Infection Prevention at Clinical settings in Pakistan By Dr.Abdul.Ghafoor Shoro Director College of family Medicine Pakistan

1. Dr. Abdul.Ghafoor Shoro
College of Family Medicine
Pakistan

2. The College of Family Medicine Pakistan is the first National Organization of Family
Physicians (FP)/General Practitioners (GP).
Also, it is the only Organization of family Doctors which has its chapters in three
provinces, and a chapter in Baluchistan is in the offing.
On 1st January 1974 College of Family Medicine Pakistan become aOn 1st January 1974 College of Family Medicine Pakistan become a
Foundation Direct Member of the World Organization of National CollegesFoundation Direct Member of the World Organization of National Colleges
Academies and Academic Associations of General Practitioners / FamilyAcademies and Academic Associations of General Practitioners / Family
Physician i.e. (Physician i.e. (WONCAWONCA).).

3. History College of family medicine Pakistan.
In 1969, The Executive committee of the PMA Karachi branch
appointed a steering committee with directive to establish a
college for General Practitioners.
On the auspicious date of 15th February 1972 the college was
officially formed by a small band of selfless family physicians of
Karachi.
It was in the same year that this college was admitted as proud
member of WONCA (World Organization of National Colleges /
Academics of General Practitioners Family Physicians) during 5th
world conference of general practitioners at Melbourne Australia.
Now the college has its own constitution and is registered under
the Society Act 1860.

4. Aims and objects of College.
College of Family Medicine Pakistan was established mainly for the purpose of
capacity building of GPs / Family Physicians .
To achieve these Aims and Objects the College planned:-
a)To organize Continuous Medical Education (CME) program's for GPs &
family physicians.
b)To promote Family Medicine in Pakistan through new chapters of the
College.
c)To establish family medicine education at undergraduate and its
specialization at postgraduate level.
d) To organize Health Education/ awareness programs for Community.

5. Infection prevention

6. Our last program at Marriot Hotel with collaboration of
Arjmund And Associates
training on Infection control Protocols
o Environmental cleaning
o Hand Hygiene including Hand rub
o 0.5% chlorine preparation
o Disinfection of instrument
Critical items/instruments
Semi critical items/instruments
Non critical items/instruments
o Making Cost Effective sharp container
o i/v canulation
o Folyes Catheterization
o Scrubbing
o Spill management

7. Infection Prevention in Clinics
o Studies show infections are minimized when
hospitals/clinics:
– Are visibly clean;
– Follow infection prevention protocols
– Use increased levels of cleaning during
outbreaks;
– Use hypochlorite and detergents during
outbreaks.

8. Infection Prevention Protocols for
Family physicians/General practitioners
o Cost Effective Care
o Less # of revisits of patients
o Indeed increased turn out of patients
o Safety of patients and care providers
o Trust building among patients and care
providers
o Community more responsive to care providers

9. Our recent Activities

10. Memon Hospital Tando Muhammad
Khan

11. MH TMK

12. CME AT MH TMK

14. JPMC Karachi

15. NICH Karachi

16. Hotel Sheraton Karachi

17. Impacts of adhering Infections
prevention protocols
Decrease patients’ and care providers suffering.
o Minimize chances to permanent disability.
o Lead to prolonged and healthy life.
o Decrease hospital stay.
o Decrease need for a higher level of care.
o Decrease the costs to patients and hospitals.
o Ensures Provision of Quality of Care

18. Infection Control Program Goals
 Provide a safe working environment
 Reduce health care-associated infections
 Reduce occupational exposures

19. Strategies and tools to evaluate the infection control
program.
•Periodic observational assessments.
•Checklists to document procedures.
•Routine review of occupational exposures to blood borne
pathogens.
•Constructive review and feedback to staff.
“Program evaluation provides an opportunity to identify
and change inappropriate practices, thereby improving
the effectiveness of your infection control program.”

20. Way forward
o Accept responsibility for minimizing opportunities
for infection transmission.
o Know the major guidelines in each of the clinical
environments you are assigned.
o Let staff know if supplies for infection prevention
are inadequate or depleted.
o Educate patients and families/visitors/Care
providers about infection prevention.
o Care providers/ patients/ partnership on
precautions have same standard of care
o Partnership for Capacity building training and
follow up of GPs & family physicians in protocols