegranzi B, Bagheri Nejad S, Combescure C, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet 2011; 377: 228–41.
14. Singhal T, Shah S, Thakkar P, Naik R. The incidence, aetiology and antimicrobial susceptibility of central line-associated bloodstream infections in intensive care unit patients at a private tertiary care hospital in Mumbai, India. Indian J Med Microbiol 2019; 37: 521–26.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Krishnaveni Malisetti, Anil Kumar Bilolikar, Shiva Priya Eswaran et. al, Periodic review of Benchmarks
contributing to reduction of Healthcare Associated Infections: An observational study in a Tertiary Care Hospital.
Int J Practical Nurs. 2025; 13(3): 75-79.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.