Healthcare-Associated Infection Analysis

Healthcare is an ever-growing, booming industry and as medical technology advances so should our standards of care. Once known as hospital acquired “nosocomial” infections, Healthcare Associated Infections (HAIs) are still afflicting the very patients we are to be treating. These patients could be our loved ones, friends, and family so to say that, “1 in 25 hospital patients have at least one HAI in a U.S. acute care hospital” (CDC, 2015), is still one too many.

Hospital-acquired infections (HAI) affect 1.7 million Americans each year with as many as 98,000 dying annually as a result of hospital-acquired conditions (HAC) (Kavanagh, 2007). In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented policy to include non-payment for HAC in order to improve quality patient care and contain costs. This non-payment disincentive refuses to pay for complications of care that are considered preventable. Two other paradigms of this policy used to promote quality include pay-for-performance initiatives and public disclosure of HAC.

Hospital-acquired infections (HAIs), specifically those involving multi-drug resistant organisms such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) are associated with increased morbidity and mortality, as well as higher cost of healthcare and longer length of hospital stays for patients. Each year, millions of people acquire infections while receiving care, treatment, and services in hospitals and other health care organizations.

Healthcare-associated infections (HAIs) are infections patients can acquire in a healthcare facility while being given medical care. The Centers for Disease Control and Prevention’s (CDC) website notes six major sites of infection that patients are at risk of acquiring while receiving care in acute care hospitals in the United States: pneumonia, gastrointestinal illness, urinary tract infections, primary bloodstream infections, surgical site infections from any inpatient surgery, and other types of infections. Their website recounts that as early as 1847 evidence is documented of persons acquiring infections while receiving care in a hospital. The website for the U.S. Department of Health and Human Service’s Agency for Healthcare Research

After the program, there is an increase in level of knowledge (79% to 91% to correctly identify hand washing guideline) about the hand washing issue and an increase in compliance rate (51% to 83%). The participants in the study have positive attitudes towards hand washing, before and after the program, suggesting that it is fine for a patient to remind his or her doctors to wash their hands. This study suggests an immediate rearrangement of the alcohol hand rub at each patient’s bedside, and a ongoing issue regarding caregivers’ skin irritation that has to be addressed quickly. Overall, the research shows that increasing hand washing compliance rate is a multifaceted problems that have to be addressed in multiple ways, from the position of the alcohol hand rub to the hand rub that do not irritate the healthcare workers’

More than one million of Healthcare associated infections happen across healthcare settings every year, or 1 in 20 people admitted to any healthcare setting (Healthy people 2020, 2013). HAIs are the most common complication seen in hospitalized patients. HAIs increase morbidity, mortality, healthcare costs, and length of stay even after adjustment for the main underlying illness. According to the Center for Diseases Control (CDC, April 2013) 5 to 10% of patients admitted to acute-care hospitals, or long-term care facilities approximately 2 million patients per year in the United States acquire a nosocomial infection. At least 90,000 deaths per year are a result of HAIs, making it the fifth leading cause of death in acute-care hospitals. These

Healthcare-associated infections are infections that affect the patients when they are in the hospitals or other healthcare setting, such as a care home or hospice, or due to health care interventions or procedures.

Hospital acquired infections are best described as: “Nosocomial infections are hospital acquired infections (HAI) also known as health care associated

Hospital acquired infections are one of the most common complications of care in the hospital setting. Hospital acquired infections are infections that patients acquired during the stay in the hospital. These infections can cause an increase number of days the patients stay in the hospital. Hospital acquired infections makes the patients worse or even causes death. “In the USA alone, hospital acquired infections cause about 1.7 million infections and 99,000 deaths per year”(secondary).

of this policy is to reduce the risk of infection transmission both to and from

HAIs are usually unrelated to the original illness that the patient presents with. Studies have shown that hospital infections increase financial cost of care, morbidity, and mortality rates. Many causes can contribute to patients acquiring infections during a hospital stay. An increase of large number of patients with several diseases into a hospital with a decreased immune system, medical procedures that bypass the body's natural protective barriers, staff can carry pathogens from patients to patients, failure to follow preventative measures to prevent the spread of infection by staff, and a routine use of antimicrobials that creates resistance are just some of the few reasons why HAI occur (Revelas,

(Tortora, Funke, & Case, 2013, p. 414) Most hospitalized patients will be immune compromised to some extent and the hospital, by nature, is a pathogen rich environment. Ongoing efforts to minimize pathogens in the environment by all hospital employees, patients and visitors are crucial. Infection control nurses and/or committees should work continuously to identify and eradicate possible infection sources. Equipment, especially respirators and humidifiers must be kept scrupulously clean lest they become reservoirs for microbial growth. (Tortora, Funke, & Case, 2013, p. 417) Strategically placed signs warning visitors to avoid entering the hospital if they are unwell, strict compliance with standard precautions, private rooms and special ventilation systems for contagious patients are all essential in the effort to minimize contamination. Occasionally, airborne and droplet precautions are necessary, but most pathogens responsible for common HAIs are spread by direct or indirect contact. Chain of transmission is therefore the parameter over which nurses have particular influence, as nurses have the most direct, hands-on contact with

According to the Centers for Disease Control (CDC), one out of twenty five patients have obtained a health care associated infection (HAI) during their visit at a healthcare facility. This is approximately 1.7 million HAIs per year, just including the United States. From these incidents, roughly 17% result in death (Allen, 2015). Healthcare associated infections have become a major patient safety issue around the world. Patients are obtaining infections under the care of healthcare professionals when they are seeking help for a non-related issue. HAIs are some of the most common

Infection control within a healthcare facility is the prevention of the spread of many microorganisms from patient to patient, patient to a member of staff and also from the staff member to the patient that are in there care. The World Health Organisation have defined healthcare associated infections as an infection occurring in a patient in a hospital or other healthcare facility in whom the infection was not present or incubating at the time of admission. Every healthcare facility from hospitals to general practitioners office should have a designated member of staff or a team of people who ensure that the infection control procedures are abided by and adhered to at all times in order to protect both staff and patients. More than 300,000 people each year are affected by a healthcare associated infection and the cost of treatment for these patients is over £3,000 and there is also the cost of treatment after discharge.

Recent studies show that at any time, over 1.4 million people worldwide suffer from hospital-acquired infections (Public Health Ontario). In Canada alone, approximately 250 000 patients every year contract infectious micro-organisms from their healthcare providers (Nagel 18). At London Health Sciences Centre (LHSC) we take pride in providing world class care in a safe, comfortable environment for patients. However, between 2008 and 2010 the LHSC still had between 20 and 30 per cent non-compliance to proper hand-washing protocol (Nagel 20). This data is very troubling considering it is following the launch of “Just Clean Your Hands” pilot project. As student nurses and volunteers of the LHSC team we are equally responsible to increase hand-washing compliance.