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Use of Modern Technology
in Infection Control

Assistant Professor: Iyad M.Abou Rabii

DDS. OMS. MSc. PhD
• Doctor of Dental Surgery (Hama-Syria 1991)
• MSD in Oral and Mxillo-Facial Surgery (Damascus- Syria 1995)
• MSc Models and instruments of Research (Grenoble, France
1999)
• Postgraduate Diploma in General Pharmacology (Grenoble,
France 1998)
• Postgraduate Diploma in Pharmaceutical Engineering
(Clermont-Fd, France 2002)
• PhD in Dental Pharmacology (Clermont-Fd, France 2004)
• Postgraduate Diploma of Dental Implantology (Liege, Belgium
2005)
• Actually Assistant Professor in Dental Pharmacology and Head
of Dental Informatics and E-learning Unit (Qassim University,
College of dentistry)
Please mute
Your cell!
Chain of Infection

• Infection-control procedures help reduce the

spread of pathogenic microorganisms by breaking
the chain of infection during vital periods in the
fabrication, repair, & delivery of prostheses.
 Agenda

1. Information Technology utilization

2. Education and Training evolution
3. Tools and Softwars
4. Construction
 Information
1st Technology in
Infection Control
 Surveillance/Data Management

●
Detect
●
Collect

Detecting
 Information Technology

Lanzafame et al has described a revolutionary system (ESCMID Conference 2009),

That converts
passive active
laborat "virtu
ory al"
surveill proce
ance ss
Information Technology

A software is developed and once integrated with the

databases of the laboratories, can carry out a systematic and
real-time research of the possible epidemic events, of the
warning/alert events which can thus precociously activate the
necessary precautions to limit infectious events.
At the same time, it can periodically control antibiotic-
resistance and infection prevalence.
Information Technology

This software is made up of three components:

1. Import, which imports data in real time through a
connection to the data-base of the laboratory;
2. Elaboration, which filters the alarms on the basis of the
established rules;
3. Report, which produces the report according to the
queries defined by the user
These data are sent to the ward in electronic format using the
visualisation system of the laboratory reports and, at the
same time, a notification file is produced for the infection
control unit.
Information Technology

In the second phase of the process, the wards give the

notification with the clinical information back to the
laboratory and it is filed in a normalised and standardised
data structure for a real-time monitoring which also
constitutes a historical database for longer periods.
The described system has proved able to increase the
monitoring, control, treatment and prevention power against
hospital infections
Infection Control using Genetic Technology

• MITSUDA TOSHIHIRO 2006 described Infection control using

genetic technology.
• He describes genetic screening methods in the infectious
disease region, and trends of the world in countermeasures
against multiple drug resistant microbes
Data Mining Technology
• Improving Infection Control Surveillance Using Data Mining
Technology.
• The use of Data Mining Surveillance Service (DMSS, patent-
pending, MedMined, Inc) as an aid to infection control (IC)
surveillance in the Birmingham VAMC was investigated.
• Results from the retrospective study are very encouraging and
suggest that DMSS analysis may add significant value to
infection control within the VA.
Statistical Calculator for Epidemiology

• EpiTool v. 1.03
A Handheld Statistical Calculator for
Epidemiology
• It is a tool for performing basic statistical
analysis of exposure and outcomes on Palm
and PalmOS-based (e.g. Handspring) handheld
computers.
 Education and
2nd Training
Education and Training
• Staff should be familiar with the elements of
their organization’s infection prevention and
control program.
• This requires institutional level orientation in
addition to departmental, work-area, and job
specific educational interventions.
Education and Training

Using computer technology to deliver an infection control

update on hand hygiene
• Media coverage of life-threatening hospital infections
highlights the importance of ongoing infection control
education for healthcare workers.
• Using computer technology to deliver infection control
updates to healthcare workers has the advantage of being
accessible throughout the 24-hour shift pattern.
• The update can therefore be undertaken at a time to suit the
healthcare worker and their workload.
Education and Training

• A.M. Columbine and H.J. Wharrad 2007 described the

development process required to produce a computer-aided
learning (CAL) package on hand hygiene, suitable for use as an
infection control update for hospital nurses.
• It was trialled by 12 nurses who found it an enjoyable and
acceptable method of updating.
De 'MEDICI Systems

• De 'MEDICI Systems, Palo Alto, Calif., is a new computer-

assisted learning system designed to help health care facilities
comply with new Occupational Safety and Health
Administration regulations and reduce incidences of AIDS and
hepatitis B.
• The mobile education workstation, "Preventing AIDS and
Hepatitis B in the Workplace," uses a computer to guide
health care workers through infection control procedures and
regulations.
De 'MEDICI Systems

• The unit provides 16 learning tracks geared for everyone from

laundry and cleaning personnel to phlebotomists and
therapists, according to Kenneth Coleman, president. The
system also records employee training sessions and can print
out training logs, he said.
De 'MEDICI Systems

• The program takes most employees about 22

minutes to run, reducing the need to hire
temporary replacements for staff attending
infection education seminars, he said.
Education on the Road

• Kimberly Clark Health Care — mobile education, part of a 30-

city mobile tour, visiting 39 hospitals in eight months via the
HAI Education Bus.
• The 45-foot-long bus houses a mobile classroom outfitted
with all of the modern accoutrements necessary to teach busy
HCWs on the go.
Education on the Road

• Kimberly-Clark is helping by delivering these courses directly

to the hospital’s front door through the HAI Education Bus
tour.
• On the bus, busy physicians and nurses can reinforce their
knowledge of HAIs through interactive education programs
that fit their schedules. Through individual computer
workstations, satellite Internet connectivity and online
educational courses.
Education on the Road
• The bus can also offer onsite access to expert speakers,
group presentations and round-table discussions that cover
a range of infection prevention topics, including:
– Infection management, wound care and post-operative healing
– Preventing airborne infectious diseases and bloodstream
infections
– Reducing the risk of oral infection or ventilator-associated
pneumonia
– The role of nursing in diagnosing and treating pneumonia and
infection
– Discussing HAIs with patients and what patients can do to reduce
HAIs
3rd Tools and Software
Clinics management system :
Patient History

The Notes written by

dentist appear in the
note area

Press on this Tab to All the procedures

move to the Treatment created by dentist will
History appear in this page also
the voided procedures
Antibiotic-resistance

• Antibiotic-resistant microorganisms are a

growing threat in healthcare settings.
• More than seventy percent (70%) of the
bacteria that cause healthcare-associated
infections are resistant to at least one of the
drugs most commonly used to treat them
Get Informed

• Handheld ebooks and pharmaceutical data

bases.(Lexi comp, medical wizard, skyscape)
• Online drug information resource for
medicines, dentists, and pharmacists. (online
lexi, Vidal, Martindhale)
Dental Lab
• Infection control (IC) is an essential part of
dentistry
• Potential for disease transmission in the dental
lab is well documented
• Potential pathogens can be transported to lab
via orally soiled impressions, dental
prostheses/appliances

USAF Dental Evaluation & Consultation

Service
 Dental Lab
• Communicate cleaning & disinfection procedures

PROVIDER

PROVIDER DENTAL LAB

USAF Dental Evaluation & Consultation

Service
Communication with Dental Lab
• Is essential between lab and dental office
– To ensure proper procedures are followed
• Clearly describe requirements for case submission
• Specifically delineate responsibilities
• Personnel must understand the proper steps to ensure
disinfection of materials entering lab
• Reason: to prevent duplication of disinfection protocol,
and to prevent potential lab contamination
Communication with Dental Lab

• Using Web based Patient records and notes It is a web-

native system that would require only a browser to use
and develop a synchronization process to ensure better
communication between dentists and/or with dental lab
professionals.
• patient notes were organized into individual files and the
system acted as a document repository that tracked
when files were uploaded and by whom.
Clinic Management System
Dental Lab

Chart Button
Pen to draw on
the Chart
Pen Width
Eraser to erase what
you draw on the Chart
Add Icon
Clear all drawing on
theWrite
Charta text
on the Chart
4th Constructions
Hospital Design
• Private hospital rooms
• Because infections significantly add to the cost of
medical care, reductions in infection rates significantly
reduce the operational costs of the hospital and the
overall costs of medical care, as well as making the
hospital a safer environment for the patient
• Recent hospital design and construction guidelines
incorporate this new evidence and require a private
room design for new construction and remodeling.
Ventilation

• It is interesting to know that 100%

fresh air can be achieved in a
specific room with all windows
opened
• Airborne Isolation Room would
require a negative pressure control
with airflow from clean to dirty area,
with 6-12 ACH (air change per hour)
and exhaust to outside or re-
circulated with HEPA (High Efficiency
Particulate Air) filter.
Air treatment

• Traditional mechanical high efficiency particulate arrestance

(HEPA) air filtration, with or without laminar airflow
ventilation, does reduce airborne fungal contamination and
the incidence of invasive aspergillosis in a hospital setting. But
the cost often precludes large-scale utilization.
Air treatment

• AirInSpace, which owns a patented core technology, HEPA-

MD™ —the next generation of its initial Plasmer™ platform —
that is designed to inactivate lethal airborne microorganisms.
• Dijon Hospital conducted a 13-month
pre-construction study to determine if
the AirInSpace Plasmair mobile unit
could indeed reduce the incidence of
indoor fungal contamination in high-
risk hospital rooms. Results of the
study, “The use of Plasmair air-
decontamination units for the
prevention of invasive pulmonary
aspergillosis in neutropenic patients,”
were published in the Journal of
Hospital Infection.2
Dangerous Devices

• Mobile computers can bring both information

and infection to the point of care.
• A recent market research study of the current state of
physician computer adoption in the United States found that
65 percent of physicians interviewed believe mobile
computing devices pose infection control risks at the point of
care due to poor physician hand-washing habits.
Handheld

• While physicians have said having a vast array

of patient information instantaneously at their
fingertips is beneficial, few will discuss the
possibilities of pathogens being transferred via
personal digital assistants (PDAs).
• Such devices can provide the perfect resting
ground for pathogens
References

• BROSSETTE SE, TAYLOR BD, WARREN B, AVENT KC, MOSER SA; Improving Infection
Control Surveillance Using Data Mining Technology. Interscience Conference on
Antimicrobial Agents and Chemotherapy (41st : 2001 : Chicago, Ill.).
• The use of Plasmair air-decontamination units for the prevention of invasive
pulmonary aspergillosis in neutropenic patients, J Hosp Infection. 2007:65;156-162.
• Poirot JL, etal. Evaluation of a new mobile system for protecting immune-suppressed
patients against airborne contamination. Am J Infect Control. Sept. 2007. 35:460-6
• Centers for Disease Control and Prevention. Guidelines for environmental infection
control in health-care facilities: Recommendations of CDC and the Healthcare Infection
Control Practices Advisory Committee (HICPAC). MMWR 2003; 52 (No. RR-10).
• Farr B. “Reasons for Noncompliance With Infection Control Guidelines.” Infection
Control andHospital Epidemiology. 21.6 (June 2000): 411-416.
• A.M. Columbine , H.J. Wharrad, Using computer technology to deliver an infection
control update on hand hygiene British Journal of Infection Control, Vol. 8, No. 3, 14-
19 (2007)
 Contact Details
Dr.Iyad Abou Rabii
Qassim University, College of Dentistry
3800050 Ext 2039

Iyad.abou.rabii@qudent.edu.sa
Thank you for
your attention!
Any Questions?