Quality Improvement Program
Needs Assessment and Quality Improvement Plan
Paula Stechschulte, PhD, N
This paper discusses the process of drafting a quality improvement plan at a community level medical facility, a plan that is aimed at reducing days under urinary catheter and also reducing the rates of infections associated with the said catheters. As a high rate of incidence of infection related to catheter usage is costly for the hospital, this implementation strategy is aimed both at reducing hospital costs and boosting patient health, safety and satisfaction. The requirement for this strategy is a level of nursing education, dedication and commitment that will necessitate training and a "go-live" session of implementation which can be stressful for workers and for patients as both adjust to change. The management directors will need to not only monitor progress using the Six Sigma method but also will need to effectively maintain levels of…… [Read More]
ordinal list of the causes of death in the US. It has been reported that the disease causes more havoc in developing countries. During a flu epidemic, up to 20% of Americans are infected by the virus. Of this figure, approximately 36 000 people might die of the infection. It is reported that over 200 000 of those infected are infected in various hospital facilities across the country. Indeed, few viruses have inflicted as much damage and endured as the influenza virus. espiratory ailments blamed on influenza are documented in records that trace the infection back to Greece and ome of the ancient world. The word influenza when viewed from its original Greek form: influentia points to the popular belief that the epidemics that people suffered were a result of the influence of stars. Indeed, people including medical experts refer to the infection of influenza as flu, yet most of…… [Read More]
hospital acquired infections, popularly known as the nosocomial infections in adults, specifically elderly adults. In this research paper, the focus is built on infections caught by elderly people and the preventions that can be taken as measures to eradicate the causes of this infection. esearch reports have been taken as references to describe the current situation of nosocomial infection spread in the American society and all over the world.
This infection is developed in a person after a visit to hospital within 48 hours or by patients who are discharged from the hospital and are diagnosed within 30 days of leaving the hospital. Patients who are diagnosed with such an infection carry diseases that are caused by fungal infections or through unsanitary conditions of the hospital environment (Norton, Barie, & Bollinger, 2008). Moreover, they catch infection through contamination from air droplets via sneezing or coughing and from contact with patients…… [Read More]
The evidence-based approach utilized and advocated by all the authors cited in this essay can be viewed through the lens of a PDSA process as described by Hadaway (2006). For example, Pronovost and colleagues were interested in reducing the incidence of preventable C-BSIs in the ICU setting in Michigan. They first identified an evidence base supporting an intervention and then planned how to implement the intervention to cause a small-scale change. This evidence base, as well, is nothing more than the sum of several research groups engaging in the PDSA process. The intervention(s) is then implemented to test its efficacy, the results studied, and significant positive or negative outcomes are acted upon. The research reviews by Kampf et al. (2009) and Hadaway (2006) represent a synthesis of the findings from several studies, which they used to support their theses regarding hand hygiene and C-BSIs, respectively. hine's (2006)…… [Read More]
coli bacteria was essential given the purpose of the study, which aimed at determining how repeated cases f urinary tract infections were caused. Specific strains of the bacteria were identified from each of the seventeen infants initially diagnosed with a urinary tract infection that were a part of the study, and these were compared to cultures taken from infant during subsequent infections. The results showed that each infant had at least one recurrent episode caused by the exact same strain of the bacteria, and that same-strain infections accounted for the vast majority of recurring infections. This suggests that infection occurs from pathogens still present in the body, and is therefore more effectively treated as a relapse then considering each case to be a separate infection.
Cohen, a.; Rivara, F.; Davis, R. & Christakis, D. (2005). "Compliance with guidelines for the medical care of first urinary tract infections in infants: A…… [Read More]
A patient realizes increased need to urinate at night. There are episodes of chills and persistent fever that last for more than two days. A patient may also realize pain in the flank that runs along the back at about waist level (Harvey & Zieve, D, 2013). Vomiting and nausea is also common.
Urinary Tract Infections in infants and toddlers tend to be more severe than in young women. This is because it is more likely to involve their kidneys. Symptoms of urinary tract infections in older children tend to be more standard (Harvey & Zieve, D, 2013). The severity of UTIs in infants and young children calls for screening to establish whether they have persistent high fever of unknown cause often accompanied by feeding problems, debility, listlessness, and fatigue; painful, frequent, and foul smelling urine; cloudy urine; recurrence of bed wetting or poor urine control during the day especially…… [Read More]
Healthcare Associate Infections
Hospitals are often associated with providing care and treatment in the face of an illness. However, what is not often discussed is that many patients who are admitted to hospitals contract infections from the hospital itself. Infections which are acquired from a hospital are known in the medical community as nosocomial infections (Avic, 2012). I am interested in exploring how nosocomial infection occurs and how they can be prevented. I am specifically interested in assessing how nurses can contribute to reducing incidents of nosocomial infections and the role that they play in patient infection rates. By analyzing the most vulnerable patients, this paper attempts to identify when an infection is likely to occur, where they are most likely to be contracted, and the safeguards that must be put in place to prevent the nosocomial infections.
Avic, et al., review the frequency, types, and outcomes of hospital acquired…… [Read More]
Urinary Tract Infection and Prevention
esearch write 5 literature review catheter acquired urinary tract infection prevention.
Catheter-associated (CA) bacteriuria is health care infection associated with the wide spreed urinary catheterization in hospitals and long-term care facilities worldwide. Considerable costs, personnel, time are spent by health care institutions to minimize the infection rate of CA infections, especially the urinary tract infections - CA urinary tract infections (Graves N. et al., 2007). Urinary catheterisation is defined as an intervention to enable emptying of the bladder by insertion of a catheter. Indwelling urinary catheterisation is categorised as either; short-term - less than 28 days, or long-term - greater than 28 days (Tambyah PA & DG., 2000). Urinary tract infections (UTIs) have been shown to be one of the most common in healthcare-associated infection (HCAI) with up to 80% related to the presence of urinary catheter (Gould CV, Umscheid CA, Agarwai K, Kuntz G,…… [Read More]
Urinary tract infections (UTIs) are characteristically the most prevalent healthcare-associated infection or HAI for short, in critical care place in America. The CDC or Centers for Disease Control and Prevention has projected that up over 150,000 hospital-onset, indicative catheter-associated UTIs (CAUTIs) happened in 2013, which brought about in as much as $160 million in superfluous straight medical costs (Kuntz, 2010, p. 319). Existing research inspects the possible reasons for such an elevated incidence of infection by offering ways it can be improved or researched. oughly three quarters of healthcare-associated UTIs are associated with inappropriate use of indwelling urinary catheters. This comes as a result of over 25% of patients becoming exposed to prolonged and unnecessary catheter use. Adult ICUs have the maximum experience rate for catheter use and expose over 95% of UTIs connected to catheter use.
A study by Hyder et al. examined six key areas in their cross…… [Read More]
Toxoplasmosis is an infection involving the central nervous system. Until quite recently, it was considered to be a very rare disease. Now, however, the infection is more common, and is seen as a rather frequent cause of encephalitis, particularly among AIDS patients. The infection itself is caused by an obligate intracellular protozoan called Toxoplasma gondii (Caffazana, et al., 292). This protozoan has a worldwide distribution. In those that have AIDS, it causes encephalitis and neurological symptoms. Among the symptoms that should be looked for and are usually present are headaches that are nonpulsating, severe, and usually in both sections of the front of the head (Caffazana, et al., 295). These headaches caused by the disease are not relieved, as most normal headaches would be, by taking over-the-counter headache remedies such as analgesics. Having the headache pain in the front of the head does not reflect T. gondii lesions, but rather…… [Read More]
Urinary tract infection (UTIs) refers to urinary tract symptomatic bacterial infection. As mentioned in the lesson, Escherichia coli is the most common infecting microorganism with Staphylococcus saprophyticus as the second most common (Huether & McCance, 2015, p. 753). While other organisms like fungi or viruses can infect the urinary tract, bacterial infections are most common. The lower UTI is called cystitis and affects the bladder. The upper UTI is called acute pyelonephritis and affects the kidney. Although these are the main areas for both upper and lower UTI the symptomatic bacterial infection can extend past those anatomical areas.
For lower UTIs, the onset can be sudden, with typical urgency, burning, and frequency of urination. There is often painful voiding of minor volumes of urine. Lower back pain is a common symptom. The urine may appear turbid and potential development of a low-grade fever (Huether & McCance, 2015). The symptoms for…… [Read More]
Advances in medicine have resulted in the further enhancement of patient outcomes in healthcare settings. It is, however, important to note that the treatment of many patients in close proximity does have some downsides. Hospital acquired infections (HAIs) are one such downside. In basic terms, HAIs are inclusive of all the infections that were not part of the original diagnosis of the patient during his or her admission at the hospital. Research studies conducted in the past have clearly indicated that HAIs are a major health care concern for not only patients, but also healthcare providers. For this reason, the relevance of reigning in HAIs cannot be overstated. Indeed, as Gupta at al. (2014) point out, taking into consideration “morbidity, mortality, increased length of stay and the cost, efforts should be made to make hospitals as safe as possible by preventing such infections” (150).
In seeking to further…… [Read More]
Due to their contact with different patients, it allows them to become carriers of the disease.
It is important to study the relevance of SARS to epidemiology because epidemiology can provide an amount of diverse and important information that can facilitate the process of controlling, if not totally preventing, its spread. y relating SARS to epidemiology, people can become aware of the whole story on SARS. Moreover, epidemiology can be a fundamental source in finding solutions to combat the disease. Thus, providing another measure in the management and control of its spread. For instance, in the outbreak cases of SARS in many places worldwide, the article indicated that epidemiology provided appropriate models in containing the disease.
Emerging Infections: What Have We Learned from SARS?
Retrieved on Nov. 12, 2004, from CDC.GOV.
Web site: http://www.cdc.gov/ncidod/EID/vol10no7/pdfs/04-0166.pdf… [Read More]
Failure to implement infection control precautions can lead to potential complications that include the spread of infection to otherwise healthy individuals within the ward or facility where the infection occurs and even out into the community through visitors who become infected (Banach, Bearman, Morgan & Munoz-Price, 2015). Thus, complications that arise from infection spreading may not be confined to the hospital or facility where they occur but can easily become an issue that impacts the outside world as well. Examples abound, whether they are influenza related, SARS-related, and so on. Communities can suffer significantly when even the simplest infection control precautions are not followed by nurses in health care facilities.
Another potential complication can be resource-related, as infection spreading can lead to a drain on resources as procedures are put in place to stem the spread and deal with contamination, quarantine and clean-up (Koutlakis-Barron & Hayden, 2016; Revolinski, Huang &…… [Read More]
NICU Nosocomial Infections
Preventing NICU Nosocomial Infections
hine (2006) writes an editorial to appeal to clinicians staffing neonatal intensive care units (NICUs) to increase their awareness of patient safety measures because a large number of studies have shown that educating and training clinicians on how to prevent nosocomial infections (NI) can have a significant positive impact on patient outcomes. The author was motivated to write this editorial because of the findings from a NICU study completed at the University of Alabama in Birmingham (UAB). The main findings of this study were clinician education, especially concerning hand hygiene, together with NICU culture, can significantly reduce NIs in the NICU over the long-term.
The UAB NICU intervention capturing the attention of hine (2006) involved a number of steps, but it was unclear which ones were individually the most effective. The author admits this, while at the same time suggesting that a systematic…… [Read More]
Nurse burnout is a common occurrence. This can exacerbate an ongoing problem that is seen in hospitals, nosocomial infections. Nosocomial infections remain prevalent for patients with extended hospital stays like those in intensive care units. An infection that starts roughly 48 hours after admission, those in intensive care units (ICUs) experience a continued rate of infection leading to increase length of stay, mortality, and morbidity. The number of patients that develop a nosocomial infection are from 7 to 10% internationally (Dasgupta, Das, Hazra, & Chawan, 2015). As such, hospitals have decided to classify nosocomial infection sites based on clinical and biological criteria.
esearch has led to the discovery of several bacterial strains that involve the formation of nosocomial or hospital acquired infections. "The agents that are usually involved in hospital-acquired infections include Streptococcus spp., Acinetobacter spp., enterococci, Pseudomonas aeruginosa, coagulase-negative staphylococci, Staphylococcus aureus, Bacillus cereus, Legionella and Enterobacteriaceae family members,…… [Read More]
One possible explanation for the differences observed in the studies could be that the strengths of the chlorhexidine solution were different. It could also be that over time more effective techniques have been developed in the application of the solution, as the results do appear to improve over time.
There are limitations to the methodology of the study which are centered on the use of secondary data for analysis. The use of secondary data allows a wider range of data to be gathered from across the U.S. than would be practical from primary data collection which is the reason for the choice in this study. However this puts the control of several variables beyond the researcher. The results of the techniques may have been affected by the application of different individuals, departments and hospitals, all of whom may vary techniques and other factors influencing the success of these techniques. The…… [Read More]
Healthcare Associated Infections: Critical Analysis
The prevention and control of healthcare associated infections is an issue that has attracted considerable attention across the globe given the increase of healthcare associated infections. Despite the development and use of several strategies and measures to lessen the burdens caused by healthcare associated infections, the practices of healthcare professionals are largely suboptimal while the infections persist. As a result, the prevention and control of these infections has attracted considerable concern, which has resulted in several studies on the practices and behaviors of healthcare practitioners. Carole Jackson, Karen Lowton and Peter Griffiths have conducted a research on nurses' prevention behaviors to control healthcare associated infections. The qualitative study utilizes vignettes created from nurses' reports of infection prevention behaviors and practices.
Healthcare associated infections can be described as infections that emerge from medical interventions like clinical or surgical processes or from contact with a…… [Read More]
In the U.S healthcare environment, the clinical practice guidelines are the effective healthcare protocol to enhance patient’s safety as well as achieving evidence-based practice. The clinical guidelines provide recommendations to the best available practice to assist clinicians and other healthcare professionals to deliver best and quality care. More importantly, the clinical practice guidelines are designed to optimize patients’ care using the systematic assessment and evidence based review to assess pros and cons of the alternative care options. The guidelines serve as the strongest resources to assist the healthcare professionals to make clinical decisions as well as incorporating evidence gained through practice and scientific investigations into patient practice. Healthcare organizations develop the guidelines in form and policies, which are endorsed across the organization to create a platform that employees will follow and holding employees accountable to achieve a standard of care.
Clabsi Hospital is one of the best healthcare organizations…… [Read More]
Long-Term Nursing Facility Management Risks
Long-Term Nursing Family Management Risks
The major risk management issue of our hospital is the spread of nosocomial infections, more popularly known in the medical circle as hospital-acquired infections. This infection is something that a patient can contract or develop besides the condition for which he is admitted (Duel et al. eds, 2004). The include infections, which surface after discharge and occupational types among the workforce of the facility. These are widespread globally and assert strong impact among patients and facility workforce. The most common sites, according to a recent survey, are the urinary tract, the catether site, respiratory tract, bacteremia, skin and soft tissue, lower respiratory, surgical and the eyes (Duel et al., eds).
In our 150-bed facility in Chicago, pneumonia is a critical respiratory nosocomial infection concern. Our facility is a component of one of the biggest network of medical care…… [Read More]
Applying the Theory of Planned Behaviors to Nosocomial Infections
Identify a public health theory you will use to support the implementation of your prevention and health promotion activities. Provide evidence that supports the use of this theory within the program you designed
According to the tenets of the theory of planned behavior, individuals first think about a behavior (e.g., the intent to act) and only then proceed to act (Chambers & Benibo, 2011). The dependent variables of intent to act in the theory of planned behavior include individual attitudes, perceived behavioral control, self-efficacy, and behavioral norms which are in turn dependent variables to the actual behavior demonstrated (Chambers & Benibo, 2011). The theory of planned behavior has been applied in a number of different settings, including in the context of nosocomial infections (Hughes, 2008).
In this context, the planned behavior theory conceptualizes individuals' intent to engage in handwashing as involving…… [Read More]
Case Study: Urinary Tract Infection
CHIEF COMPLAINT: Urination with a burning sensation, pelvic genital pain, frequent and urgent urination, urine which is colored for the past three days and dribbling urination.
HISTORY OF PRESENT ILLNESS: A patient visits complaining about urination with a burning sensation, pelvic genital pain, frequent and urgent urination, urine which is colored for three days and dribbling urination. He is an African American who is 58 years old. However, he denies having fever.
This 58-year-old man describes his symptoms as having urination with a burning sensation, pelvic genital pain, frequent and urgent urination, urine which is colored for three days and dribbling urination. These symptoms show that he has a urinary tract infection commonly known as UTI. This infection has been often diagnosed in older adults. Most of the times, it has been diagnosed in residents with long-term care. This accounts for over a third…… [Read More]
Infections of the implantation area the mainly widespread of the dental implant complications. Implant infection is a state which is known as peri-implantitis which has a sign of swelling or inflammation of the tissues adjacent to the implantation area. Peri-implantitis is a type of periodontal disease that is able to result to inflammation, bone loss and failure in dental implant in any case it is not treated appropriately. A flame is part of a fire. Inflammation is a situation where a tissue gets swollen, red, and frequently hurts. About dental implants, it is an inflammation that can be caused by trauma or infection. Inflammation causes several special defensive cells to move to the inflamed area. Inflammation is capable of resulting to bone loss together with dental implants, where bone loss is a dangerous situation. The supporting bone holds the dental implant in the jaw.
Generally, the purpose of the…… [Read More]
Chlorhexidine to Prevent Ventilator-Associated Pneumonia
Ventilator-associated Pneumonia (VAP) is one of the most common infections acquired by patients who've utilized mechanical ventilation in health care facilities. This infection is a major concern because it leads to several deaths, extends hospital stay, and increases the costs of medical care services. The infections are commonly developed when pathogenic bacteria colonize the aero digestive tract. According to Babcock et al. (2004), the prevention of these infections has usually entailed preventing bacteria colonization and the subsequent aspiration of the contaminated secretions to the lower airways. Given the increased incidents of ventilator-association pneumonia, this paper proposes the use of chlorhexidine in preventing it. Chlorhexidine has proven effective in prevention of VAP as shown in baseline data. The implementation of this proposed procedure in patient care will entail various logistics based on approval from organizational leadership.
Methods for Obtaining Necessary Approval and Support
One of the…… [Read More]
The facility should strive to bring the SSI rate down below the expected level for the types of patients and surgeries that the facility has.
Plan of Action
In order to achieve better-than-average results in the SSI rates for our facility, there are a number of tactics that can be used. The first is that the culture of the organization needs to emphasize safety to a degree greater than the current degree. As of now, there is no particular focus on SSIs, and this contributes to a culture where there is little accountability with respect to the SSI rates, or to individual SSI cases. The organization must improve the accountability, so that staff members are specifically held accountable for the mistakes that they make that result in an SSI.
Beyond culture, there are specific things that the organization can do to promote an improved rate of SSI. The first is…… [Read More]
Behavioral risk for HIV infection among gay and bisexual men in the United States
According to reports published by the Centre for Disease Control and Prevention (CDC), they state that by the year 2004, more than nine hundred and forty thousand individuals in the United States of America had been diagnosed with AIDS, majority of who were gay men and African-Americans. This report including others have brought the issue of HIV infection in gay and bisexual men into sharp focus and more in particular the behavioral risks that the group exposes themselves to, which have contributed to the sharp increase in HIV infection amongst members of this group. This research intends to focus of this behavioral risk and preventive measures that have been established to prevent HIV infection in gay and bisexual men in the United States.
Another recent research conducted by Centre for Disease Control and Prevention…… [Read More]
Question 1; Describe different types of infection control precautions. Why is it important to follow infection control guidelines? Describe the importance of hand washing.
Infection control requires strategies that will prevent the movement of potential infections from one source to a new source. Different types of infection control precautions may be undertaken. The primary approaches include hand hygiene, including washing, as well as the use of alcohol gel, the process that will prevent the transfer of infection by eliminating harmful bacteria and viruses (CDC, 2011). Infection control also requires attention patients to be minimised through the cleaning and sterilisation of any equipment and resources that come into contact with patients, for example scissors. The cleaning of equipment also applies to the general cleaning of the healthcare environment, to avoid potential buildup of dust which may harbour harmful microbes, as well as sterilisation specialised equipment, such as respiratory equipment,…… [Read More]
After 10 days, when pharyngeal infection becomes more acute, patients have an increased risk for myocarditis and peripheral neuritis. These can result in circulatory loss and loss of motor functions in the peripheral organs. Diphtherial infection should be immediately treated and even suspected cases should be treated on a prophylactic basis since the infection has a high mortality rate. Airway management is critical for patients presenting with respiratory complications. Intubation is essential in cases where the laryngeal membrane growth affects normal breathing process. Failure to secure airway passage is one of the main causes of death due to diphtheria. . [Allysia & Mark, 2009]
Firstline medication involves antibiotic treatment with penicillin or erythromycin to control bacterial growth and the use of antipyretics to control temperature. . Concurrent intravenous treatment with Diphtheria antitoxin is also critical to check the spread of the toxin and control further tissue damage. Patients manifesting respiratory…… [Read More]
Vancomycin should be given for at least 60 minutes. The initial dosage for pediatrics with renal impairment is not less than 15 mg/kg per day or 15 times the GF in mL/min. Premature infants should have longer dosing intervals. PO administration should be 40 mg/kg/day in 3-4 divided doses for 7-10 days. The maximum is 2,000 mg/day, which may be diluted in 1 oz of water or administered through an NG tube (PD).
Vancomycin is contraindicated to patients with hypersensitivity to vancomycin (Drug.com, 2012). Commercially prepared frozen Vancomycyn Hydrochloride injections in 5% dextrose may also be contraindicated to those with known allergic reaction to corn or corn products (Drug.com).
The patient should inform the doctor or pharmacist of all prescription and non-prescription or herbal products currently used (Medicine Net, 2012; Levinson, 2012). Aminoglycosides, amphotericin B, other antibiotics, and live bacterial vaccines are special mentions. If treatment requires…… [Read More]
AIDS to prevent infection: a bargain?" And is written by Julie Steenhuysen for Reuters and published April 17, 2012. The article begins by describing why AIDS is still a very much-discussed topic within the medical community, despite many breakthroughs, after so many years of being in the news, and so many advances in the technology that treats it. According to the article, one of the most successful treatments in preventing AIDS for healthy individuals is called Truvada, which is a combination of Emtriva, and Viread. (Truvada, 2012) This treatment was created in an effort to create a "pre-exposure prophylaxis" or PrEP. (Steenhuysen, 2012). This treatment would require men who are at high risk of contracting HIV to take a daily pill in order to provide a better defense from this disease.
This treatment may greatly reduce the number of men who contract HIV each year, already at a very high…… [Read More]
Alcohol and/or Drug Users for HIV / AIDS Infection
People abuse/use a number of both legal and illegal substances, recreationally. Of these, the most commonly abused substance is alcohol. Drugs include cocaine (which includes crack), pot or marijuana, amphetamines (speed), ecstasy, and heroin. Drugs have the potential to intensify risks of an individual contracting HIV infection, and are capable of giving rise to special issues in already-infected individuals (University of California, 2011).
Substance abuse is associated with innumerable risk factors. One factor that serves to hamper efforts towards preventing HIV spread and proper treatment of those who are infected is alcohol use or misuse by infected or at-risk populations. esearchers are now gaining deeper insights into the multifaceted link between HIV infection and consumption of alcohol. Drug/alcohol abuse may impair an individual's judgment, causing him/her to participate in sexual activities that put him/her at risk (Bryant, Nelson, Braithwaite & oach,…… [Read More]
The salmonella bacteria had been the twentieth century’s archetypical organism causing food poisoning, highly notorious for the 1988-89 crisis of salmonella in eggs. By that time, however, it had already been a topic of scientific and public health focus for more than a hundred years. Previously linked to animal foods, phage typing’s introduction during the 1940s started revealing the complex nature of its associations with its environment (Hardy, 2004).
The salmonella bacterium resides in living beings’ intestines. A majority of individuals contract salmonella infection after consuming feces-contaminated foods. Salmonella is an umbrella term referring to the cluster of bacteria giving rise to salmonellosis or salmonella infection within the intestinal tract. Different forms of salmonellosis include typhoid fever, enteric fever, food poisoning, and gastroenteritis. Salmonella poisoning has typically been associated with contaminated foods or water, particularly eggs, meat, and poultry. Disease symptoms, which typically manifest…… [Read More]
HIV Infection and Your Child
It is a very frightening and traumatic to know that one of your children is suffering from a life threatening disease, especially if you feel that you may be partially responsible for what has happened. That is one reason why parents are reminded repeatedly to talk to their children about sex and related matters before they reach an age where they start mingling intimately with the members of the opposite sex. Sex education in schools only covers a small part of the awareness process, the real education begins at home where the parents are responsible for discussing sensitive subjects with their children.
If I find that my daughter was having unprotected sex with multiple partners, and upon screening she is found to be infected with HIV virus, my first reaction would be that of complete shock and disbelief. I would be gripped with intense fear…… [Read More]
Current Areas of esearch
Much of the current research on staphylococcus aureus centers on the emergence of antibiotic-resistance strains. In particular, the resistant strain MSA is resistant to methicillin and related drugs. This has created a number of issues for medical practitioners, as staph infections are one of the more common infections that occur in a health setting.
One of the threads of research in this regard concerns the spread of staph infection in the hospital setting. It has long been believed that s. aureus infections were transmitted between patients. Where outbreaks have occurred, the response has generally reflected this view, with patients being segregated, and other similar remedies. ecent research has shown, however, that transmission between patients in the intrahospital setting does not occur nearly as much as previously thought (Long, Beres, Olsen & Musser, 2014). This is an important finding for health care facilities, because it changes…… [Read More]
hygiene techniques with traditional soaps may or may not be more effective than using alcohol-based solutions concerning reduction in nosocomial infection rates in acute hospitals. With recent usage of alcohol-based solutions, use of traditional antibacterial soaps may be outdated and take longer. Nosocomial infections present as a major issue for acute care hospitals and require research in identifying the most effective way to sterilize hands to avoid increasing infection rates. While traditional handwashing with antibacterial soaps have been done for years, water availability and time taken to perform handwashing may not promote efficiency among hospital staff. Alcohol-based solutions require no water and additional washing or scrubbing. This research paper will focus on recent articles and studies that highlight which method works best.
Integration and Synthesis of the Evidence
Many articles and studies the past and in recent years attest to the effectiveness and efficiency of alcohol-based solutions. One 2012 studied…… [Read More]
Human Immunodeficiency Virus (HIV)
Description of the communicable disease
Infection by the Human Immunodeficiency Virus (HIV) has become a global epidemic. It causes acquired immune deficiency syndrome (AIDS). The major causal sources of this communicable disease are through semen, blood, breast milk of infected mothers, and vaginal fluid. In addition, the virus can be found in sweat, saliva, and also tears; however, in the latter cases, generally not in sufficient amounts to cause spreading of the virus to another individual. The main common means of being infected with HIV are through having unprotected sex and through sharing of needles. HIV may be transferred through unprotected heterosexual or homosexual anal, vaginal, and perhaps oral sex. Even though the risk of infection is minimal with oral sex, there remains the same imperative to use protection such as a condom in the course of oral sex. Due to new treatments, the risk of…… [Read More]
hospitals is the spread of MSA (staphylococcus aureus). This pathogen remains a leading cause of hospital-acquired infection. Current 'typing' methods for the genome to identify the pathogen include "phage typing, multi-locus sequence typing (MLST) and pulsed-field gel electrophoresis (PFGE)" but these methods "have serious limitations when used to investigate the finer details of infection outbreaks" (Price et al. 2013: 14). This is why the use of whole genome sequencing that allows scientists to create distinctions up to a single nucleotide is useful. Whole genome sequences can be used to classify and characterize genetic differences in a far more refined fashion than previous methods "and additionally provides information about the genetic basis of phenotypic characteristics, including antibiotic susceptibility and virulence" (Price et al. 2013: 14). Local-level awareness of the history of disease transmission allows a more carefully matched protocol for treatment as well as improves tracking. "Combined with epidemiological data, such…… [Read More]
Challenges and Opportunities
The major challenge is how to keep track of any inserted urinary catheter in a patient. It has been shown that most times physicians and nurses will forget about a urinary catheter, and this is one of the major causes of infections in patients. Therefore, there should be a strategy in place for monitoring any urinary catheter that has been inserted in a patient and ensuring that it is removed when it is no longer needed. Removal of unnecessary catheters ensures that HAIs associated with the catheter is prevented. Another challenge is the time it takes to recognize that a catheter is in place and the physician determines it is no longer needed and issues a removal order. This might take hours or days. According to (Meddings et al., 2014) any delay in removing a catheter increases the patient's risk of infections and catheter-associated complications.
Maintaining awareness…… [Read More]
Urinary tract infections (UTIs) are typically the most prevailing healthcare-associated infection (HAI) in acute care facilities in the U.S. The Centers for Disease Control and Prevention (CDC) has estimated that up to 150,000 hospital-onset, symptomatic catheter-associated UTIs (CAUTIs) occurred in 2013, resulting in as much as $161 million in excess direct medical costs (Kuntz, 2010, p. 319). Current research examines the reason for such a high occurrence of infection. oughly 75% of healthcare-associated UTIs are connected to improper use of indwelling urinary catheters, to which up to a quarter of hospitalized patients are exposed. Adult ICUs have the highest exposure rate for catheter use and reveal over 95% of UTIs related to catheter use.
In the last twenty years, various strategies have been implemented to aid in reducing the risk of CAUTI in healthcare settings. One of which includes identifying proper times to use catheters and proper care and insertion…… [Read More]
Management of Immunocompromised Patients
In beginning I writer specific nursing assignment. The Question: 2000 Words While clinical placement asked prepare a single room an admission. The patient requiring admission isolation room immunocompromised.
Immunocompromised patients usually require isolation in order to prevent them from becoming infected with infections from other patients which is known as protective isolation. For the immunocompromised patients, their immune system is unable to fight the infectious diseases. There are many diseases or conditions that lead to immunodeficiency in patients.
One is AIDS (acquired immunodeficiency syndrome). The pathophysiology of AIDS starts when the person's CD4+ T cell count begins to decrease as the disease kills these cells. This is HIV-induced cell lysis where the virus enters the CD4+ cells where it inserts its genetic information to the cell nucleus thus taking over the cell and replicating itself. The virus then mutates extremely rapidly thus making it more and…… [Read More]
Evidence-Based Solution to educing Incidence
The goal of this assignment is to increase my ability to appraise and synthesize evidence to provide experience a logical argument in support of a proposal for practice change, and to provide experience in designing a detailed implementation and evaluation plan for my project. I need to discuss my project plan with you.
An evidence-based solution to reducing incidence of hospital acquired infections through indwelling medical devices
Hospital-acquired or nosocomial infections are the fourth leading cause of disease in developed countries. The increased insertion and implanting of prosthetic or indwelling medical devices is a leading cause of these infections since the introduction of a foreign body significantly reduces the body's immunity and decreases the number of bacteria needed to produce an infection. Prosthetic or indwelling medical devices such as urethral catheters, suprapublic catheter, nasogastric tubes, hemodialysis catheters, central venous catheters, and tracheostomy tubes are associated…… [Read More]
Caglar S; Yildiz S; Savaser S. (2010). Observation results of hand-washing by health-care workers in a neonatal intensive care unit. International Journal of Nursing Practice, 16(2), 132-137.
In this article the authors wanted to determine whether healthcare professionals were washing their hands and if they were doing so effectively. The researchers observed 344 incidents in which hand washing was warranted and found that nurses were 63% compliant and physicians were 53% compliant. However, when it came to making sure that the job was done thoroughly, physicians were able to do a better job than nurses at a 24% to 13% rate of success. Since hand washing has been proven to be the most effective and simplest method for preventing infection, it is imperative that healthcare professionals perform it as often as needed and thoroughly.
amos M.M., Schrader, ., Trujillo, ., Blea, M., & Greenberg, C. (2011). School nurse inspections improve…… [Read More]
Osteomyelitis in the Diabetic Patient
Management OF OSTEOMYELITIS IN THE DIABETIC PATIENT
Osteomyelitis is an infection of the bone or bone marrow which is typically categorized as acute, subacute or chronic.1 It is characteristically defined according to the basis of the causative organism (pyogenic bacteria or mycobacteria) and the route, duration and physical location of the infection site.2 Infection modes usually take one of three forms: direct bone contamination from an open fracture, puncture wound, bone surgery, total joint replacement, or traumatic injury; extension of a soft tissue infection such as a vascular ulcer; or hematogenous (blood borne) spread from other infected areas of the body such as the tonsils, teeth or the upper respiratory system.2(p807) Bacteria such as Staphylococcus aureus, Pseudomonas, Klebsiella, Salmonella, and Escherichia coli are the most common causative agents of the disease, although viruses, parasites and fungi may also lead to the development of osteomyelitis.3
Patients…… [Read More]
Abnormal Uterine Bleeding and Issues
Reproductive Tract Diseases for human females are typically focused in the upper reproductive tract or the lower reproductive tract. The upper tract includes the fallopian tubes, ovary and uterus, while the lower reproductive tract focuses on the vagina, cervix and vulva. There are three major types of infections: endogenous, iatrogenic and sexually transmitted diseases. Endogenous diseases arise from internal cellular structures and may be bacterial, viral or genetic, usually the most common and arise from an overgrowth of organisms that are already present in the vagina; iatrogenic diseases are the result of medical or surgical treatment, and sexually transmitted diseases occur between humans as a result of sexual behavior. In addition to infections, there are congenital abnormalities, cancers and functional problems. Each infection has its own specific cause and symptoms; caused by bacteria, virus, fungi or other organisms. Indeed, some are easily treatable and cured,…… [Read More]
Cutaneous Candidiasis: A Case Study
This case study involves a 35-year-old woman diagnosed with candidiasis of the inner thighs. The goal of this report is to provide the patient with information about the most likely cause of her condition and how best to resolve the infection. In order to accomplish this goal a review of Candida pathogenesis will be presented first.
Members of the Candida genus, in particular C. albicans, can be detected in the oral cavities of 75% of the general population (Mayer, Wilson, & Hube, 2013). This mostly commensal microbe colonizes oral, vaginal, gastrointestinal, anal, and cutanous locations (az-Pasteur, Ullmann, & Berdicevsky, 2011). Candida species are commensal in health people and rarely cause any problems, but in persons who suffer from mild medical conditions with impaired immunity the commensal relationship can quickly evaporate and turn pathogenic (Mayer, Wilson, & Hube, 2013). For example, Candida is…… [Read More]
Customer Inserts His/Her Name
Explain how HIV infects CD4+ cells?
The HIV (human immunodeficiency virus) is the virus which belongs to a group of viruses known as the retroviruses. HIV causes in AIDS (acquired immunodeficiency syndrome) by infecting the cells of the human and uses up all the energy inside the cells which is required for the growth and development of human cells. AIDS is a fatal disease in which the immunity system of the human body is destroyed due to which the body becomes vulnerable to various infections and also the weakness of the body's immune system also allows other diseases to attack the body. Once a person is infected with HIV, this virus feeds on the energy present in the cells and multiplies in the white blood cells. White blood cells are the ones which build up the immune system and when they are weakened by the HIV…… [Read More]
The Gram-negative, motile, rod-shaped bacterium Pseudomonas aeruginosa is an opportunistic killer that takes advantage of people suffering from medical problems (Van Delden and Iglewski, 1998).For this reason, P. aeruginosa is one of the most common nosocomial infection that occurs in hospitals. P. aeruginosa is responsible for causing 16% of pneumonia cases, 12% of urinary tract infections, 10% of bloodstream infections, and 8% of surgical infections due to hospital care. Patients who are immune-compromised are also susceptible to P. aeruginosa infections, such as patients undergoing chemotherapy, suffering from HIV / AIDS, recovering in burn units, and suffering from cystic fibrosis. With death rates ranging from 30 to 60% for these patients, P. aeruginosa is considered to be a significant threat to patient health.
P. aeruginosa can switch between a free-swimming planktonic form and colonies enclosed within slime-protected biofilms attached to surfaces (Baltch and Smith, 1994,…… [Read More]
dozens of internal parasites that infect horses, the most dangerous and most capable of causing serious harm are the large strongyles parasite. They are considered to be the ones in charge of causing severe parasite related health problems in horses and they have the ability to kill. They have cylindrical bodies and unlike other parasites like tapeworms, strongyles have different sexes- male and female and can be told apart by the shape of their tails. The female lays eggs almost all the time and even though this makes it easier to detect any signs of infection, it does not stop it from growing. Several horses are affected by this disease every year, but careful research and study has been done and soon this disease will be a thing of the past and horses will be able to live a longer and healthier life.
Since an encounter against internal parasites was…… [Read More]
Bloodstream Infections in NICU
Bloodstream infections in the neonatal intensive-care unit (NICU) are a serious concern for parents and health care professionals. Exposure to bloodstream infections for most patients will caused delayed hospital stays and higher costs associated with hospital visit (Marschall et. al., 2008). There are many procedural changes that can be made at the hospital to decrease risk of bloodstream infections. ecommendations for decreasing bloodstream infections will be based on the practices of the Connecticut Children's Medical Center (CCMC), which is successful in decreasing bloodstream infections. In this paper I will discuss how to get the employees engaged in their work, how to receive buy-in for quality work, how this will reduce errors and increase the quality of work.
Engaging employees in their Work
It is important to train the employees on the recommended techniques for inserting a catheter since this is main cause of blood…… [Read More]
This clearly shows that alcohol-based hand-washing, when used regularly and vigorously (e.g. prior to any healthcare procedure by any level of personnel), infection will be reduced.
The Saudi study was a bit more detailed, with protocols varying depending on severity of procedure (surgery, etc.) and the administering of prophylactic antibiotics as part of the regular treatment procedure. Statistical analysis of the samples showed no significant differences between the Betadine Group and the Alcohol-Based Gel Group. However, the total number of infections within both groups were quite small, 20 out of 600 subjects in the trial. This suggests that the conditions at the Saudi hospital were already more sterile, with less than 5% (3.33%) even developing infections; compared to 13.1% in Vietnam. In both cases, demographic differences between patients were not statistically significant in the protocol.
Combining the data from the two studies, however, results in two conclusions: 1) There is…… [Read More]
These efforts include: expansion of international efforts to prevent terrorist acquisition of biological agents, initiated Bioatch program to detect initial releases of biological weapons within the environment, launched food programs to carefully inspect foods for potential bioagents (with greater focus on foreign foods), expanded bioterrorism research (including Project Bioshield, a program to develop medical ripostes to biological agents), and increased medical stockpiles and training for dealing with bioterrorism attacks (Cordesman; Lindler, Lebeda, & Korch; Petsko; Fidler & Gostin). These efforts will help to both prevent the initial release of any biological agents within the general populace or environment, as well as effectively treat afflicted individuals and slow spread through appropriate treatments.
Once biological agents are released into the general population, the extent of disease spread and number of individuals afflicted will be significantly affected by the role and effectiveness of the government through quarantine and treatment (Cordesman; Lindler, Lebeda, &…… [Read More]
Metrics, Implementation, and Enforcement (Security Governance)
How can you determine whether there has been a malware outbreak?
The threat situation today has become more dangerous than in the past. Security and safety threats have been increasing in an alarming rate; there are more than 70,000 brand new bits of malware recognized daily. Well-funded cybercriminals have been currently making advanced malware that has been made to bypass present security options by launching prior to the operating-system and then evading antivirus defence (Mitre, 2012). Consequently, danger vulnerability has hit unprecedented degrees that need a brand new method of security and safety. With built-in security and safety options from McAfee as well as Intel, one might gain an additional layer of safety that is effective aside from the operating-system to avoid attacks instantly whilst successfully managing security over to a system of endpoints. These revolutionary options gather world-class processor chip technologies from Intel…… [Read More]
What are Bacteria and Viruses?
The most basic difference between bacteria and viruses is their size. Whereas both bacteria and viruses are too tiny to notice with the naked eye, most bacteria are about one micrometer in length and can be perceived with a good optical microscope. On the other hand, viruses are smaller than the wavelength of visible light, which suggests that they can only be perceived by using an electron microscope (Nursing Times, 2006). Infection, every so often the initial phase, takes place when bacteria, viruses or other microbes that cause disease enter the human body and start to multiply. Disease comes about and ensues when the cells in the human body are damaged, as a result of the infection, and signs and symptoms of a disease appear.
Bacterial and viral infections are contaminations caused by bacteria and viruses. Bacteria release poisons known as toxins into the…… [Read More]
As to catheter straps, if fastened too tightly they can act as tourniquets, cutting off the needed flow of blood and presenting. And at least theoretically, use of straps brings about a risk of increasing the complications such as "…deep vein thrombosis and pulmonary embolism" in those patients with "impaired lower extremity circulation" (Billington 504). Research presented in this article shows that the problem of infection due to poorly attached catheters can be reduced significantly through the use of a product called "Bard StatLock" -- which, the authors insist, is an effective stabilization device because it allows movement (through a swivel clip), because it is a "sterile latex-free, tug-resistant product" (Billington 504). An article in the journal RN, incidentally, states that treating "hemodialysis catheter-related bacteremia" can cost a hospital up to $45,000.
ashing "Bloody Hands": An article in the Australian Nursing Journal asserts, "…hand hygiene is the single most effective…… [Read More]
What are Bacteria and Viruses?
The most palpable variance between bacteria and viruses is their size. Whereas both bacteria and viruses are too tiny to notice with the naked eye, most bacteria are about one micrometer in length and can be perceived with a good optical microscope. On the other hand, viruses are smaller than the wavelength of visible light, which implies that they can be solely perceived by using an electron microscope (Nursing Times, 2006). Infection, every so often the initial phase, takes place when bacteria, viruses or other microbes that cause disease enter the human body and start to proliferate. Disease comes about and ensues when the cells in the human body are damaged, as a result of the infection, and signs and symptoms of a disease appear.
Bacterial and viral infections are contaminations caused by bacteria and viruses. Bacteria release toxins into the blood stream whereas…… [Read More]
Other signs include a child who has numerous of colds and ear infections; a child who speaks overly loudly; frequently asks for words or phrases to be repeated and who does not understand someone unless the person is facing him or her. (Hearing Health for Children)
While ear infection is usually treated with prescription antibiotics, many physicians state that use of these media is not a good idea at an early age. As one experts states, "Contrary to common practice, most children with ear infections should not be treated with antibiotics..." (DrGreene Content:
evolution in Ear Infection Treatment). These findings refer to guidelines released by the American Academy of Pediatrics and the American Academy of Family Physicians in 2004, which state that, "...currently in the United States there are more than 10 million antibiotic prescriptions for the 5 million ear infections diagnosed in children each year - about half of…… [Read More]
Treatment to Patients
The main objective of providing treatment to patients is to relieve symptoms along with decreasing the progression of the disease as well as the mortality or morbidity. However, in some cases, this objective is not fully achieved, especially in the case of the patients who are admitted to the ICU with some serious and almost always a terminal stage of the disease. For example, when old patients are admitted in the ICU, their immunity is extremely low and this is the perfect time for the opportunistic infections to make matters worse for these patients. There are many infections that are specifically associated with patients admitted in the hospitals. Pseudomonas Aurigeonosa is a micro-organism that is well documented to cause bacterial pneumonia and bacteremia in the patients who are terminally ill and are receiving treatment in the hospital setting. Since most of the patients in the ICU are…… [Read More]
air traffic has continued to increase and it now constitutes a considerable proportion of the travelling public. The amount of long-hour flights has increased significantly. Based on the International Civil Aviation authority, air traffic can be anticipated to double amid till 2020. Airline travel, especially over longer distances, makes air travelers vulnerable to numerous facets that will impact their health and well-being. Particularly, the speed with which influenza spreads and mutates, via transportation routes, is the reason why the influenza pandemic is considered to be a huge threat to the human population. Pandemic is a term, which is used for a virus or microbe when it spreads over a large area, in severe cases even the whole world and large number of people start getting affecting by it (CDC, 2009).
In the past 300 years, there have been ten significant influenza pandemics outbreaks that have taken place in this world.…… [Read More]
Safety and Health Issues in Meat Processing Industry
In the meat processing industry, health and safety issues are of vital importance, in view of the several risks arising out of microbial contamination of meat and the occupational hazards faced by workers. Past experiences have shown that microbial reproduction in meat and meat products can reach alarming proportions traversing across countries and even continents. The infamous mad cow disease and the foot and mouth disease in cattle has rattled the British meat industry for a considerable period, resulting in loss of image, confidence and erosion of profits. North America's main problem is the widespread prevalence of eschericia coli in meat, more commonly known as the hamburger disease. It is well-known that meat is highly susceptible to attack of bacteria and virus and hence there is a constant need to address this risk. When microbial activity sets in, the quality of meat…… [Read More]
STDs: A MAJO CONTEMPOAY PUBLIC HEALTH CONCEN
Sexually Transmitted Diseases
Given the advances in medicine and public health over the past several decades, most people might assume that the incidence and prevalence of sexually-transmitted diseases (STDs) is declining; however, the scientific evidence suggests otherwise. ecent estimates from the Centers for Disease Control and Prevention (CDC) in the United States suggest that 20 million new STD infections occur every year and cost the U.S. health care system close to $16 billion dollars annually (CDC, 2013). This is up from 12 million STD infections and $10 billion dollars annually during the mid-1990s (Zenilman, 2004). In 2011, reports of chlamydia incidence set another annual record, double from what it was just 10 years ago (CDC, 2011). To better understand the health threats facing Americans when they engage in sexual activity this report will review what is known about the most common STDs infecting…… [Read More]