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Infection prevention in hospital setting
Infection prevention in hospital setting
Importance of infection control in healthcare
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One factor prevalent in our nation’s hospitals which, although under-represented by the media, is significantly detrimental to the advancement of the United States healthcare system is Hospital/Healthcare Associated Infections, or HAIs. These infections were first identified as a serious threat to patient safety during the 1930s. In the 1940s, The British Medical Council appointed infection officers in various hospitals to attempt to regulate and control causes of infection, although such officers only became common in the 1950s during a severe outbreak of Staphyloccosus. After a brief investigation had been conducted, it was found that nearly 100% of patients and staff in various British hospitals had contracted elements of the virus through lack of hygienic precaution during open wound surgeries. Fortunately, the ready availability of penicillin prevented a severe outbreak, but the continued overuse of the drug resulted in drug resistant bacteria and virus and the discovery of the Staphyloccosus Aureus - a virulent skin pathogen immune to initial penicillin serums and recognized as the first antibiotic resistant bacterium - in the late 1960s. By the early 1970s, the drive to control hospital infections was well established in the United States, however, the movement was unorganized and there was no success in eliminating infections associated with medical practices at the time. It was not until 1976 that the control of infectious diseases in hospitals was transformed from a movement to a mandate when The Joint Commission on Accreditation of Hospitals demanded that accredited hospitals have infection control programs. Currently the majority of research of HAIs is conducted by the CDC through The Prevention Epicenter Program, w... ... middle of paper ... ...ent Reform. "Healthcare-associated Infections: A Preventable Epidemic : Hearing before the Committee on Oversight and Government Reform, House of Representatives, One Hundred Tenth Congress, Second Session, April 16, 2008, Volume 4." - HEALTHCARE-ASSOCIATED INFECTIONS: A PREVENTABLE EPIDEMIC. U.S. G.P.O., 2009, 14 May 2010. Web. Accessed: 18 Oct. 2013. Voss, Andreas. Epidemiology of Systemic Candida Infections: Studies to Pursue the Molecular and Clinical Epidemiology. S.l.: Ponsen & Looijen., 1997. Print. Weston, Debbie. Infection Prevention and Control: Theory and Clinical Practice for Healthcare Professionals. Chichester, England: John Wiley & Sons, 2008. Print. Yong, Pierre L., Robert Samuel Saunders, and LeighAnne Olsen. The Healthcare Imperative: Lowering Costs and Improving Outcomes : Workshop Series Summary. Washington, D.C.: National Academies, 2010. Print.
In one of the studies healthcare workers were provided a questionnaire only 27.3% responded that no other healthcare worker had ever talked to them about MRSA (Raupach-Rosin, et. al, 2016). This study proves that healthcare workers need to be more educated on the topic of MRSA, how it spreads to the patients, and how the intervention of infection control and patient education will assist in reducing the amount of MRSA cases acquired. In one study, patients underwent a MRSA screening for nasal colonization. Out of the 29,371 patients, 3,262 had MRSA colonization. (Marzec & Bessesen, 2016). The study conducted allowed healthcare providers to see the effects of how easily MRSA is spread and how many patients could easily contract
Nosocomial or healthcare-associated infection (HAI) occurs when a patient receiving treatment in a health care setting develops an infection secondary to their original condition. These infections are serious and costly adverse outcomes of medical care that affect nearly two million people in the United States annually and lead to substantial morbidity and mortality. With increased days of hospitalization and direct medical costs, HAIs account for an estimated $20 billion per year in national health care expenditure every year. As such, they present one of the major threats to patient safety and remain a critical challenge to public health. On any given day, approximately [one in 25 patients] contracts at least one infection while receiving
Nurses should take a leading role in reducing the impact of disease on patients and influence the expansion of evidence based infection prevention practice. Antimicrobial resistance prevention must remain a huge priority. In times of opposing priorities concerning patient safety, progress has been made in undertaking these bacteria’s and infections. The outlook of a near future without helpful antibiotics should not be dismissed, and all us in positions of influence should encourage and educate the conscientious use of antimicrobials seriously and do what we can to stop the situation from spreading.
“The CDC is the primary developer of national infection control and prevention guidelines, often in collaboration with its Healthcare Infection Control Practices Advisory Committee, which is responsible for research and dissemination of the latest information for preventing disease transmission” (Griffis, 2013, p. 175). Infection control will continue to be a topic of discussion as long as germ transmission is still happening. Among these studies is the concern the frequent nonadherence to contact precautions is a huge issue that many studies are still very concerned about (Jessee & Mion, 2013, p. 966). The writer is also concerned with the blatant disregard for hand hygiene that appears to be happening in the medical field. What about what is best for the patient. Do the people that do not use proper hand hygiene not understand how important it
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient care.
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
The U.S. expends far more on healthcare than any other country in the world, yet we get fewer benefits, less than ideal health outcomes, and a lot of dissatisfaction manifested by unequal access, the significant numbers of uninsured and underinsured Americans, uneven quality, and unconstrained wastes. The financing of healthcare is also complicated, as there is no single payer system and payment schemes vary across payors and providers.
Hospital-acquired infections (HAI) are preventable and pose a threat to hospitals and patients; increasing the cost, nominally and physically, for both. Pneumonia makes up approximately 15% of all HAI and is the leading cause of nosocomial deaths. Pneumonia is most frequently caused by bacterial microorganisms reaching the lungs by way of aspiration, inhalation or the hematogenous spread of a primary infection. There are two categories of Hospital-Acquired Pneumonia (HAP); Health-Care Associated Pneumonia (HCAP) and Ventilator-associated pneumonia (VAP).
Health care facilities - whether hospitals, nursing homes or outpatient facilities - can be dangerous places for the acquisition of infections (EHA). The most common type of nosocomial infections are surgical wound infections, respiratory infections, genitourinary infections and gastrointestinal infection (EHA). Nosocomial infections are those that originate or occur in health care setting (Abedon). They can also be defined as those that occur within 48 hours of hospital admission, 3 days of discharge or 30 days of an operation (Inweregbu). These infections are often caused by breaches of infection control practices and procedures, unclean and non-sterile environmental surfaces, and ill employees (EHA). Immunocompromised patients, the elderly and young children are usually more susceptible to these types of infections. Nosocomial infections are transmitted through direct contact from the hospital staff, inadequately sterilized instruments, aerosol droplets from other ill patients or even the food and water provided at the hospital (EHA). The symptoms of nosocomial infections vary by type but may include inflammation, discharge, fever, abscesses, and pain and irritation at the infection site (Stubblefield).
This literature review will analyze and critically explore four studies that have been conducted on hand hygiene compliance rates by Healthcare workers (HCWs). Firstly, it will look at compliance rates for HCWs in the intensive care units (ICU) and then explore the different factors that contribute to low hand hygiene compliance. Hospital Acquired infections (HAI) or Nosocomial Infections appear worldwide, affecting both developed and poor countries. HAIs represent a major source of morbidity and mortality, especially for patients in the ICU (Hugonnet, Perneger, & Pittet, 2002). Hand hygiene can be defined as any method that destroys or removes microorganisms on hands (Centers for Disease Control and Prevention, 2009). According to the World Health Organization (2002), a HAI can be defined as an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. The hands of HCWs transmit majority of the endemic infections. As
The role of nurses in the prevention of MRSA in the hospitals cannot be overemphasized. The prevalence of MRSA in hospitals calls for awareness and sensitization of all party involved in patient caregiving in the hospital. According to Wilkinson and Treas (2011), nurses take on many roles in the hospital: a caregiver, advocate, communicator, leader, manager counsellor, change agent and an educator. (Wilkinson &Treas. (2011) p.13.) The target of healthy people 2020 is to reduce MRSA and all other hospital acquired infection by 75% in the year 2020. (Healthy people 2020) This cannot be achieved without the maximum support of nurses because nurses have regular one on one contact with patients on daily basis.This paper will take a closer look at the role of a nurse as an educator in the prevention of MRSA in the hospital. One of the nurse’s roles in the prevention of MRSA in hospitals is patient/visitor/staff education.
“Failure to attend to hand hygiene has serious consequences: it has a negative effect on patient safety and the quality of patients’ lives, as well as on their confidence in healthcare delivery. However, the prevalence of hand hygiene omission is still high” (Canadian Disease Control, 2016 p 1). Washing hands before and after patient contact seems like a simple solution to prevent the spread of bacteria between patients. But it is not as simple as it seems.According to new CDC data, “approximately one in 25 patients acquires a health care-associated infection during their hospital care, adding up to about 722,000 infections a year. Of these, 75,000 patients die from their infections ( CDC, 2016 p 1).” Leaving a finacial burden on Canada’s health care
...s and measurement to decrease healthcare- associated infections. American Journal Of Infection Control, pp. S19-S25. doi:10.1016/j.ajic.2012.02.008.
...f infections acquired during the hospital. Many of these studies have indicated that these infection control interventions will decrease the number of sick or dying patients related to hospital acquired infections and lower the medical cost by decreasing the stay of each patient in the hospital.
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.