Preview

Nosocomial Infection

Good Essays
Open Document
Open Document
830 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Nosocomial Infection
NOSOCOMIAL INFECTION

Infection control measure, nowadays, are widely implemented in every healthcare facility in the country due to the relationship between the patient’s safety and nosocomial infection. As these facilities are responsible for ensuring the health and well being of individuals, it is essential to effectively control the spread of infection, most especially those that can be acquired within the hospital setting. Nosocomial infections are infections that are acquired in the hospital or acute care setting in relation to the original condition of the patient. Infections are said to be hospital-acquired if they surface within 48 hours after admission to the hospital unit or within 30 days after the patient has been discharged home. These infections are the most common complications experienced by patients admitted to the hospital, with about 10% of hospitalized patients acquiring some form of nosocomial infection. There are several types of nosocomial infections such as ventilator associated pneumonia, urinary tract infection, bloodstream infection and surgical site infection. As modern medical practice becomes more advanced, the use of intravascular catheters have become a generic in the field and especially common in the Intensive Care Units where patients are critically ill (Lorente et al 2005). These catheters serve as a means of access to administer high alert medications that need to be given via a large vein, for administering parenteral alimentation and may also serve as a tool to measure the central venous pressure (Byrnes & Coopersmith 2007) Blood stream infections resulting from a central venous access is not a common form of nosocomial infection although this type of infection is the most highly preventable among the different types of nosocomial infections. As with any other type of infection, central venous catheter infections are associated with increased costs and expenditure in health care as patients acquiring this



References: Byrnes, M & Coopersmith, C. (2007). Prevention of catheter-related blood stream infection. Curr Opin Crit Car; 13:411–415. Chaiyakunapruk N. et al. (2002). Chlorhexidine compared with povidone-iodine solution for vascular catheter-site care: A meta-analysis. Ann Intern Med;136:792-801. Goetz, A.M et al (1998). Risk of infection due to central venous catheters: Effect of site of placement and catheter type. Infect Control Hosp Epidemiol;19:842-5. Lorente, L. et al (2005). Central venous catheter-related infection in a prospective and observational study of 2,595 catheters. Critical Care; 9:R631-R635 O 'Grady, N.P et al. (2002). Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. MMWR Recomm Rep; 51(RR-10):1-29. Robert J. et al (2007). The influence of the composition of the nursing staff on primary bloodstream infection rates in a surgical intensive care unit. Infect Control Hosp Epidemiol; 21:12-7 Timsit, J.F. (2003). What is the best site for central venous catheter insertion in critically ill patients? Critical Care; 7:397-399

You May Also Find These Documents Helpful

  • Better Essays

    This is critique of a randomized controlled trial study in relation to catheter-related bacteremia as the most frequent complication of the central venous catheter (CVC). The purpose of the study is to decide whether the use of 0.5% tincture of chlorhexidine or 10% povidone-iodine solution, is the most beneficial for preventing CVC exit site colonization, significant catheter tip colonization and catheter-related bacteremia in ICU patients.…

    • 1013 Words
    • 5 Pages
    Better Essays
  • Good Essays

    a. Restatement of thesis: The importance of proper vein choice and PICC tip location markedly decreases catheter related complications in patients.…

    • 707 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Ways to prevent catheter infections include: choosing the right size catheter and utilizing correct placement, implementing closed drainage systems, keeping a Foley stat lock in place, maintain the Foley free of kinks and below the level of the bladder. Another way to prevent infections is to avoid encrustation and the blockage of the catheters. This can be done by measuring the pH of urine to make sure it is maintained between 5-6 because as urine becomes alkaline, it will cause crystals to form casing blockages and lead to…

    • 709 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Central Venous Catheters

    • 1616 Words
    • 7 Pages

    This paper is all about peripherally inserted central catheters (PICC) and central venous catheters. There are different types of catheters and they are used in different situations. If they are to be used properly, they must be maintained and cared for. If they are not maintained there are several adverse side effects that could be life threatening. Along with providing all this information, this paper will also instruct how to initiate a peripherally inserted central catheter and how to correctly execute a dressing change.…

    • 1616 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Cucc Review Sample

    • 557 Words
    • 3 Pages

    What problem(s) did the researchers study and why? Due to significant health risks in different types of central venous lines such as CVC, PORT or t-CVC, the problem researchers studied in this systematic review was to analyze different literature that compares the use of central venous lines and PICC lines in order to validate the advantages that accompany PICC lines.…

    • 557 Words
    • 3 Pages
    Good Essays
  • Good Essays

    In 2008, there were an estimated 37,000 central line-associated BSI among HD patients (Lindberg, Downham, Buscell, Jones, Peterson, & Krebs, 2013). These numbers are projected to increase because of the 15% predicted growth of end-stage renal disease (ESRD) patients by 2020 (Lindberg et al., 2013). The estimated cost per episode is $3,700 to $28,000 and the attributable mortality is 12-25% (Patel, 2013). ESRD patients are highly susceptible to infections because of their compromised immunity, frequent invasive use of vascular accesses, exposure to blood-borne pathogens (e.g., Hepatitis B or C), and colonization with multidrug-resistant microorganisms (e.g., methicillin-resistant Staphylococcus aureus (MRSA)). Hand hygiene is the most important evidence-based intervention to prevent transmission of nosocomial infection in a health care setting. Therefore, it is imperative for all HD patients to be educated on the importance of regular hand washing before and after treatment and perform vascular access care (CVC, AVF, or AVG) daily. This patient-centered in-service educational presentation will emphasize on the following safety concerns: importance of regular hand washing before and after dialysis; cleaning of fistulas or grafts before dialysis; recognize signs and symptoms of infection; and compliance with standard infection control policies…

    • 482 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Prevention and controlling infections are very important in so many areas of life. There are so many measures that are taken to control the spread of infections. As health care professionals we have to have the knowledge of nosocomial infection also known as hospital acquired infections so that we can have proper precaution equipment and ways of preventing them.…

    • 333 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Hospital acquired infections are a major cause of mortality and morbidity and is a challenge to all health care professionals. To prevent these infections effective hand hygiene, identifying patients at risk for infections and following standard precautions to prevent transmission must be done (Mehta et al., 2014, p. 149). Among these hospitals acquired infections(HAI) the topic that I have chosen for the class is CAUTI which means catheter associated urinary tract infection. UTIs are the most common type of healthcare-associated infection reported to the National Healthcare Safety Network. “Among UTIs acquired in the hospital, approximately 75% are associated with a urinary catheter, which is a tube inserted into the bladder through the urethra to drain urine. Between 15-25% of hospitalized patients receive urinary catheters during…

    • 1191 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Hadaway, L. (2007). Infiltration and Extravasation. Preventing a complication of IV catherization. American Journal of Nursing. AJN. 107(8)9. Retrieved from http://www.nursingcenter.com…

    • 1585 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Most of the articles I reviewed addressed the causes of CAUTIs, the risks of indwelling urinary catheters, as well as the successful evidence-based interventions implemented for the reduction of CAUTIs. Strouse (2015), reports that UTIs account for approximately 35% to 40% of hospital-acquired infection (HAIs) and about 80% of the UTIs are associated with presence of indwelling foley catheter. The CAUTIs not only affect the increased hospital cost, but also increases the risk of morbidity and mortality. Both the Centers for Medicare and Medicaid Services consider CAUTIs as preventable complications hence no reimbursement is provided to the health care institutions for CAUTI treatment-related costs (Strouse, 2015).…

    • 372 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    This article explained how various component of the central line buddle were modified to achieve zero infection of CLABSIs by the SRMC. The most important point of this approach was elimination of infection through central lines. The success of this approach was base on the protocol implemented on dressing change, catheter flushing and daily checking of all central lines. Dressing changes were done only when the site was messes but with the protocol is done every 7 days and as needed, also the catheter lines were been flushed with normal saline then with heparin using a positive pressure flush, but now flushing is done every 8 hours when not in use or before and after medication administration with 10ml of normal saline using a push and pause technique. Remember these lines can not be use if there is no blood return and the potency checked. For this protocol to be effective, education and training was mandated for the register nurses, that is a one -on -one bedside training. The register nurses are the once using this line on a daily bases so training them on the use of this line were a major past in the infection control…

    • 551 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Central Venous Catheter Blood stream infections (CVCBSIs) is a major cause of morbidity and mortality in patients with end- stage renal disease treated with chronic haemodialysis (Jaber 2005).The purpose of this review is to determine whether the use of Biopatch on the exit site of central venous catheter (CVC) can help prevent infection.…

    • 3895 Words
    • 16 Pages
    Powerful Essays
  • Good Essays

    Zero Infection Analysis

    • 583 Words
    • 3 Pages

    Data for this paper is presented by the examination of five hospitals with the goal to achieve a consistent rate of zero infections per 1000 catheter days. The analysis of Hospital 1, Hospital 2, Hospital 3, Hospital 4, and Hospital 5 wants to improve patient safety by implementing ways to reduce CAUTIs. The data was presented by using the strengths that include the support for evidence-based practice and skill level of the staff. The opportunities will include a fiscal increase, patient, and staff satisfaction, prevent infections, improve patient outcome and patient safety. The potential weakness is the lack of staffing available and not implementing a policy for early removal of Foley catheter. Research shows that timely removal of indwelling…

    • 583 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Nursing Observation Paper

    • 371 Words
    • 2 Pages

    Cleaning the meatal surface with antiseptic solutions while a catheter is in place is ineffective for preventing CAUTI and currently not recommended.…

    • 371 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Needle Stick Injury

    • 3787 Words
    • 16 Pages

    Dimitri Sossai et al (2010) Using an intravenous catheter system to prevent needlestick injury. Nursing Standard. 24, 29, 42-46. Date of acceptance: September 23 2009.…

    • 3787 Words
    • 16 Pages
    Good Essays