The Importance Of Hospital Acquired Infections

Implementation of patient care practices for infection control is the role of the nursing staff. Nurses are responsible for maintaining hygiene, consistent with hospital policies and good nursing practice on the ward and monitoring aseptic techniques, including hand-washing and use of isolation. It is also in their scope of practice to promptly report to the attending physician any evidence of infection in patients under the nurse’s care and initiating patient isolation and ordering culture specimens from any patient showing signs of a communicable disease, when the physician is not immediately available. Limiting patient exposure to infections from visitors, hospital staff, other patients, or equipment used for diagnosis or treatment and maintaining

Keeping our hands clean is one of the most effcient and important steps we can do as humans to avoid getting sick or spreading germs to other people. Unwashed hands spread many diseases such as the flue, E. coli, and salmonella. Unfortunately, hand hygiene is still one of today’s most leading causes of infection in health care facilities. The risk of clinicians, patients, and visitors not complying with hand hygiene protocols creates a practice problem for nurses and their patient care. The cause of health care infections, also known as, health care-associated infections (HAIs) are increasing along with the rise of the inability to control or treat infections that are multi-drug resistant. Lack of proper hand hygiene is a major problem in clinical settings sourcing from critical care divisions where the most contaminations are prevalent. This paper will discuss how hand hygiene affects the nursing process and solutions of how to better prevent HAIs within the nursing scope of practice.

Hospital acquired infections (HAI) will begin to display signs and symptoms within 48 hours. In order to treat the infections, physicians need to diagnostic tools quickly. The manufacturer of new diagnostic test makers, Kalorama Information stated last year that the world demand for testing and treatment of HAI will be over 10 billion dollars by the year 2015, increasing from 9 billion dollars in 2010. Kalorama also stated that HAI has a 5% infection rate of 40 million hospital visits a year, causing 100,000 deaths in the U.S. annually (Kalorama Information, July 14, 2011). Early diagnosis will improve the patient's outcome and decrease the chance of death. According to Kalorama, 20-30% of the HAI can be prevented by the simple use of better hand washing and cross contamination avoidance although the others need more intensive changes such as hospital ventilation systems and using more disposable supplies (Kalorama Information, p. 113) .

This study was intended to prove that hand hygiene practiced according to the CDC guidelines will decrease the incidence of hospital acquired infections. This could not really be proved in this study since the hospitals were not able to maintain improvement in hand hygiene. Health care workers were familiar with guidelines but significant practice changes were not maintained. Some of the infection rates did improve during this time but the correlation with hand hygiene is not consistent. There were other practice changes occurring during this same time and those changes may be responsible for the decreased infection rates.

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.

The occurrence and undesirable complications from hospital acquired infections (HAIs) have been well recognized for the last several decades. The occurrence of HAIs continues to escalate at an alarming rate. HAIs originally referred to those infections associated with admission in an acute-care hospital (formerly called a nosocomial infection). These unanticipated infections develop during the course of health care treatment and result in significant patient illnesses and deaths (morbidity and mortality); prolong the duration of hospital stays; and necessitate additional diagnostic and therapeutic

There are numerous evidence-based practice interventions that have become standard nursing practices across the country. Hand hygiene is a nursing practice intervention that is currently evidence (research) based. It is one of, if not the most, important interventions practiced in providing standardized care. The rationale behind that statement refers to the high percentage of hospital acquired infections; hand hygiene practices are measures used for maximum effectiveness in reducing the spread of these infections. Compared to the various health care professionals who come in contact with patients when providing care, nurses are by far the largest faction that implements the highest quantity of direct patient care in health care. That said, of all the asepsis precautions, techniques, and interventions that are currently in place, hand hygiene is the single most effective intervention used by nurse to prevent themselves from infection and the cross-infection to their patients. Although this evidence-based intervention is of utmost importance to implement at all times, research shows the difficulty in influencing nurses and other health care professionals to practice hand hygiene as often as recommended.

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

Hospital acquired infections (HAI) are inflecting a tremendous impact on healthcare safety and medical costs. The purpose of this qualitative analysis is to evaluate current research and evidence based practice on central line acquired blood stream infections (CLABSI) in the neonatal intensive care unit (NICU). Further, this paper will examine how the closed medication line system can help decrease of a CLABSI event. Neonates are a vulnerable population with a low immune suppression where an infection could simply mean life or death. This particular topic is crucial; with the continual rise in pre-term neonates, this topic is crucial to eliminate CLABSI 100% in the NICU environment

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

Over the years one of the leading causes of hospital acquired infection has been attributed to the poor hand hygiene. Whether it is due to the fact that healthcare workers are not sanitizing their hands between patients that can lead to cross contamination between patients, between staff and patients, or even staff to staff. Since a majority of hospital associated infections such Methicillin-resistant Staphylococcus aureus (MRSA) or Vancomycin-resistant Enterococci (VRE) as are transmitted via contact and can remain on surfaces for up to thirty of more days it is very easy to transmit between patients with ineffective hand hygiene. There should be accessibility to both hand sanitizers as well as handwashing areas which would make it easy for staff, patients, and visitors to follow hand washing protocols. Studies done over the past on health care workers in reference to proper hand hygiene has shown that there is still an at least a fifty percent times in which proper hand hygiene is not performed (Ara, et al., 2016). On a daily basis a health care worker comes into contact of different microbes which are easily transmitted and according to the CDC not following the proper hand hygiene along with adequate solvent is reportedly the number one factor that contributes to HAI’s (CDC, 2015). Healthcare facilities are currently making handwashing more accessible by providing alcohol based hand sanitizers outside of patient’s rooms which are more visible to visitors and staff. Studies have shown several factors that contribute to the lack of proper hand hygiene, knowledge of the spread of infection via contact with contaminated hands, the importance of having solvents such as hand sanitizers being accessible and antibacterial soap, the understanding of the proper method involved in hand washing, understaffing is also a

There are multiple reasons that play into patients acquiring these infections. One of those reasons being the characteristics of the patients. For example infants, the elderly, people with compromised immune systems, and patients that have devices inserted for therapeutic purposes are all at greater risk to contract an infection (Feasey & Molyneux, 2011). The devices that are inserted for therapeutic purposes are a huge factor related to hospital acquired infections. Urinary catheters are the top device to cause an infection; in fact 97% of urinary tract infections are due to catheterization. 87% of people that obtain a bloodstream infection receive the infection from a central line. Lastly 83% of pneumonia acquired in the hospital is linked to the use of mechanical ventilation (Chang et al., 2011). Then there is the health care worker side that plays into effect. One of the number one reasons an infection is created or spread is because a health care worker did not properly wash his or her hands or their patient’s hands. This seems like an obvious way to prevent an infection but yet it still remains one of the top factors that leads to a hospital acquired infection. Hand hygiene is not the only hygienic issue. Health care workers do not always follow proper personal protective equipment guidelines. They may not always don gloves when

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).

Health care-associated infection (HAI), are infections an individual may acquire while they are receiving treatment for another condition within a health care facility. Catheter-associated urinary tract infections (CAUTI) remain the most commonly reported hospital-acquired condition, and the rates continue to rise. Approximately 600,000 patients develop CAUTI each year, leading to increased health care cost, longer hospital stays, and increased morbidity and mortality rates. Furthermore, multiple studies have shown that urinary catheters are placed in patients who do not have an appropriate indication for catheter placement. In order to improve the quality of care and patient safety in our hospitals, CAUTI has become one of the CMS quality

Individual health is quite important and washing hands is one of the first steps towards controlling the spread of infections. According to Pessoa-Silva et al. (2007), hand washing remains one of the most effective strategies towards the prevention of infections. It is a fact that in most hospital care, healthcare associated infections are the ones causing most complications. However, recent studies indicate that proper