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Blood stream infection
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Central Line Associated Bloodstream Infections (CLABSI) kills about 33,000 Americans each year, the total cost of treating CLABSI is one billion dollars annually. The cost to treat each patient affected is about 16000 dollars. With patients being discharged home with central lines, CLABSI can occur in the home setting too and not just hospitals. The case study presented in this paper discusses the statistics associated with CLABSI in discharged patients with central lines, and the efforts being made such as education and training in combatting the issue of bloodstream infection.
The purpose of this paper is to shed light on the issue of CLABSI, and how it is affecting our society today. It also highlights the mortality rate associated
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“Pediatric oncology has made a major shift from inpatient to outpatient therapy, placing increased importance on the powerful partnership between caregivers and patients/families” (The Journal of the Association for Vascular Access, 2013). A recent study conducted by The Johns Hopkins Children Center indicated that pediatric cancer patients who were discharged home with central lines fared worst when it comes to CLABSI. They were readmitted with multiple blood bloodstream infections as compared to pediatric patients with central lines who were kept in the hospital. Even though the study showed an increase in the infection rate of children discharged home as against children that were kept at the hospital, not all the children discharged home had CLABSI. The study therefore indicates since not all the discharged patients had CLABSI, much can be done to help reduce the number of patients who are readmitted with CLABSI. The study followed 319 cancer patients who had central lines and were treated at Johns Hopkins. The children were followed in the years 2009-2010, and showed on average, it cost an additional 45,000 dollars, to treat these children when they were readmitted to the hospital. The ratio of infection between hospitalized patients and discharged patients was 19 CLABSI to 55 CLABSI. The study also showed children with implanted central lines were less likely to have the lines infected as compared with children whose lines were tunneled under the skin. It also showed children who had previous history of infection, recent bone marrow recipients, and children that went home with recently placed central lines were more likely to develop CLABSI (Hopkins Medicine,
According to an article by Timsit, J., et al. an estimated 5 million central venous catheters are inserted in patients each year. CBIs, most of which are associated with central venous catheters, account for more than 11% of all health-care associated infections. Additionally, more than 250,000 central-line associated blood stream infections also occur annually, with an estimated mortality rate of 12-25%. For patients within the intensive care unit, the numbers were even higher. Each episode significantly increases the patient’s hospital stay, as well as increasing costs from $4,000 to $56,000 per episode.
This unit has the highest identified CLASBI rate. Correction of the rate in this unit may have the greatest impact on the total hospital rate. In addition it has a limited number of staff as compared to the total hospital. This unit likely represents the highest number of central line use at any single time interval. By beginning the CPG in this unit, the PDSA cycles can be utilized to optimize the process for Baptist before the attempt is made to move it the rest of the hospital. By beginning the process in the ICU, there will be a group of line care experts and champions to move the process out the rest of the hospital. The use of central lines is ubiquitous through out the hospital and so should the care
My disease is Streptococcal pneumonia or pneumonia is caused by the pathogen Streptococcus pneumoniae. Streptococcus pneumoniae is present in human’s normal flora, which normally doesn’t cause any problems or diseases. Sometimes though when the numbers get too low it can cause diseases or upper respiratory tract problems or infections (Todar, 2008-2012). Pneumonia caused by this pathogen has four stages. The first one is where the lungs fill with fluid. The second stage causes neutrophils and red blood cells to come to the area which are attracted by the pathogen. The third stage has the neutrophils stuffed into the alveoli in the lungs causing little bacteria to be left over. The fourth stage of this disease the remaining residue in the lungs are take out by the macrophages. Aside from these steps pneumonia follows, if the disease should persist further, it can get into the blood causing a systemic reaction resulting in the whole body being affected (Ballough). Some signs and symptoms of this disease are, “fever, malaise, cough, pleuritic chest pain, purulent or blood-tinged sputum” (Henry, 2013). Streptococcal pneumonia is spread through person-to-person contact through aerosol droplets affecting the respiratory tract causing it to get into the human body (Henry, 2013).
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
CLABSIs are not confined to one unit of nursing care and there are many precipitating factors that may contribute to the development of a CLABSI. Often times these lines are placed in emergent situations in the emergency department (ED) and there may be a break in sterile technique. However a study conducted by Smith, Egger, Franklin, Harbrecht, and Richardson (2011) found a higher incidence of CLABSIs among intensive care unit (ICU) patients compared to those patients whose CLs were placed either in the ED or operating room (OR). This indicates further education for ICU s...
April 22, 2005--I had a long week so I decided I should write about it on my web journal. After having several papers, quizzes, and having to work 40 hours I have been feeling a little under the weather. However, I mostly assume it has been from the lack of sleep I have been getting. But no worries, since I intend on making it up during the weekend. But tonight I have decided to party it up and go to my friend's apartment. Till then I'll just take some aspirin and lay down till I go out. I'm sure I will be fine by then.
External variables were controlled in the blood spatter lab through the use of several different materials. The clamps and stand prevented the blood from falling at different heights and angles, and the pipette prevented different volumes of simulated blood from falling. The stand and clamps and the pipette helped control the outside variables so the results could be as accurate as possible.
Relatively few pathogens can cause sepsis. For causing sepsis bacteria should have certain features that provide their survival, proliferation and dissemination in human body. The characteristics of the pathogens, that most frequently cause sepsis, may or may not be common for all of them (see tab. 2).
A urinary tract infection is a very common infection that can happen to anybody. A urinary tract infection usually occurs when bacteria enters the urethra and multiples in the urinary system. The Urinary tract includes the kidneys, the thin tubes that carry urine from the kidneys to the bladder (ureters), and the main tube that carries the urine from the bladder (urethra). Women, men, and children are all immune to this infection. Women have the highest chances of getting it. In the Urinary tract, the main links of the ureters help get rid of any bacteria that tries to enter the urine, and the bladder helps prevent urine from backing up into the kidneys.
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 in the number of days the patients stay in the hospital. Hospital acquired infections make the patients worse or even cause death. “In the USA alone, hospital acquired infections cause about 1.7 million infections and 99,000 deaths per year”(secondary).
However, these also come with a cost, setting aside CVC multiple usage and impact in patient care; it remains to be an essential responsibility for nursing and healthcare workers to note the risks CVC poses for patients who might suffer from malicious infections secondary to insertion and usage of the venous catheter. CLABSI remains a serious complication and a leading cause of infection in ICU. The implementation of preventive antiseptic measures during catheret insertion in combination with appropriate catheter manipulation and care post procedure play a roll in prevention of central line associated infection. In the end, CLABSI are avoidable. Although, CLABSI remain occuring at a great rate in ICU patients; the incidence of central line associated infection can be prevent by healthcare worker, ensuring a better patient
Urinary Tract Infection, also known as UTI, occurs in two common locations, the bladder and kidneys. The kidneys are important organs that aid in filtering out waste products from blood and maintaining water distribution throughout the body. The waste products are filtered out via bladder, which is the reason of the bladder being the second site for the infection. A normal human being has two kidneys, one on left and right side, a bean shaped organ, and is located at the back of the abdomen. “Each kidney is about 11.5 cm long, 5-7.5 cm broad, 5 cm thick, and weight about 150 grams” (HealthInfoNet, Paragraph 2). Furthermore, a bacterium named Escherichia coli lives in both the kidneys and the GI tract. E. coli is part of the human body and produces
Infection control, a term that describes procedures taken to reduce the spread of infection. The dental office is a place where many people are treated including patients with infectious disease such as tuberculosis, HIV/AIDS, hepatitis, and many other highly contagious diseases. It is imperative that in any dental office setting the prevention of the spreading microorganisms from patient to patient, patient to staff, or staff to patient is done in high precaution. Infection control has two main objectives; to protect the patients from harmful pathogens as well as dental team members. Infections can cause or add pain, deteriorate a persons health, and in worst cases even result in death. In order to understand the infection control in a dental facility, you must understand the standard precautions required by organizations that regulate or recommend infection control, the kinds of preventive measures taken, as well as when these measures should be taken.
Catheter-related bloodstream infection (CRBSI) is defined as a bacterial infection in the blood that originates from an intravenous catheter.[9][13] Intravascular catheters are essential to modern day medical practices and are inserted in critically-ill patients for the administration of fluids, blood products and medication.[11] Central venous catheters (CVCs) pose as a major risk above all device-related infections and are major attributors of morbidity and mortality.[11] They are also the main source of bacteremia and septicemia in hospitalized patients. Patients are 64 times greater in developing a catheter-related blood stream infections as a result of central venous catheter use than with peripheral venous catheters.[12][13][14]
Health Care-associated Infections (HCAIs) not only complicate patients’ illness but also, it increases the financial burden