INTRODUCTION A hospital-acquired infection, also known as nosocomial infection, is an infection whose development is favored by a hospital environment, such as one acquired by a patient during a hospital visit or one developing among hospital staff, that becomes clinically evident after 48 hours of hospitalization. Nosocomial infections for the most part incorporate contagious, bacterial and viral infections and are exasperated by the lessened safety of individual patients. Some therapeutic procedures bypass the body's characteristic defensive hindrances. Since therapeutic staff moves from patient to patient, the staff themselves serves as methods for spreading pathogens. Late investigation by WHO found that human services partnered infections …show more content…
Pant Hospital, New Delhi, India; a tertiary care hospital. A cross sectional survey of 400 health care personnel was conducted from September to December 2009 regarding hospital infection control practices (hand hygiene, standard procedures, hospital environmental cleaning and needle stick injury). The mean knowledge regarding hand hygiene was 86.8% with insignificant difference among doctors and nurses. Doctors (71.3%) were more knowledgeable about standard procedure regarding the transmission of pathogens when compared to nurses (52%). Nurses used these maximal barrier precautions significantly less in comparison to …show more content…
Doctors and nurses were intervened for 1 year regarding the compliance and technique of hand hygiene before and after the program. Compliance of hand hygiene improved from 40% to 53% before and 39 to 59% after patient contact [9]. A cross sectional study was conducted using self administered questionnaires in January 2009 to assess the knowledge, attitudes and practices among 256 physicians of 2 tertiary care hospitals in Lima, Peru. Response was 82%. Theoretical knowledge was good when compared to poor awareness (<33%)[10]. 864 Staphylococcus Aureus samples were collected from patients of Jinnah Hospital, Lahore. A cross sectional study and non probability purposive sampling was done between June 2007 and November 2008. 27.7% of isolates were found to be MRSA and was much lower than findings in other hospitals of Punjab. Maximum isolates (57.69%) were from endotracheal secretions and CV Catheters mainly in ICUs
1. Are you aware of HAIs in your hospital? Yes or No 2. Which of the following of HAIs are commonly seen in your hospital Urinary tract infections Surgical wound infections Respiratory tract infections Bloodstream infection Others, specify 3.
Better (2007), by Atul Gawande begins with the story of Dr.Gawande as a surgeon in his final year in medical school. The first struck me because of the patient’s story. It was an elderly patient who nearly died from septic shock had it not been for a senior resident who checked on the patient twice each time making a life altering intervention to prevent the patient with pneumonia from going septic shock from resistant, fulminant pneumonia. Dr.Gawande discusses the importance of handwashing. In my own practice, this is something that I can incorporate in my own practice.
MEDSURG Nursing, 23(3), 187-188. Farber, J., Illiger, S., Gartner, F. B., Lutz, v. M., Lohmann, C. H., Bauer, K., . . . Geginat, G. (2017). Management of a cluster of Clostridium difficile infections among patients with osteoarticular infections. Antimicrobial Resistance and Infection Control, 6 doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1186/s13756-017-0181-4 Wang, J., Quan, K. A., Tjoa, T., Yim, J., Dickey, L., Chang, J., ... & Gohil, S. K. (2016, December).
The people that are most susceptible to get Staphylococcus epidermidis are newborns, the elderly, immunocompromised patients, and patient’s who are using a catheter. This is because newborns and the elderly do not have as strong of immune systems as children and middle-age adults
I wash my hands regularly, keep my patient’s rooms clean and organized and make sure that my patients have baths daily to prevent infections. F.
The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.
Marie T. Fluent, DDS. Infection Control in the Dental Office: Compliance Revisited. Available at: https://www.hu-friedy.com/products/mastercontrol/index/file/id/317 3. Wikipedia: Infection control.
It was a satisfying moment as a nursing student to not be afraid and know how to provide safe and preventative care to reduce the risks for falls, such as having my clinical instructor, a colleague and myself to help a client that has fragile bones and was confused because of their medical diagnosis. As well, we can provide proper prevention and infection control by applying correct hygiene care after assisting a client with an infection such as clostridium difficile. What did not go well after this experience is I found out that this client had clostridium difficile and at first, I was scared that now I am at risk and will acquire this infection. Instead, I looked at it as I am overcoming my fear of the different infections and diseases I will be exposed to as a nurse and that is why learning how to perform proper hygiene is very important. This bad thought turned into a learning curve and that nothing will make me not provide safe and effective care to any client.
A hospital stay is normally associated with only increasing a patient’s overall well-being. However, that is not always the case. While the health-care team is fully taking care of a patient’s needs, human dignity can sometimes be lost. Hospital acquired infections, such as catheter associated urinary tract infections, can also pose a threat to a patient’s well-being. Nurses must be trained to combat both of these problems simultaneously.
The study found volunteers from State Survey Agencies to inspect ASC’s of states that volunteered for the study as well2. Seven states participated and a random sample of ASC’s was chosen from each state2. A total of 68 ASC’s were inspected and were assessed on 5 areas of infection control: hand hygiene, injection safety and medical handling, equipment reprocessing, environmental cleaning and handling of blood glucose monitoring equipment2. The results showed 46 of the 68 ASC’s had at least 1 error in infection control, and 12 of the 68 ASC’s had errors in 3 or more of the 5 assessed areas2. The study concluded that errors in infection control were
Pseudomonas aeruginosa causes a wide variety of septic infections in man and other vertebrates (Hare and Wilits, 1962). Among species much less commonly encountered in wound infections are Pasteurella multicida in animal bites, Corynebacterium diphtheria and Bacillus anthracis in malignant pustules of skin. In chronic infection that are slow to heal and in pus showing no
Staff members may feel that they practice proper HH until they are made of aware of their exact practice, which may or may not be the proper technique. “Intervention should include reinforcement of hand hygiene messages, knowledge of health care workers' perceived importance of hand hygiene and its role in prevention of HCAI, monitoring and feedback of hand hygiene practices, practical education tools, role-modeling by senior staff, and supportive infrastructure and management” as stated by Pfoh, Dy, & Engineer (2013). Attitude would be another variable. Healthcare workers that are “seasoned” sometimes feel that they are doing things correctly and they do not need improvement or education. Nursing is a process of constant and continual learning and education.
The five moments of hand hygiene is important in the prevention of infection is to protect the patient against harmful germs from your hands and also to protect from yourself and health care environment from harmful germs. The Five moments of hand hygiene’s are: 1. Before touching a patient 2. Before a procedure 3. After a procedure or body fluid exposure risk 4.
When health professionals are looking to control and prevent an infectious disease, they consult the chain of infection to see where the cycle of infection can be broken. The cycle consists of the microorganism, the reservoir/source, the port of exit, the means of transport, the port of entry, and the susceptible host. Starting with classifying the infection as bacterial, fungal, parasitic, or viral in origin is useful because some bacterium can be killed with antibiotics, some parasites with pesticides, etc. Identifying where the infection stems from is used to create interventions such as water/air sanitation efforts, and properly disposing of and sterilizing medical equipment. Efforts, such as proper handwashing, wearing protective clothing,
In this regard, Hughes (2008) emphasizes that, “Epidemiologic studies continue to demonstrate the favorable cost-benefit ratio and positive effects of simple hand washing for preventing transmission of pathogens in health care facilities” (p. 938). Despite its proven efficacy, the research to date also indicates that clinicians only wash their hands according to recommended hand hygiene protocols about 40% of the time on average, with an alarming range of between 5% and 80% (Hughes,