Essay about PICO

When cases of MRSA infection have been identified in the community, a thorough investigation usually reveals a history of recent hospitalization; close contact with a person who has been hospitalized; or other risk factors, such as previous antimicrobial-drug therapy. A study from Chicago found a 25-fold increase in the number of children admitted to the hospital with an MRSA infection who lacked an identifiable risk factor for prior colonization.

I believe to design a study in which my pico question can be addressed is very easy to perform. I performed a data based search using the terms central line, dressing change and risk of infection. The data based showed more than hundred results of study focusing on the topic of infection control in patient with central line.

Methicillin-resistant Staphylococcus aureus, or more commonly, MRSA, is an emerging infectious disease affecting many people worldwide. MRSA, in particular, is a very interesting disease because although many people can be carriers of it, it generally only affects those with a depressed immune system; this is why it is so prevalent in places like nursing homes and hospitals. It can be spread though surgeries, artificial joints, tubing, and skin-to-skin contact. Although there is not one specific treatment of this disease, there are ways to test what antibiotics work best and sometimes antibiotics aren’t even necessary.

Describe methicillin resistant Staphylococcus aureus (MRSA) and its implications for patients who are diagnosed with this.

Preventable infections regardless of the causative agent, have become major triggers of unintended patient outcome, increased morbidity, and mortality (Arias, 2010). Methicillin Sensitive Staphylococcus Aureus (MSSA) and Methicillin Resistant Staphylococcus Aureus (MRSA) are the most common causes of healthcare associated infections (HAI) and outbreaks in acute care hospitals and community settings (CADTH, 2010). The widespread infection with the MRSA pathogen is believed to have increased from 2.4 percent in 1975 to 29 percent in 1991 and 2003 in hospitals across the United States (U S) (CADTH, 2010). The prevalence is even greater among Intensive Care Unit (ICU) patients at 53 percent (CADTH, 2010) and continues to rise due to the widespread

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.

Each state can compare its statistical data to the standardized infection ratio (SIR), a summarized ratio of the culmination of national data; this is an excellent method to track the progress in the goal of reducing and eventually eradicating HAIs. The report for the state of Kentucky on HAIs in the state’s acute care hospitals was based on information received from a total of 116 hospitals that provided data for this survey. Unfortunately, the incidence of reported HAIs associated with Methicillin-resistant Staphylococcus aureus (MRSA), a type of laboratory identified hospital-onset bloodstream infection, is extremely high. Kentucky’s reported incidences in 2014 of patients infected with MRSA while being treated in acute care hospitals is 25% higher than the national baseline. This information is a red flag for the state’s epidemiology experts and healthcare professionals, that infection control protocol in place should be reviewed and researched to determine what can be done, either on a hospital-to-hospital based level or a state-wide level, to improve the efficiency of reducing or eliminating HAIs that are associated with MRSA infections. One area that the state’s statistical data rates very well is in Central Line-Associated Bloodstream Infections (CLABSIs). Kentucky’s number of reported incidences of this type of infection is 45% lower than the national baseline, suggesting that the protocol used for this type of infection is very effective compared to what is practiced in other

Checking in to the hospital comes with a heavy price tag, and sometimes you get more than what you bargained for. As highly trained doctors, nurses, and staff traverse through the hospital, they carry with them microbial agents of disease. Although regarded as centers for treatment and prevention, hospitals are also known to harbor nosocomial, healthcare-associated, bacterial infections. These infections can be a result of overused or inappropriately used antibiotics and the breaching of infection containment policies by patients and staff. Though healthcare-associated infections have been decreasing, one infection inciting nosocomial bacterium,

In conclusion, the importance of control and prevention in the spread of MRSA cannot be emphasised enough. MRSA clearly

As a hospital, quality care should be a priority for patients that are going to be treated for a sickness, or any type of procedure that is going to take place. A lot of times a patient gets an infection while they were at the hospital, on top of being treated for what they original came in for. Health facilities should be environments of healing, which they are, but they also have tons of various types of germs and infections, which grasp onto individuals that have weak immune systems/are sick. Some infections that are at hospitals are Tuberculosis, VRE, VAP, C-Diff, UTI, and MRSA. Preventive measures to stop the spread of the infections is lacking tremendously in the work and aim to provide safety for all patient’s health. The work

Action: After making these findings, she collaborated with the infection control staff, her manager, and her team to formulate a plan to solve this problem. At every huddle, she reminded staff the importance of washing their hands. She designed signage to remind staff, patients, and visitors to perform hand hygiene and to empower patients and family members to ask staff members if they have washed their hands. These signs were placed on all 25 patient room entrances and are a visible reminder to everyone who enters. She also educated staff to collaborate with the housekeeping staff to maintain functioning hand hygiene equipment. When performing as charge nurse, she audits all patient charts to confirm that each patient has had their nares swabbed to maintain compliance and assigns patients accordingly to beds based on their multiple drug resistant organism history. Outcome: Through random audits, she found that hand hygiene performance increased to 100%, and the staff is educating patients, family members, and other healthcare professionals in other disciplines about the hand hygiene compliance initiative. The C Diff transmission rate as of December 2015 was 39.45% - the C Diff transmission rate for first quarter FY16 was 18.48%, this shows a 50% reduction in C Diff transmission on her unit. The MRSA transmission rate as of December 2015 was 7.97% - MRSA transmission rate for first quarter FY16 was 3.7% which also shows a 50% reduction in MRSA transmission. Sustainability: She continues this to perform random audits, reinforcing education as needed and continues surveillance while performing duties on 7B. She made it the 7B staff’s responsibility to hold each other accountable for performing hand hygiene in order to maintain the safety of the

Nurse Practioner should be aware of certain assessments to obtain in determining MRSA. Some tests/assessments are skin cultures, cultures of drainage, nose swabs, blood culture, urine culture, and sputum cultures. NP should teach licensed and unlicensed personnel prevention strategies such as hand washing, wearing a mask when needed, universal precautions, isolation measures, avoidance of shaking sheets and clothing, and reporting of any abnormalities noted like unusual skin eruptions or open oozing sores.

The increasing incidences of MRSA in the hospitalized patients are becoming an alarming problem due to the poor surveillance screening for risk of infection. The literature and synthesis of the evidence largely recommends that the use of universal MRSA surveillance can increase the identification of MRSA infection or carriage. Likewise, evidence suggest that the use of universal surveillance combined with the implementation of isolation precautions and other infection control measures will result to improved patient outcome (Guleri et al., 2011).

As nurses, taking care of patients with MRSA can be seen in everyday practice. It can be seen in patients with sepsis from an infected wound, patients who have pneumonia, or patients who only have a colonization for it (“Methicillin-resistant Staphylococcus aureus (MRSA), 2015”). Regardless if it’s colonization or an active infection, and the source of the infection, proper policies and procedures are in place to reduce the transmission of MRSA to other patients in the hospital or nursing home setting. This includes performing proper hand hygiene and standard precautions, as well as wearing protective gown and gloves when entering the patient’s room. It is very important to adhere to these policies and procedures and educate others on the importance of these policies and procedures to reduce the transmission of MRSA to others.

Infection control is very important in the health care profession. Health care professionals, who do not practice proper infection control, allow themselves to become susceptible to a number of infections. Among the most dreaded of these infections are: hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). Another infection which has more recently increased in prevalence is methicillin-resistant Staphylococcus aureus (MRSA). These infections are all treated differently. Each infection has its own symptoms, classifications, and incubation periods. These infections are transmitted in very similar fashions, but they do not all target the same population.