Hospital Acquired Infection Report

Decent Essays
Prevention of Central Line-Associated Blood-Stream Infections Using Chlorhexidine Gluconate
Jessica R. Strough
The George Washington University
Control and Prevention of Hospital Acquired Infections
Hospital acquired or nosocomial infections are defined as “infections acquired in hospitals or other healthcare facilities. To be classified with a nosocomial infection, the patient must have been admitted for reasons other than the infection. He or she must have shown no sign of active or incubating infection.” (Stubblefield, 2014) Due to the increased rate of preventable hospital acquired infections Medicaid has changed their policy on how to reimburse hospitals. In 2008, they “created a new rules denying hospital reimbursement for costs
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The team reinforced teaching on proper changing of central line dressing and management, observed nurses techniques as well as implemented the weekly change of the needle-free system caps. The dressing change technique uses “proper hand-washing, donning of masks, proper cleansing with ChloraPrep (chlorhexidine gluconate and isopropyl alcohol skin preparation), correct dressing (Biopatch) placement, and application of occlusive dressing (IV3000).” (Cooney-Newton, 2015) This resulted in CLABSI rates reducing by 50% for two years following the…show more content…
This seems to be a new practice that not only George Washington has implemented but has been the subject of multiple studies. In one study they monitored CLABSI rates after implementing mandatory patient handwashing with CHG wipes three times a day. All of the ICU patients were included within this study unless they had an allergy to CHG or had skin breakdown or open wounds on their hands. During this study there was only one case of CLABSI that occurred only two weeks prior to the end of the six month trial period. The ending result of was that the “mean monthly CLABSI rate decreased from 1.1 to 0.5 per 1000 central catheter days.” (Fox, 2015) An earlier study monitored ICU patients as well. However, instead of only using the CHG during handwashing they replaced soap and water basin baths with a 2% CHG lotion (not to include bathing the patients face and genitals). The study indicated that this reduced the amount of bacteria in the normal flora of the patient’s skin. The conclusion of the study was that “intervention of daily 2% CHG baths significantly reduced CLABSIs rates in the ICU. The monthly rates after initiation of the project dropped immediately to an average of 0 to 2.45.” (Dove, 2012) from a previous rate of 5.98 per 1000 central catheter
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