HAI - Healthcare Associated Infections

Key Documents

Infection Prevention and Control Practice Handbook

The interim Infection Prevention and Control Practice Handbook has been released ahead of the NSW Infection Control Policy, this interim Handbook is based on current evidence and international policy. Once the new NSW Infection Control Policy is ratified the Handbook will be updated and released in its final format. As this is an interim Handbook we do not recommend printing it for document control. If you come across any hyperlinks that are not working please contact CEC-HAI@health.nsw.gov.au

HAI Clinical Indicator Manual

Surveillance is an essential component and the only rational basis of any disease control program. Control of communicable disease depends on first defining its epidemiology including incidence, risk factors, distribution, and disease burden. The effectiveness of control programs can only be determined by monitoring changes, from baseline, in rates of one or more well-defined, objective indicators that can be measured consistently across the target population and over time.

Healthcare associated infections (HAIs) are varied, complex and difficult to measure. Many are caused by multi-resistant organisms (MROs) and difficult to treat. They cause significant excess morbidity, mortality and costs and a significant proportion is preventable. Reductions in HAI rates can be achieved by the effective implementation of “bundles” of apparently simple preventive measures.

The HAI Clinical Indicator Manual outlines standardised case definitions, denominators and reporting requirements to ensure consistency across all areas and facilities. Definitions are consistent with those recommended by national and international authorities.