General Differences In Risk Of Bloodstream And Surgical Site Infections Essay

NRS-433V Week 5 - Evidence-Based Practice Presentation - Healthcare Associated Infections [12 Slides + Speaker Notes]

Blood culture (BC) contamination is a common, yet preventable problem for emergency departments (EDs) across the country (Self et al., 2014). Erlanger Hospital’s ED is no different and being the region’s only Level 1 Trauma Center, it is called to an excellent standard of practice. BC testing is a routinely applied intervention used to diagnose infections in symptomatic patients who arrive at the ED (Denno & Gannon, 2013). BCs are essential as they help identify accurate pathogens and provide targeted antibiotic therapy (Denno & Gannon, 2013). They are often viewed as the standard for diagnosing illnesses such as septicemia and other

Researchers will decide to select wound infections that occur after open heart surgery as a topic for their study, because it is significant for staff nurses to know the effect of wound infections that occurs with the adult patients. Researchers will obtain permission from the cardiac surgery center so that they could collect information from adult patients. They will also contact and meet with staff nurses in cardiac surgery center. Nurse educators will provide the form to all staff nurses working in the operating room. The form includes the title of the study, the purpose of the study, place of the work, duration of the study, potential benefits, potential risks, participant signature, and date. The reader can follow that consent

(Douglas Scott II, R. March 2009. The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. Date Retrieved: December 30, 2015, http://www.cdc.gov/HAI/pdfs/hai/Scott_CostPaper.pdf)

Conditions that are new or that were not interestingly distinguished in ICD-9-CM have been allowed code numbers in

The data was collected through data collection forms and measured in ratios. When determining the significance of the differences between the control group and study group, the t-test was used. In regards to the development of SSI’s, the variables: gender, age, and shave type, were analyzed through univariate and multivariate analysis to evaluate the risk of occurrence these variables had on surgical site infections. In addition, to promote the most accurate outcomes, physicians were monitored during dressing changes to control extraneous variables like post operational contamination of the incision, and incision sites were assessed at the beginning and end of the day. If signs of an infection were suspected, it was documented and diagnosed based on CDC criteria. (Dizer, Hatipoglu, Kaymakcioglu, Tufa, Yava, Iyigun, Senses, 2009).

As the population ages, home health care (HHC) is increasingly used to reduce inpatient hospital stays and rehabilitation or nursing home stays. This option decreases health care costs and provides additional care and comfort for the patient; however, the patient is at a greater risk for infection. Reducing patient infections and identifying risks for infection is a significant problem as the trend toward HHC rises (Shang et al., 2014).

The purpose of the research study conducted in “A Colorectal ‘Care Bundle’ to Reduce Surgical Site Infections in Colorectal Surgeries: A Single-Center Experience” was to identify whether the surgical bundles implemented were effective in reducing surgical site infections post-surgery. The case study’s objective was to determine an effective intervention, which was evidence-based, to implement into practice to reduce surgical site infections following surgery. According The Joint Commission, The Joint Commission National Patient Safety Goal seven is to reduce the risk of health care-associated infections (The Joint Commission, 2017), which correlates directly with the efforts of both the article and the case study in reducing surgical site infections. The purpose of the research study, the case study, and the Joint Commission National Patient Safety Goals (goal 7) is to reduce the amount of health-care infections (specifically surgical site infections). The patients of the case study had an average-mean age of 45. Age was not specified in the article. The patients of both the article and case study underwent gastrointestinal surgery. The setting of the case study was a medical surgical unit in a Philadelphia hospital, while the setting of the article was

In the 2015 study conducted by Popov, a 61 year old male was diagnosed after arterial surgery. The patient came in complaining of pain. This is common along with inflammation and a red, hot feeling in the area. The person may also experience a fever. In other cases, some people have been infected after surgery. It is more likely to occur in an individual that has a compromised immune system. In one instance of the infection, the person contracted on the forearm around the area of what was constant drug use. The source would have been a dirty needle. Another individual contracted the bacterium on the upper leg. This was suspected to be the site of an insulin injection for a woman with diabetes.

Surgical site infection (SSI) has been the most frequently occurring, healthcare-associated infection (HAI), causing 21.8% of reported infections in the United States (Magill et al. 2014). Despite the advances made in antimicrobial drugs, asepsis, sterilization and operative techniques, SSI continues to be a major problem in all branches of surgery in the hospitals (Saeed et al. 2015).

most common hospital-acquired infections. In a prevalence study in USA, they accounted for 22% of all

Complications from surgery can cause an increase in patient suffering, increase the number of days confined in the hospital, escalation in health care costs and in serious cases, even cause death. Surgical site infections (SSIs) as a complication in surgery remain a serious concern for healthcare providers, including physicians, nurses, hospital administrators and even insurers who are liable for health care costs incurred in the hospital. SSIs, which increases the risk of patient mortality, often requires prolonged treatment and results in economic burden, have dire implications for the facility, surgeons, and more importantly for the patient (Kapadia, Johnson, Daley, Issa, & Mont, 2013). Kapadia et al. (2013)

In 1992 the US National Nosocomial lnfection Surveillance (NNIS) system (Horan T C et al 1992)9 attempted to redefine post operative infection. This system has provided a greater discrimination for the patients at risk of developing wound infection. The NNIS system include-

Infections are the most common complication following surgical procedures and are associated with significant morbidity, mortality and increased cost in health care (Anderson, 2014). As a nurse working in a surgical capacity this is a concern for the patients. Working for a general surgeon, surgical site infections are not commonly seen in the office, however, it remains one of the top concerns for the well-being of patients. Many evidence based studies are aimed at nurses who provide care for patients in the pre, peri, and post- operative periods. Perioperative nurses prepare the skin for surgery to remove soil and microorganisms at the point of incision (Cowperthwaite & Holm, 2015). Surgical site infections are easy to reduce given the proper guidelines for prevention. This includes skin antisepsis, and surgical hand hygiene and technique.

Surgical site infections (SSIs) remain to be a major problem among surgical patients.(Brown et al., 2007)(Mawalla et al., 2011) (Laloto, Gemeda, & Abdella, 2017) (Akoko et al., 2012). High prevalence of ssi has been noted associated with remarkable drug resistance leading to few choice of drug for treatment among clinician(Mengesha et al., 2014).Significant amount of SSIs occur after discharge from the hospital and majority of these patients are detected through telephone interview and other through questionnaire survey(Eriksen, 2003)(Petrosillo et al., 2008)