TITLE: The effects of hand hygiene compliance on the increase nosocomial infection rate BRIEF DESCRIPTION: Hand hygiene is stressed heavily as a standard care of practice at the very beginning of nursing school. As we are experiencing clinical for the first time we are highly aware of hand hygiene practices among our colleagues, both good and bad practices. Even though health care workers know that hand hygiene is important I’ve seen a lack of compliance in various clinical settings. I’m curious to know if low compliance affects nosocomial infection rates. Therefore I wish to discuss this in my study.
Abstract Exfoliative cheilitis is a rare disorder of unknown etiology causing inflammation of lips. Constant cyclical desquamation along with scaling and crusting of the lips are the salient features. These cases are usually refractory to treatment, as experienced and reported in the previous literature. We hereby report two cases of exfoliative cheiltis successfully treated with topical tacrolimus and oral olanzapine. One of our two cases was refractory to almost all forms of treatments.
TITLE: PERIPHERAL INTRAVENOUS CATHETER SITE INFECTION PRESENTING AS ENDOCARDITIS- A PREVENTABLE COMPLICATION Abstract: Nosocomial infections pose a global safety concern for hospitalized individuals as well as health care providers. About 10 to 30% of patients acquire nosocomial infection according to Hospital Infection Society, India. Common hospital-acquired infections are respiratory, urinary tract, surgical wound infections and infections associated with intravascular catheters. We discuss here a case of a 35-year-old woman who had an intravenous cannula inserted at her right wrist at the time of her laparoscopic cholecystectomy. She developed fever along with redness and tenderness at the catheter insertion site on 4th postoperative day.
A STUDY TO ASSESS AND COMPARE THE EFFECTIVENESS OF MOIST HEAT VERSUS ICE PACKS APPLICATION IN REDUCING THE SIGNS AND SYMPTOMS OF INTRAVENOUS CANNULATION INDUCED THROMBOPHLEBITIS AMONG PATIENTS ADMITTED IN CIVIL HOSPITAL OF DAUSA DISTRICT, RAJASTHAN”. Vijay Kumar Gauttam*PhD Scholar of MJRP University, Jaipur, Dr. Jogindra vati** Professor (PhD Guide) ABSTRACT Peripheral Intravenous (I.V.) cannulation is an invasive procedure which predisposes the patient to an increased risk of local and systemic infection from micro-organisms introduced either at the time of insertion or when in situ. Peripheral I.V. cannulae related infections are associated with increased morbidity, prolonged hospitalization and increased costs.
For example, infusion therapy requires nurses to make sure the patient’s extremities out from swaddling for easy access the cannula site hourly, record the volume prescribes and the volume infused hourly, observe hourly for any leakage, redness, swelling, or warmth and to report if any abnormalities. -According to Beall, Hall, T.Mulholland and Gephart (2013), the recommendation for practice to avoid vascular injury includes: Use of small bored catheter to avoid restriction blood flow. Prevent repetitive use of same vein. Use the transparent dressing to allow direct visualization. Place the secure ape loosely over bony prominence to prevent restriction blood circulation to extremities.
Continuous epidural infusion provide consistant analgesia and haemodynamic stability besides reduced risk maternal hypotension, improved patient satisfaction and reduced workload for the anesthesiologist.3, 17, 18 From previous study, an advancement has been done towards continuous epidural infusion to avoid possibility of accidental epidural infusion of oxytocics or intravenous infusion of bupivacaine.18 The use of standard intravenous infusion sets with Ivac controllers is no longer been used.18 Instead, they used the Vickers Treonic IP3 infusion pump which is more