Hospital Acquired Infection Report

Another research article about the use of 2% chlorhexidine for daily skin cleansing was established by Munoz-Price and implemented by the task force. Munoz-Price demonstrated that this intervention reduces the rate of CLABSI from 9.5 to 3.8 per 1000 catheter days. The task force also replaced the administration sets and add-on devices no more frequently than every 72 hours unless contamination occurred. Replacing tubing used to administer blood, blood products, or lipids within 24 hours of start of infusion was also monitored, along with changing IV port protectors no more often than 72

Central lines are a common device used world wide in acute care settings for eligible patient populations such as those receiving chemotherapy, patients with poor venous access, or for those that require prolonged treatment of intravenous medications. Although central lines provide many advantages, they place patients at high risk for acquiring central line associated blood stream infections (CLABSI). CLABSI's are a serious complication associated with central lines and in some cases can be life threatening. There are many evidence based approaches that are used in acute care settings to reduce the incidence of CLABSI's such as meticulous skin care, daily bathing with chlorehexadine surgical scrub, and strict sterile technique when changing central line dressings. These prevention measures are a standard of care nationwide for patients with central lines since they are cost effective and evidence based. Unfortunately, even with proper implementation and compliance with these interventions, CLABSI's are still prevalent amongst vulnerable patient populations.

One of the ways to combat the incidence of Central Line Associated Bloodstream Infection (CLABSI) is by following the proper steps in Central Line Dressing changes. The topic you picked is an important one, both for patients and our overall health care system as well. If nurses will learn, and follow the proper manner in the way Central Venous Lines should be changed it can have a positive outcome for patients. CLABSI can be fatal to the patient, this can devastate the patient's family as well. “Although a 46% decrease in CLABSIs has occurred in hospitals across the U.S. from 2008-2013, an estimated 30,100 central line-associated bloodstream infections (CLABSI) still occur in intensive care units and wards of U.S. acute care facilities each

Care for a central venous catheter involves a regular assessment and inspection of the catheter, dressing, and insertion site to evaluate the integrity of the catheter and monitor for microbial infection. Care of the central venous device includes, changing the dressing, replacing the administration set, secondary sets, add-on devices, and flushing the lumen of infrequently used lines. According to the CDC in 2012, an estimated 41,000 central line associated bloodstream infections occur in hospitals in the United States each year. I noticed the procedure of central line dressing changed provided in this article is different in our practice. At St Vincent’s Medical Center we use chlorhexidine to clean the site and then use alcohol swabs and then we place a CHG dressing on top of the insertion site.

In my present role of in-patient transplant coordinator, I round with the transplant surgical team daily. The interdisciplinary team is aggressively looking for opportunities to minimizing opportunistic infections for example: de-escalating antibiotics, removing bladder catheters, as well as removing central lines. If the patient is a hard stick, a peripherally inserted central catheter (PICC) is placed. A study by Rutkoff, (2014) mentioned that an integration of antimicrobial PICCs into the current infection prevention practices should be practiced for reduction central line associated blood stream infections.

Hospital acquired infections are responsible for more than 90,000 death in the United States (Fox, 2015). Some of these infections include catheter-associated urinary tract infection, central-line associated bloodstream, and ventilator-associated pneumonia. These infections mostly affect those patients with an already compromised immune system (Fox, 2015). Therefore, it is the healthcare provider’s responsibility as well as the patients to prevent spreading of these infections by taking the necessary steps like performing hand hygiene. In a study performed by Fox (2015), nurses taking care of patients in the intensive care unit were asked to wipe the patient’s hands with a 2% chlorhexidine gluconate disinfectant wipe. This product provides

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

One of the most effective methods in lowering the incidence of central line associated bloodstream infections includes the implementation of catheter care bundling. Catheter care bundling most commonly includes insertion bundling; however, research shows that within the pediatric population the addition of daily maintenance care bundling is required to achieve a significant reduction in the occurrence of central line infections (Miller et al., 2010). Infection control is an important piece in catheter care bundling and involves multiple aspects of central line care. Perhaps the first and easiest method of preventing nosocomial infections in central lines, especially in the pediatric population, is hand hygiene (Miller-Hoover, 2011). Many hospital facilities implement hand hygiene protocols, therefore it is crucial to ensure employee and visitor adherence to such policies. Another crucial aspect of infection control related to central lines includes the usage of maximum barrier creams to prevent microbes from entering the site (Miller-Hoover, 2011). Prior to any invasive procedure, it is also necessary to ensure skin antisepsis, through the use of chlorhexidine, in order to protect the patient from any microorganisms lying on the skin prior to insertion (Ignatavicius & Workman,

Some of the proposed interventions to eliminate CLABSIs include: proper hand hygiene, chlorhexidine skin preparation, full barrier precautions during central line insertion, maintaining a sterile field during insertion, and timely removal of unnecessary catheters (Marschall, et al., 2014). The aim of this project is to determine if using chlorhexidine-impregnated dressing for coverage of central line insertion site decreases the rate of CLABSIs for the patients with central line catheters during hospitalization in a Long-Term Acute Care Hospital (LTACH) over a period of one

People getting a medical care can get a serious infection. One type of healthcare-associated infection is caused by the germ C difficile was estimated to cause almost half a million infections in the United States in 2011, and 29,000 died within 30 days of the initial diagnosis (Centers for Disease, control, and prevention, 2015, 25). Some of the things do prevent Clostridium difficile infection in the hospital and another healthcare setting place patients infection in private room, omplement an environment cleaning and disifection strategy.

This study had 39 out of 110 selected medical sites volunteer to implement central catheter maintenance bundles aimed at reducing infections and lowering CLABSI’s (Grigonis, et. al., 2016). At the core of the study was the development and implementation of a relevant, evidence-based bundle for catheter care along with education of clinical staff. The bundle included protocol education, mandatory use of alcohol caps, chlorhexidine dressings, a team of nurses who would demonstrate the competencies in maintaining the protocol, all which were in addition to the CDC guidelines on catheter bundles (Grigonis, et. al., 2016). The study was designed to compare the catheter bundle implementation by using a six-month preimplementation period baseline of CLABSI’s to the new base rates during the study period. The hypothesis was that the implemented bundle would reduce CLABSI’s and continue over time, and a time series analyze was used to examine and measure the data (Grigonis, et. al., 2016). The implementation of the bundle showed immediate effects on the rate of CLABSI’s. There were some limitation to the study of which, could be that almost all the patients being admitted to the long-term care hospitals came directly from a short-term care setting and they did not have control of site locations, incidence, rate of catheter complications, and the fact the CLABSI’s prevention practices at long-term care hospitals focused more on catheter maintenance and removal (Grigonis, et. al., 2016). The study is relevant to the current PICOT statement, as it does focus on catheter care bundles as part of a quantitative study, this was written by Grigonis, Dawson, Burkett, Dylag, Sears, Helber & Snyder

A nosocomial infection — also called “hospital-acquired infection” can be defined as an infection acquired in hospital by a patient who was admitted for a reason other than that infection (WHO, 2002). However, nosocomial infections are not just limited to hospital settings, but any place patients receive medical treatment. This ranges from advanced treatment facilities and hospitals to pseudo-clinics with the most basic setup. According to healthline.com, nosocomial infections occur up to 48 hours after hospital admission, up to 3 days after discharge, up to 30 days after an operation, or in a healthcare facility where a patient is receiving treatment for reasons other than the infection (Stubblefield, 2014). Anyone in that setting is at risk

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).

Bloodstream infections have contributed greatly to the increased mortality, morbidity, and cost of acute and critically ill patients with central line access (Lorente L, 2016). Several recommendations have surfaced throughout the years on what is the most effective way to address this central line-related bloodstream infections (CLRBSI). Currently, healthcare facilities nationwide have implemented their own safety practices of basic or innovation within their means. However, it remains essential that the nurse, who is the main point of direct patient care, proactively following protocol to avoid the risk of CLRBSI.

Many infections are contracted in specific locations. For instance, people who have a nosocomial infection mainly contract an infection that is present in a hospital or other health care facility. The term nosocomial infection is associated with hospital-acquired infections (HAI) or health-care associated infections. In order for someone to have a nosocomial infection, the infection has to be present before he or she receives medical care. For it to be considered a HAI, the infection has to happen up to forty-eight hours after someone is admitted, up to three days after they are discharged, up to thirty days after they go through an operation, or when they come into a healthcare facility