Navigation Links
Infection control practices not adequately implemented at many hospital ICUs: study
Date:1/29/2014

Washington, DC, January 29, 2014 U.S. hospital intensive care units (ICUs) show uneven compliance with infection prevention policies, according to a study in the February issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC).

In the largest study of its kind, researchers from Columbia University collaborated with the Centers for Disease Control and Prevention (CDC) to undertake a nationwide survey of 1,534 ICUs at 975 hospitals as part of the larger Prevention of Nosocomial Infections and Cost Effectiveness Refined (P-NICER) study. The survey inquired about the implementation of 16 prescribed infection prevention measures at point-of-care, and clinician adherence to these policies for the prevention of central line-associated bloodstream infections (CLABSI), ventilator-associated pneumonia (VAP), and catheter-associated urinary tract infections (CAUTI). These infections are among the most common infections acquired by patients in ICUs.

According to the survey, hospitals have more policies in place to prevent CLABSI and VAP, than CAUTI. The presence of infection control policies to prevent CLABSI ranged from 87 to 97 percent depending on the measure being counted; the presence of policies for VAP ranged from 69 to 91 percent; and policies for CAUTI lagged behind with only 27 to 68 percent of ICUs reporting prevention policies. The use of a checklist for CLABSI insertion practices was reported by the vast majority of hospitals (92 percent), while the use of a ventilator bundle checklist was reported by fewer hospitals (74 percent).

"Evidence-based practices related to CAUTI prevention measures have not been well implemented," state the authors. "These findings are surprising, given that CAUTI is the most frequent healthcare-associated infection. Clearly, more focus on CAUTI is needed, and dissemination and implementation studies to inform how best to improve evidence-based practices should be helpful."

In adhering to policies, many hospital ICUs fell short, according to the survey. Adherence to prevention policies ranged from 37 to 71 percent for CLABSI, 45 to 55 percent for VAP, and 6 to 27 percent for CAUTI.

"Establishing policies does not ensure clinician adherence at the bedside," state the authors. "Previous studies have found that an extremely high rate of clinician adherence to infection prevention policies is needed to lead to a decrease in healthcare-associated infections. Unfortunately, the hospitals that monitored clinician adherence reported relatively low rates of adherence."

The survey also assessed structure and resources of infection prevention and control programs, evaluating characteristics such as staffing, use of electronic surveillance systems, and proportion of infection preventionists with certification.

Healthcare-associated infections, or HAIs, are infections that people acquire while they are receiving treatment for another condition in a healthcare setting. Many of these infections occur in the ICU setting and are associated with an invasive device such as central line, ventilator, or indwelling urinary catheter. At any given time, about 1 in every 20 inpatients has an infection related to hospital care. The estimated annual costs associated with HAIs in the U.S. are up to $33 billion.


'/>"/>

Contact: Liz Garman
egarman@apic.org
202-454-2604
Elsevier Health Sciences
Source:Eurekalert

Related medicine news :

1. National plan for preventing healthcare-associated infections shows progress
2. Prevalence of hepatitis C infection found to vary widely among Hispanics
3. Bacterial Skin and Skin Structure Infections Market: SSSI Pipeline Review, H2 2013 at ReportsnReports.com
4. Are you listening? Kids ear infections cost health care system nearly $3 billion a year
5. LA BioMed study finds daily antibiotics most effective in preventing recurrent urinary tract infection
6. Fast Ringworm Cure Review
7. How To Treat Types Of Tinea Infections – HealthReviewCenter
8. Advanced Vapor Technologies Launches Interactive Edition of White Paper - Sustainable Healthcare Cleaning and Disinfection
9. Constant Sinus Infections, Snoring and Unable to Sleep? Sinus and Nasal Surgery May Fix All of This by Gallery of Cosmetic Surgery
10. PDL-1 antibody could help immune system fight off influenza viral infection, study suggests
11. Hospital-diagnosed maternal infections linked to increased autism risk
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/22/2017)... ... 2017 , ... Drs. Jennifer Houck, Lauren Smith, Heather Johnson and the India ... need of skilled pediatric dentistry in Rock Hill, SC, without a referral. ... treatments, including cavities, sealants and fluoride applications, in a comfortable and fun environment. , ...
(Date:3/22/2017)... ... March 22, 2017 , ... Intrinsic Imaging, LLC, ... experience and operational excellence in oncology clinical trials, proudly announces today that it ... of non-small cell lung cancer and small cell lung cancer. , Throughout this ...
(Date:3/22/2017)... , ... March 22, 2017 , ... ... financial planning, and related services to communities across eastern Texas, is announcing a ... of providing meals to hungry children and adults. , Consistently a top-rated ...
(Date:3/22/2017)... NC (PRWEB) , ... March 22, 2017 , ... Chris ... assistance to families and business professionals throughout the coastal plains region, is initiating a ... to overcome cancer. , Dillyn was first diagnosed with leukemia on a Friday evening ...
(Date:3/22/2017)... CANADA (PRWEB) , ... March 22, 2017 , ... HumanHaus ... today, the Sweep&Stand. The conventional broom was great when it was invented, but ... They are the working parents, the social young couple, the empty nesters and retired ...
Breaking Medicine News(10 mins):
(Date:3/22/2017)... , March 22, 2017 TFS is pleased ... Mr. Ed Tumaian , two global executive positions in Medical ... joining the Operational Leadership Team and will report to Dr. ... ... to TFS with 10 years of medical and scientific expertise gained ...
(Date:3/22/2017)... N.Y. , March 22, 2017  As the ... Leukemia & Lymphoma Society (LLS) has played a role ... patients, some of which are even helping patients with ... due to LLS,s significant investment in cutting-edge research – ... milestone continues to grow with the record-breaking sum of ...
(Date:3/22/2017)... NetworkNewsWire Editorial Coverage  ... Deciphering marijuana policy under the Trump ... officials. Federal laws are at odds with a number of ... and businesses like SinglePoint, Inc. (OTC: SING) ( SING Profile ... (OTC: MJNA), Cannabis Science, Inc. (OTC: CBIS) and ChineseInvestors.com, Inc. ...
Breaking Medicine Technology: