Top Ten Articles Infection Prevention and Control
|
|
- Theresa Robbins
- 5 years ago
- Views:
Transcription
1 Top Ten Articles Infection Prevention and Control John M Conly MD Chingiz Amirov Just wash em! May 2018
2 Objectives Research or evidence-based guidelines in IPC Critique strengths and weaknesses Just wash em! Translate into the clinical setting
3 Selecting the Papers Infection prevention and Control Novel Timely Topical Evidence-based Knowledge translation ready Just wash em!
4
5 Selecting the Papers 1. Measuring and accounting for the Hawthorne effect during a direct overt observational study of intensive care unit nurses Sharon Lea Kurtz. AJIC, May Process control charts in infection prevention: Make it simple to make it happen. Timothy L. Wiemken et al. AJIC, Mar Making change easy: A peer-to-peer guide on transitioning to new hand hygiene products. Chingiz M. Amirov, et al. AJIC, Jan Clostridium difficile infection in Alberta s long-term care facilities. Cliff Lindeman et al. CJIC, Summer A Network Model of Hand Hygiene: How Good Is Good Enough to Stop the Spread of MRSA? Neal D. Goldstein et al. ICHE, Aug 2017 Just wash em!
6 SSI Guidelines JAMA Surg. 2017;152(8): doi: /jamasurg Published online May 3, Corrected on June 21, Lancet Infect Dis 2016; 16: e Published Online November 2, 2016http://dx.doi.org/ /S (16)
7 CDC vs WHO SSI Guidelines CDC Excluded all non randomized studies Often no recommendation offered or listed or not addressed due to inadequate evidence Referred recommendations Moved to adapted GRADE for recommendations WHO Included randomized and some non-randomized studies Excluded bundled interventions Less often no recommendation Recommendations pertinent to low and middle income settings
8 Quality of Studies Quality High High-moderate Moderate Low-moderate Low Low-Very low Very low Accepted practice CDC WHO
9 Pre-op Recommendations Topic CDC WHO Pre-op bathing Hair removal Bathe or shower with plain or antimicrobial soap or antiseptic the night before Do not remove unless hair will interfere; if necessary remove immediately preop with clippers Bathe or shower with plain or antimicrobial soap; no recommendation on CHG cloths Do not remove; if necessary use clippers Surgical prophylaxis When indicated by guidelines; time so concentration in serum/tissues is bactericidal at incision Before incision when indicated
10 Pre-op Recommendation Strength and Quality Topic CDC WHO Pre-op bathing with soap or antiseptic Hair removal Surgical prophylaxis timing Hand preparation Skin preparation Skin sealants I-B Strong recommendation/ Accepted Practice I-A; re-emphasized from 1999 document I-B Strong recommendation/ Accepted Practice I-B; re-emphasized from 1999 document I-A Strong recommendation (ETOH- I or ETOH-CHG) II- Weak recommendation/low Conditional recommendation/ Moderate Strong recommendation/ Moderate Strong recommendation/ Low Strong recommendation/ Moderate Strong recommendation/ Low-Moderate (Only ETOH-CHG) Conditional recommendation/ Very low
11 Pre-op Recommendation Strength and Quality Topic CDC WHO Surgical prophylaxis precise timing S. aureus carriers Cardiothoracic/orthopedic surgeries; mup + CHG S. aureus carriers Other surgeries; mup + CHG No recommendation/ Unresolved Not addressed Not addressed Strong recommendation/moderate Strong recommendation/ Moderate Conditional recommendation/ Moderate Mech bowel prep with oral antibiotics Mech bowel prep alone without oral antibiotics should not be used Not addressed but moderate evidence Not addressed Conditional recommendation/ Moderate Strong recommendation/ Moderate
12 Intra- and Post-op Recommendations Topic CDC WHO Adhesive incise drapes Not needed Should not be used [Conditional /Low to very low] PVI wound irrigation Antibiotic wound irrigation Consider irrigating deep or subcutaneous tissues intra-op with PVI; Intraperitoneal lavage with PVI in contam/dirty abdominal procedures not necessary Do not use antibiotics to irrigate incision Consider irrigating incisions with PVI especially clean and clean-contaminated surgery classes [Conditional/Very low] Should not be used [Conditional/low]
13 Discontinuing Contact Precautions Infect Control Hosp Epidemiol 2018;1 7 Am J Inf Contr 46: :
14 Discontinuing Contact Precautions Infect Control Hosp Epidemiol 2018;1 7
15 Discontinuing Contact Precautions Infect Control Hosp Epidemiol 2018;1 7
16 Discontinuing Contact Precautions
17 Use of Ultraviolet Light in IPC Lancet 2017; 389: Published Online Jan 16, http. J dx.doi.org/ /s (16)
18 Effectiveness of UV-C Disinfection for Reduction of HC Associated Pathogens J Micro Immunol Infect 2017
19 Lancet 2017; 389: Published Online Jan 16, http. J dx.doi.org/ /s (16)
20 Lancet 2017; 389: Published Online Jan 16, http. J dx.doi.org/ /s (16)
21 Human Factors and Use of Simulation in IPC Clinical Infectious Diseases 2018;66(6):950 8 Infect Control Hosp Epidemiol 2017;38:
22 Donning and Doffing Errors: Worse with PAPRs Infect Control Hosp Epidemiol 2017;38:
23 Fault Tree Analysis: Doffing EBOLA PPE (PAPRs) Clinical Infectious Diseases 2018;66(6):950 8
24 Ward Closure for Outbreak Control in Acute Care Hospitals Amer J Infect Contr 45: :
25 Ward Closure For Outbreak Control Nosocomial Outbreaks However, there was no significant change in the number of patients affected per hospital outbreak (r = 1.080, P = 0.517), or the number of hospital staff affected per outbreak (r = 0.651, P = 0.105). Closure of entire wards during norovirus outbreaks is not always necessary. The changes implemented at the study hospital resulted in a significant reduction in the number of bed-days lost per outbreak, and this, together with a reduction in outbreak frequency, resulted in considerable cost savings. Illingworth E et al. Is closure of entire wards necessary to control norovirus outbreaks in hospital? Comparing the effectiveness of two infection control strategies. J Hosp Infect 2011;79:32-7.
26 Outbreak Strategies used Across Canada W. Ocampo et al. American Journal of Infection Control 45 (2017)
27 Use of Ward Closure W. Ocampo et al. American Journal of Infection Control 45 (2017)
28 W. Ocampo et al. American Journal of Infection Control 45 (2017)
29 W. Ocampo et al. American Journal of Infection Control 45 (2017)
30 Summary of Findings Total 110 responses 70% of sites reported at least one hospital outbreak in 2013 Ward Closure as a tool 50% appropriate 50% sometimes (45%) or not (5%) appropriate Major issue of system capacity and no part of the country immune W. Ocampo et al. American Journal of Infection Control 45 (2017)
31 Just wash em!
Conflict of interest: We have no conflict of interest to report on this topic of SSI reduction for total knees.
Reducing SSI- Knees TIFFANY KENNERK MBA, MSN, RN, NE -BC, ONC CYNTHIA SEAMAN BSN, RN, ONC, CMSRN ~COMMUNITY HOSPITALS AND WELLNESS CENTERS~ Conflict of interest: We have no conflict of interest to report
More informationThe role of Infection Control Nurse in Prevention of Surgical Site Infection (SSI) April 2013
The role of Infection Control Nurse in Prevention of Surgical Site Infection (SSI) April 2013 Impact of SSI 2 nd common health- care associated infection (HCAI) 14-16% of HCAI Post operation SSI prolong
More informationPreventing Surgical Site Infections. Edward L. Goodman, MD September 16, 2013
Preventing Surgical Site Infections Edward L. Goodman, MD September 16, 2013 Outline NHSN Reporting and Definitions Magnitude of the Problem Risk Factors Non Pharmacologic Interventions Pharmacologic Interventions
More informationPatient Preparation. Surgical Team
January 2019 www.nursingcenter.com Surgical Site Infection Prevention Surgical site infections (SSIs) are one of the most common and costly healthcare-associated infections in the United States (Smith
More informationHorizontal vs Vertical Infection Control Strategies
GUIDE TO INFECTION CONTROL IN THE HOSPITAL Chapter 14 Horizontal vs Vertical Infection Control Strategies Author Salma Abbas, MBBS Michael Stevens, MD, MPH Chapter Editor Shaheen Mehtar, MBBS. FRC Path,
More informationBeyond SCIP: Leading the Way to SSI Reduction. House Keeping. House Keeping. Questions. Dianne Rawson, RN, MA Hugo, MN May 14, 2013
3M Learning Connection 5/7/2013 3M Infection Prevention Solutions Learning Connection Beyond SCIP: Leading the Way to SSI Reduction Dianne Rawson, RN, MA Hugo, MN May 14, 2013 2012. All Rights Reserved.
More informationReducing Infections in Surgical Practice. Fred A Sweet, MD Rockford Spine Center Illinois, USA
Reducing Infections in Surgical Practice Fred A Sweet, MD Rockford Spine Center Illinois, USA Introduction: How bacteria get in The Host The Surgeon The Procedure The STAFF Skin PREP Prophylactic Antibiotics
More informationAntimicrobial Prophylaxis in Digestive Surgery
Antimicrobial Prophylaxis in Digestive Surgery Toar JM. Lalisang, MD, PhD Digestive Surgery Division Cipto Mangunkusumo Hospital Medical Faculty Universitas Indonesia Antibiotic must be present before
More informationTreatment of Surgical Site Infection Meeting Quality Statement 6. Prof Peter Wilson University College London Hospitals
Treatment of Surgical Site Infection Meeting Quality Statement 6 Prof Peter Wilson University College London Hospitals TEG Quality Standard 6 Treatment and effective antibiotic prescribing: People with
More informationHand Hygiene and MDRO (Multidrug-resistant Organisms) - Science and Myth PROF MARGARET IP DEPT OF MICROBIOLOGY
Hand Hygiene and MDRO (Multidrug-resistant Organisms) - Science and Myth PROF MARGARET IP DEPT OF MICROBIOLOGY MDROs and Hand Hygiene Guidelines HH Apr14 The Science of Hand Hygiene in Healthcare Settings
More information11/22/2016. Hospital-acquired Infections Update Disclosures. Outline. No conflicts of interest to disclose. Hot topics:
Hospital-acquired Infections Update 2016 APIC-CI Conference November 17 th, 2016 Jay R. McDonald, MD Chief, ID Section VA St. Louis Health Care System Assistant Professor of medicine Washington University
More information03/09/2014. Infection Prevention and Control A Foundation Course. Talk outline
Infection Prevention and Control A Foundation Course 2014 What is healthcare-associated infection (HCAI), antimicrobial resistance (AMR) and multi-drug resistant organisms (MDROs)? Why we should be worried?
More informationSurgical Site Infection (SSI) Prevention: The Latest, Greatest and Unanswered Questions
Surgical Site Infection (SSI) Prevention: The Latest, Greatest and Unanswered Questions Keith S. Kaye, MD, MPH Corporate Vice President of Quality and Patient Safety Corporate Medical Director, Infection
More informationGUIDE TO INFECTION CONTROL IN THE HOSPITAL. Hand Hygiene CHAPTER 6: Authors A. J. Stewardson, MBBS, PhD D. Pittet, MD, MS
GUIDE TO INFECTION CONTROL IN THE HOSPITAL CHAPTER 6: Hand Hygiene Authors A. J. Stewardson, MBBS, PhD D. Pittet, MD, MS Chapter Editor Shaheen Mehtar, MD, MBBS, FRC Path, FCPath (Micro) Topic Outline
More informationBoard Meeting Agenda Item: 7.2 Paper No: Purpose: For Information. Healthcare Associated Infection Report
Board Meeting 9.. Agenda Item: 7. Paper No: 6- Purpose: For Information Healthcare Associated Infection Report August/September Board Meeting 9.. Agenda Item: 7. Paper No: 6- Purpose: For Information August/September
More informationPREVENTION OF SURGICAL SITE INFECTION
PREVENTION OF SURGICAL SITE INFECTION Montreal, March 29 2011 Chantal Bellerose P. Dt., BScHN, M.Sc. Adm Claude Laflamme MD, FRCPC, MHSC(c) Sandra Savery BScN, M.Sc.Adm Disclosure Financial disclosure:
More informationPrevention of Surgical Site Infection 2017 Guidelines & Antimicrobial Stewardship
Prevention of Surgical Site Infection 2017 Guidelines & Antimicrobial Stewardship Phenelle Segal RN, CIC, FAPIC President Infection Control Consulting Services www.iccs home.com 215 692 3485 info@iccs
More informationOptimizing Antimicrobial Stewardship Activities Based on Institutional Resources
Optimizing Antimicrobial Stewardship Activities Based on Institutional Resources Andrew Hunter, PharmD, BCPS Infectious Diseases Clinical Pharmacy Specialist Michael E. DeBakey VA Medical Center Andrew.hunter@va.gov
More informationOverview of Infection Control and Prevention
Overview of Infection Control and Prevention Review of the Cesarean-section Antibiotic Prophylaxis Program in Jordan and Workshop on Rational Medicine Use and Infection Control Terry Green and Salah Gammouh
More informationHospital Infection. Mongolia, October Walter Popp Hospital Hygiene University Clinics Essen, Germany
Hospital Infection Mongolia, October 2011 Walter Popp Hospital Hygiene University Clinics Essen, Germany 1 2 1 3 4 2 Tuberculosis Mongolia: 4,218 new cases in 2010. 156 per 100,000. 000 Transmission possible
More informationPreventing Multi-Drug Resistant Organism (MDRO) Infections. For National Patient Safety Goal
Preventing Multi-Drug Resistant Organism (MDRO) Infections For National Patient Safety Goal 07.03.01 2009 Methicillin Resistant Staphlococcus aureus (MRSA) About 3-8% of the population at large is a carrier
More informationPrevention of Surgical Site Infections
Prevention of Surgical Site Infections A Review of Recent Evidence and Guidelines Dale W. Bratzler, DO, MPH, MACOI, FIDSA Professor and Associate Dean, College of Public Health Professor, College of Medicine
More informationDevelopment of Drugs for Eradication of Nasal Carriage of S. aureus to Reduce S. aureus Infections in Vulnerable Surgical Patients
Development of Drugs for Eradication of Nasal Carriage of S. aureus to Reduce S. aureus Infections in Vulnerable Surgical Patients Richard Bax Transcrip Partners Bax - Eradication of carriage - EMA 25-26
More informationScreening programmes for Hospital Acquired Infections
Screening programmes for Hospital Acquired Infections European Diagnostic Manufacturers Association In Vitro Diagnostics Making a real difference in health & life quality June 2007 HAI Facts Every year,
More informationSo Why All the Fuss About Hand Hygiene?
CARING PROFESSIONAL SERVICES, INC. HAND HYGIENE In-Service So Why All the Fuss About Hand Hygiene? Most common mode of transmission of pathogens is via hands! Infections acquired in healthcare Spread of
More informationPost-operative surgical wound infection
Med. J. Malaysia Vol. 45 No. 4 December 1990 Post-operative surgical wound infection Yasmin Abu Hanifah, MBBS, MSc. (London) Lecturer Department of Medical Microbiology, Faculty of Medicine, University
More informationMDRO s, Stewardship and Beyond. Linda R. Greene RN, MPS, CIC
MDRO s, Stewardship and Beyond Linda R. Greene RN, MPS, CIC linda_greene@urmc.rochester.edu Evolving Threat of Antimicrobial Resistance Why are MDROs important? Limited treatment options Associated with:
More informationDoes Screening for MRSA Colonization Have A Role In Healthcare-Associated Infection Prevention Programs?
Does Screening for MRSA Colonization Have A Role In Healthcare-Associated Infection Prevention Programs? John A. Jernigan, MD, MS Division of Healthcare Quality Promotion Centers for Disease Control and
More informationTABLE OF CONTENTS. 1. Purpose of the WRHA Infection Prevention and Control Manual 2.1 and approval process
TABLE OF CONTENTS Winnipeg Regional Health Authority Introduction Page Number 1. Purpose of the WRHA Infection Prevention and Control Manual 2.1 and approval process 2. WRHA Infection Prevention and Control
More informationPreventing Clostridium difficile Infection (CDI)
1 Preventing Clostridium difficile Infection (CDI) All Hands on Deck to Reduce CDI Skill Nursing Facility Conference July 28, 2017 Idamae Kennedy, MPH,BSN,RN,CIC Liaison Infection Preventionist Healthcare
More informationThe surgical site infection risk in developing countries. Yves BUISSON Société de Pathologie Exotique
The surgical site infection risk in developing countries Yves BUISSON Société de Pathologie Exotique Surgical site infections Health-care-associated infections occurring within 30 days after surgery, or
More informationActive Bacterial Core Surveillance Site and Epidemiologic Classification, United States, 2005a. Copyright restrictions may apply.
Impact of routine surgical ward and intensive care unit admission surveillance cultures on hospital-wide nosocomial methicillin-resistant Staphylococcus aureus infections in a university hospital: an interrupted
More informationHand disinfection Topics
Hand disinfection Mongolia 2011 Walter Popp, Hospital Hygiene, University Clinics Essen, Germany 1 Topics History Hand washing vs. hand disinfection Importance of hand disinfection Compliance campaigns
More informationPresented by: Mary McGoldrick, MS, RN, CRNI
Managing Infection Control Challenges in the Home Mary McGoldrick, MS, RN, CRNI Home Care and Hospice Consultant Saint Simons Island, GA CE Credit in Five Easy Steps! 1. Scan your badge as you enter each
More informationResponders as percent of overall members in each category: Practice: Adult 490 (49% of 1009 members) 57 (54% of 106 members)
Infectious Diseases Society of America Emerging Infections Network 6/2/10 Report for Query: Perioperative Staphylococcus aureus Screening and Decolonization Overall response rate: 674/1339 (50.3%) physicians
More informationReportable Disease Surveillance & Antibiotic Resistant Bacteria
Reportable Disease Surveillance & Antibiotic Resistant Bacteria Kevin T. Kavanagh, MD, MS Health Watch USA December 16, 2015 This presentation is the express opinion of Kevin T. Kavanagh, MD, MS The Crisis
More informationSURGICAL ANTIBIOTIC PROPHYLAXIS GUIDELINES WITHIN ORTHOPAEDIC SURGERY FOR ADULT PATIENTS
SURGICAL ANTIBIOTIC PROPHYLAXIS GUIDELINES WITHIN ORTHOPAEDIC SURGERY FOR ADULT PATIENTS Full Title of Guideline: Author (include email and role): Division & Speciality: Scope (Target audience, state if
More informationAntimicrobial Stewardship. We cannot afford to go back
Antimicrobial Stewardship We cannot afford to go back Objectives What is antimicrobial stewardship? Why the concern over antibiotic resistance? Discuss the role and use of antibacterial medical devices
More informationPolicy Forum. Environmental and Professional Hygiene: Toward the Prevention of Drug Resistant Infections
Policy Forum Environmental and Professional Hygiene: Toward the Prevention of Drug Resistant Infections International Society of Microbial Resistance and Office of International Medical Policy School of
More informationMulti-Drug Resistant Organisms (MDRO)
Multi-Drug Resistant Organisms (MDRO) 2016 What are MDROs? Multi-drug resistant organisms, or MDROs, are bacteria resistant to current antibiotic therapy and therefore difficult to treat. MDROs can cause
More informationNeonatal Antibiotic Prophylaxis and Surgical Site Infection Adam C. Alder, MD MSCS Ryan Walk, MD UTSW and Children s Health Dallas, TX
Neonatal Antibiotic Prophylaxis and Surgical Site Infection Adam C. Alder, MD MSCS Ryan Walk, MD UTSW and Children s Health Dallas, TX Nothing to disclose Disclosures Objectives Review the current challenges
More informationSurgical prophylaxis for Gram +ve & Gram ve infection
Surgical prophylaxis for Gram +ve & Gram ve infection Professor Mark Wilcox Clinical l Director of Microbiology & Pathology Leeds Teaching Hospitals & University of Leeds, UK Heath Protection Agency Surveillance
More informationMethicillin-Resistant Staphylococcus aureus (MRSA) Infections Activity C: ELC Prevention Collaboratives
Methicillin-Resistant Staphylococcus aureus (MRSA) Infections Activity C: ELC Prevention Collaboratives John Jernigan, MD, MS Alex Kallen, MD, MPH Division of Healthcare Quality Promotion Centers for Disease
More informationStrategies to Prevent Methicillin-Resistant Staphylococcus aureus Transmission and Infection in Acute Care Hospitals: 2014 Update
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY JULY 2014, VOL. 35, NO. S2 SHEA/lDSA PRACTICE RECOMMENDATION Strategies to Prevent Methicillin-Resistant Staphylococcus aureus Transmission and Infection in
More informationWhy should we care about multi-resistant bacteria? Clinical impact and
Why should we care about multi-resistant bacteria? Clinical impact and public health implications Prof. Stephan Harbarth Infection Control Program Geneva, Switzerland and Ebola (in 2014/2015) Increased
More information3 Infection Prevention Solutions
3 Infection Prevention Solutions 3M DuraPrep Surgical Solution Nothing is faster, easier or more effective. We can all make a difference. Fast Not only did 3M design an applicator that is fast to activate
More informationPharmacoeconomic Analysis of Peri-Surgical Antibiotics and Surgical Site Infections in Livingstone General Hospital, Zambia.
Pharmacoeconomic Analysis of Peri-Surgical Antibiotics and Surgical Site Infections in Livingstone General Hospital, Zambia. Martin Arrigan, Brigid Halley, Peter Hughes, Leanne McMenamin, Katie O Sullivan
More informationAntibiotic prophylaxis guideline for colorectal, hepatobiliary and vascular surgery for adult patients.
Antibiotic prophylaxis guideline for colorectal, hepatobiliary and vascular surgery for adult patients. Full Title of Guideline: Author (include email and role): Division & Speciality: Scope (Target audience,
More informationA patient s guide to. MRSA - Methicillin Resistant Staphylococcus Aureus
A patient s guide to MRSA - Methicillin Resistant Staphylococcus Aureus 1 What is MRSA? There are lots of micro-organisms (germs) on our skin. They are in the air we breathe, the water we drink, and the
More informationM R S A. Methicillin-Resistant Staphylococcus aureus. The Facts
M R S A Methicillin-Resistant Staphylococcus aureus The Facts Michael Parry, M.D. Director of Infectious Diseases and Microbiology Stamford Hospital January 24, 2008 Introduction to Staph aureus Staphylococcus
More informationInfection control in intensive care. Sandra Fairley Senior Nurse, Neurocritical Care
Infection control in intensive care Sandra Fairley Senior Nurse, Neurocritical Care sandra.fairley@uclh.nhs.uk Risks to the patient of health care acquired infection (HCAI) Patient admitted to hospital
More informationHospital Acquired Infections in the Era of Antimicrobial Resistance
Hospital Acquired Infections in the Era of Antimicrobial Resistance Datuk Dr Christopher KC Lee Infectious Diseases Unit Department of Medicine Sungai Buloh Hospital Patient Story 23 Year old female admitted
More informationPresenter: Marc Meyer, BPharm, RPh, CIC, FAPIC Clinical Pharmacists, Infection Preventionist, Antibiotic Stewardship Pharmacist Southwest Health
Presenter: Marc Meyer, BPharm, RPh, CIC, FAPIC Clinical Pharmacists, Infection Preventionist, Antibiotic Stewardship Pharmacist Southwest Health System, Cortez, Colorado None How do AU vendors and NHSN
More informationInappropriate Use of Antibiotics and Clostridium difficile Infection. Jocelyn Srigley, MD, FRCPC November 1, 2012
Inappropriate Use of Antibiotics and Clostridium difficile Infection Jocelyn Srigley, MD, FRCPC November 1, 2012 Financial Disclosures } No conflicts of interest } The study was supported by a Hamilton
More informationInfection Prevention Highlights for the Medical Staff. Pamela Rohrbach MSN, RN, CIC Director of Infection Prevention
Highlights for the Medical Staff Pamela Rohrbach MSN, RN, CIC Director of Infection Prevention Standard Precautions every patient every time a. Hand Hygiene b. Use of Personal Protective Equipment (PPE)
More informationToday s Agenda: 9/30/14
Today s Agenda: 9/30/14 1. Students will take C List Medical Abbreviation Quiz. 2. TO: Discuss MRSA. MRSA MRSA Methicillin Resistant Staphylococcus Aureus Methicillin Resistant Staphylococcus Aureus What
More informationProc. related Joseph Lister - antiseptic principles Zoutman et al Inf Contr Hosp Epi 1999
Dick Zoutman, MD, FRCPC Queen s University School of Medicine & Kingston General Hospital, Kingston, Ontario, Canada Hosted by Paul Webber paul@webbertraining.com www.webbertraining.com Practical Meaning
More informationMultidrug Resistant Organisms (MDROs) and Clostridium difficile (C. diff)
PATIENT & CAREGIVER EDUCATION Multidrug Resistant Organisms (MDROs) and Clostridium difficile (C. diff) This information explains multidrug resistant organisms (MDROs) and Clostridium difficile (C. diff),
More informationRunning head: CLOSTRIDIUM DIFFICILE 1
Running head: CLOSTRIDIUM DIFFICILE 1 Clostridium difficile Infection Christy Lee Fenton Mountainland Applied Technology College CLOSTRIDIUM DIFFICILE 2 Clostridium difficile Infection Approximately 200,000
More informationThe Hospital Environment as a Source of Resistant Gram Negatives
Avondale College ResearchOnline@Avondale Nursing and Health Conference Papers Faculty of Nursing and Health 2013 The Hospital Environment as a Source of Resistant Gram Negatives Brett G. Mitchell Avondale
More informationStewardship tools. Dilip Nathwani Ninewells Hospital and Medical School Dundee, UK
Stewardship tools Dilip Nathwani Ninewells Hospital and Medical School Dundee, UK What is Antimicrobial Stewardship (AMS)? Antimicrobial stewardship has been defined as the optimal selection, dosage, and
More informationNeurosurgery Antibiotic Prophylaxis Guideline
Neurosurgery Antibiotic Prophylaxis Guideline Full Title of Guideline: Author (include email and role): Division & Speciality: Scope (Target audience, state if Trust wide): Review date (when this version
More informationPopulation Decolonized and Decolonization Regimen
Appendix Table 1a Characteristics Studies Evaluating a Bundle Including Decolonization and Glycopeptide Prophylaxis as a Means of Preventing Gram-Positive Surgical Site Infections First Author, Year, Location
More information1) Mangram AJ,Horan TC,Pearson ML, et al:guideline for Prevention of Surgical Site Infection.Infect Control Hosp Epidemiol 1999;20:247-278. 1a) Perl TM, Cullen JJ, Wenzel RP, et al.: Intranasal mupirocin
More informationImpact of a Standardized Protocol to Address Outbreak of Methicillin-resistant
Impact of a Standardized Protocol to Address Outbreak of Methicillin-resistant Staphylococcus Aureus Skin Infections at a large, urban County Jail System Earl J. Goldstein, MD* Gladys Hradecky, RN* Gary
More informationSurgical site infections. J Scott Weese DVM DVSc DipACVIM
Surgical site infections J Scott Weese DVM DVSc DipACVIM Adapted from Mandell et al 2005 Risk of SSI Microbial concentration and virulence X Tissue injury X Foreign material X Antimicrobial resistance
More informationSilicone delivery liner assists easy release of 3M TM Ioban TM 2 Antimicrobial Incise Drape onto the skin.
3M Health Care Incise Drapes A barrier to bacterial contamination Silicone delivery liner assists easy release of 3M TM Ioban TM 2 Antimicrobial Incise Drape onto the skin. 3M TM Ioban TM 2 Adhesive remains
More informationClostridium Difficile Primer: Disease, Risk, & Mitigation
Clostridium Difficile Primer: Disease, Risk, & Mitigation KALVIN YU, M.D. CHIEF INTEGRATION OFFICER, SCPMG/SCAL KAISER PERMANENTE ASSOCIATE PROFESSOR INFECTIOUS DISEASE, COLLEGE OF GLOBAL PUBLIC HEALTH,
More informationClostridium difficile infection: The Present and the Future
Clostridium difficile infection: The Present and the Future Carlos E. Figueroa Castro, MD Assistant Professor, Division of Infectious Diseases Medical College of Wisconsin November 2014 I have made this
More informationCore Elements of Antibiotic Stewardship for Nursing Homes
Core Elements of Antibiotic Stewardship for Nursing Homes Nimalie D. Stone, MD, MS Medical Epidemiologist for LTC Division of Healthcare Quality Promotion Centers for Disease Control and Prevention Antimicrobial
More informationCarbapenemase-Producing Enterobacteriaceae (CPE)
Carbapenemase-Producing Enterobacteriaceae (CPE) September 21, 2017 Maryam Khan Peel Public Health Madeleine Ashcroft Public Health Ontario Objectives Differentiate the acronyms related to CPE (CPE,CPO,CRE,CRO)
More informationSurveillance of Multi-Drug Resistant Organisms
Surveillance of Multi-Drug Resistant Organisms Karen Hoffmann, RN, MS, CIC Associate Director Statewide Program for Infection Control and Epidemiology (SPICE) University of North Carolina School of Medicine
More informationUpdates in Antimicrobial Stewardship
Updates in Antimicrobial Stewardship Andrew Hunter, Pharm.D., BCPS Infectious Diseases Clinical Pharmacy Specialist Michael E. DeBakey VA Medical Center andrew.hunter@va.gov Disclosures No disclosures
More informationAn Evidence Based Approach to Antibiotic Prophylaxis in Oral Surgery
An Evidence Based Approach to Antibiotic Prophylaxis in Oral Surgery Nicholas Makhoul DMD. MD. FRCD(C). Dip ABOMS. FACS. Director, Division of Oral and Maxillofacial Surgery Assistant Professor McGill
More informationMEASURING ANTIBIOTIC USE IN LTCFS
MEASURING ANTIBIOTIC USE IN LTCFS ELIZABETH DODDS ASHLEY, PHARMD, MHS LIAISON CLINICAL PHARMACIST ASSOCIATE PROFESSOR OF MEDICINE Objectives - Compare and contrast advantages and disadvantages to various
More informationMICRO-ORGANISMS by COMPANY PROFILE
MICRO-ORGANISMS by COMPANY PROFILE 2017 1 SAPROPHYTES AND PATHOGENES SAPROPHYTES Not dangerous PATHOGENES Inducing diseases Have to be eradicated WHERE ARE THERE? EVERYWHERE COMPANY PROFILE 2017 3 MICROORGANISMS
More informationSSI Incisional and Organ/Space
XIV ANNUAL CONFERENCE OF ESS Turin, 25-27 November 2010 SSI Incisional and Organ/Space Prof. Andrea Imperatori University of Insubria Center for Thoracic Surgery Horan T et al CDC Definitions of Nosocomial
More informationPromoting Appropriate Antimicrobial Prescribing in Secondary Care
Promoting Appropriate Antimicrobial Prescribing in Secondary Care Stuart Brown Healthcare Acquired Infection and Antimicrobial Resistance Project Lead NHS England March 2015 Introduction Background ESPAUR
More informationThe importance of infection control in the era of multi drug resistance
Dr. Kumar Consultant Infectious Diseases Physician Hospital Sungai buloh The importance of infection control in the era of multi drug resistance Nosocomial infections In Australian acute hospitals 200,000
More informationGeriatric Mental Health Partnership
Geriatric Mental Health Partnership September 8, 2017 First, let s test your knowledge about antibiotics http://www.cdc.gov/getsmart/community/about/quiz.html 2 Get Smart Antibiotics Quiz Antibiotics fight
More informationMEASURING ANTIBIOTIC USE IN LTCFS
MEASURING ANTIBIOTIC USE IN LTCFS ELIZABETH DODDS ASHLEY, PHARMD, MHS LIAISON CLINICAL PHARMACIST dason.medicine.duke.edu Sources for Antibiotic Data in Nursing Homes Purchasing data -Can be difficult
More informationLearning Objectives:
Preventing Surgical Site Infections (SSI) Learning Objectives: Discuss risk factors for surgical site infections in healthcare settings. Review current strategies and emerging guidelines for SSI prevention.
More informationSurgical Site Infections (SSIs)
Surgical Site Infections (SSIs) Postoperative infections presenting at any level Incisional superficial (skin, subcutaneous tissue) Incisional deep (fascial plane and muscles) Organ/space related (anatomic
More informationAntibiotics in the trenches: An ER Doc s Perspective
Antibiotics in the trenches: An ER Doc s Perspective Peter Currie, MD Medical Director for Quality Emergency Physicians Professional Association (EPPA) Agenda Emergency Medicine Specific Disease Processes
More informationNosocomial Antibiotic Resistant Organisms MRSA & VRE
Nosocomial Antibiotic Resistant Organisms MRSA & VRE Course Health Science Unit VII Infection Control Essential Question Does improved hand hygiene really reduce the spread of bacteria in healthcare settings?
More informationPreventing Surgical Site Infections Loretta Litz Fauerbach, Shands Hospital at the University of Florida Sponsored by 3M Canada
Preventing Surgical Site Infections Loretta Litz Fauerbach, MS, CIC Hosted by Paul Webber paul@webbertraining.com Sponsored by: 3M Canada www.3m.ca www.webbertraining.com Surgical Site Infections (SSIs)
More informationGynaecological Surgery in Adults Surgical Antibiotic Prophylaxis
Gynaecological Surgery in Adults Surgical Antibiotic Prophylaxis Full Title of Guideline: Author (include email and role): Division & Speciality: Scope (Target audience, state if Trust wide): Review date
More informationDeveloped by Kathy Wonderly RN, MSEd,CPHQ Developed: October 2009 Most recently updated: December 2014
Developed by Kathy Wonderly RN, MSEd,CPHQ Developed: October 2009 Most recently updated: December 2014 The Center for Medicare and Medicaid (CMS) is moving away from collecting data on the process of care
More informationAdventures in Handwashing
Adventures in Handwashing A review of studies on handwashing, foodborne illness, and the effectiveness of food worker training on handwashing behaviors Many Foodborne Pathogens are Associated with Personal
More informationScottish Surveillance of Healthcare Infection Programme (SSHAIP) Health Protection Scotland SSI Surveillance Protocol 7th Edition 2017 Question &
Contents General... 4 Pre-op... 4 Peri-op... 5 Post-op... 8 Caesarean Section... 12 Orthopaedics... 14 Large Bowel:... 15 Vascular... 17 General Pre-op Q: If a patient is an emergency admission is the
More informationLA-MRSA in the Netherlands: the past, presence and future.
LA-MRSA in the Netherlands: the past, presence and future. Prof. Jaap Wagenaar DVM, PhD With input from Prof. Jan Kluytmans MD, PhD Department of Infectious Diseases and Immunology, Faculty of Veterinary
More informationPrevention of Perioperative Surgical Infections
Prevention of Perioperative Surgical Infections Michael A. West, MD, PhD, FACS Department of Surgery University California San Francisco San Francisco, CA, USA Surgical Site Infections (SSI) 2-5% of operated
More information(DRAFT) RECOMMENDATIONS FOR THE CONTROL OF MULTI-DRUG RESISTANT GRAM-NEGATIVES: CARBAPENEM RESISTANT ENTEROBACTERIACEAE
(DRAFT) RECOMMENDATIONS FOR THE CONTROL OF MULTI-DRUG RESISTANT GRAM-NEGATIVES: CARBAPENEM RESISTANT ENTEROBACTERIACEAE John Ferguson (Hunter New England, NSW) on behalf of MRGN Task Force Acknowledgement
More informationMRSA Control : Belgian policy
MRSA Control : Belgian policy PEN ERY CLI DOT GEN KAN SXT CIP MIN RIF FUC MUP OXA Marc Struelens Service de microbiologie & unité d épidémiologie des maladies infectieuses Université Libre de Bruxelles
More informationTwo (II) Upon signature
Page 1/5 SCREENING FOR ANTIBIOTIC RESISTANT ORGANISMS (AROS) IN ACUTE CARE AND LONG TERM CARE Infection Prevention and Control IPC 050 Issuing Authority (sign & date) Office of Administrative Responsibility
More informationClinical Study of Surgical Site Infection
Clinical Study of Surgical Site Infection Dr. Balaji Prabhakaran, Dr. Mohamed Afjal, Dr. Saptarshi Paul Abstract: Background and objective: Study most common organisms encountered and their sensitivity
More informationMethicillin Resistant Staphylococcus aureus:
Methicillin Resistant Staphylococcus aureus: Action-Oriented Guidance for Community-Based Prevention Jackie Dawson, PhD Public Health Epidemiologist Chelan, Douglas, Grant, Kittitas, & Okanogan Counties
More informationProphylactic antibiotic timing and dosage. Dr. Sanjeev Singh AIMS, Kochi
Prophylactic antibiotic timing and dosage Dr. Sanjeev Singh AIMS, Kochi Meaning - Webster Medical Definition of prophylaxis plural pro phy lax es \-ˈlak-ˌsēz\play : measures designed to preserve health
More informationAntimicrobial prophylaxis. Bs Lưu Hồ Thanh Lâm Bv Nhi Đồng 2
Antimicrobial prophylaxis Bs Lưu Hồ Thanh Lâm Bv Nhi Đồng 2 Definition The United States Centers for Disease Control and Prevention (CDC) has developed criteria that define surgical site infection (SSI)
More informationInfection Control & Prevention
Infection Control & Prevention Objectives: Define the term multi-drug resistant organism (MDRO). Recognize risk factors for developing MDROs. Describe the clinical manifestations and medical treatment
More information