PDI Perspective

Get perspective on infection prevention from PDI's experts.

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Sustaining Life: Infection Prevention in Dialysis

Posted by Frances (Fran) K. Canty, MA, BSN, RN, VA-BC™ on Jul 20, 2017 1:44:00 PM

 

Healthy kidney function is an integral part of maintaining the balance of the body to sustain life. The purpose of your two kidneys are to prevent a buildup of wastes and extra fluid in the body, which is excreted through daily urinary output. They maintain levels of electrolytes, such as sodium, potassium, and phosphate, and help keep bones strong. They also facilitate production of red blood cells, as well as hormones to help regulate blood pressure.1

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Quaternary Ammonium Disinfectants: Lost in Translation?

Posted by Joan Hebden, RN, MS, CIC, FAPIC on Jun 29, 2017 4:43:00 PM

 

There has been a plethora of scientific literature demonstrating that healthcare-associated pathogens, such as methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococci (VRE) and Clostridium difficile, frequently contaminate both porous and non-porous surfaces in the healthcare environment.  This microbial burden on environmental surfaces serves as a reservoir for direct transmission of pathogens to the patient or as an indirect mode of transmission through contaminated reusable patient care equipment and/or healthcare workers’ hands and gloves. Along with hand hygiene and the implementation of best practices to prevent healthcare-associated infections (HAIs) and multi-drug resistant organisms (MDROs), environmental cleaning is a fundamental component of a comprehensive infection prevention program.

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Infection Prevention Regulatory Changes in Long Term Care

Posted by Caitlin Stowe MPH, CPH, CIC, on Jun 1, 2017 1:04:27 PM

There are some big changes coming to the long term care (LTC) landscape, courtesy of the Center for Medicare and Medicaid Services (CMS).  Since 2002, LTC providers have been following the Nursing Home Quality Initiative, which reimburses these facilities based on certain quality metrics including staffing, pain control, vaccination, and pressure ulcer development.  This information is posted on CMS’ nursing home compare website and allows consumers to see how their local care facilities perform. However, in September 2016, CMS finalized a rule that will require massive changes in current LTC facilities.[1]

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Support World Health and Save Lives by Cleaning Your Hands

Posted by Debra Hagberg MT (ASCP), CIC on May 4, 2017 5:51:18 PM

 

The single most effective way to prevent the spread of disease is by performing hand hygiene. Since this seems so simple, why is there a need to annually promote clean hands by the World Health Organization (WHO) on May 5th?  Great question, right?

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The Growing Threat to Human Health: Antibiotic-Resistant Bacteria

Posted by Deva Rea, MPH, BSN, BS, RN, CIC on Apr 5, 2017 9:43:00 AM

 

In February, the World Health Organization (WHO) published their first list of antibiotic-resistant “priority pathogens”. This is a list of the most concerning bacteria that pose the “greatest threat to human health”. This list is divided into three levels of antibiotic-resistant bacteria based on their significance and potential impact to global health. The priority levels are listed as Priority 1 ‘Critical’, Priority 2 ‘High’ and Priority 3 ‘Medium’. Priority 1 (or ‘Critical’) is the most worrisome. It includes antibiotic-resistant Acinetobacter, Pseudomonas and various Enterobacteriaceae (including Klebsiella, Escherichia coli, Serratia, and Proteus species). These antibiotic-resistant gram-negative bacteria can cause serious infections, such as pneumonia and bloodstream infections, leading to significant morbidity and mortality.¹

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Infection Prevention in the Food Service Arena

Posted by Susan (Sue) Burns, BS(MT), CIC, VA-BC™ on Mar 1, 2017 9:37:00 AM

 

Goodbye Winter. Hello Spring!:

Winter has passed, and Spring is in the air. Northerners are finally able to venture out of their snow-blocked homes, and become road warriors or mass transit travelers. Hotels, amusement parks and other recreational events are preparing for their deluge of “spring fever” crowds and vacationers, as spring breeds a plethora of outdoor activities.

Time away from home also means eating out more: at airports, hotels, restaurants, community events, hospital cafeterias, and other places where food can be readily obtained. Unfortunately, this increase in dining out also leads to an increase in foodborne diseases/illnesses – which continue to play a major role in nationwide outbreaks.

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The Unhealthy Reality in Healthcare

Posted by Frances (Fran) K. Canty, MA, BSN, RN, VA-BC™ on Feb 8, 2017 9:35:00 AM

Dirty Little Secret:

When someone is acutely ill, he/she relies on hospitals with trained professionals and employees to treat or alleviate their symptoms and/or illness(es). The patient puts his/her faith and trust in the healthcare facility and workers to take care of the problem, not add to it.  

But, the reality is that 1 in 25 hospital patients has contracted at least one healthcare-associated infection[1] (or HAI)—many of which are preventable. In 2014, results of a project known as the HAI Prevalence Survey described the burden of HAIs in U.S. hospitals. The results showed that in 2011, there were an estimated 722,000 HAIs in U.S. acute care hospitals, with approximately 75,000 of those patients dying during their hospitalizations. And, more than half of all HAIs occurred outside of the intensive care unit.[2]

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Chlorhexidine Gluconate for the Prevention of Central Line-Associated Bloodstream Infections - Current Science

Posted by Joan Hebden, RN, MS, CIC, FAPIC on Jan 4, 2017 11:28:00 AM

Chlorhexidine gluconate (CHG) is an antibacterial antiseptic with the ability to inhibit and kill bacteria associated with healthcare-associated infections (HAIs).  In the last two decades, investigators have researched the use of CHG for hand hygiene, oral hygiene, pre-operative bathing, insertion and maintenance of central venous catheters (CVCs), and daily bathing of patients with CVCs. The rapid antimicrobial activity of CHG, in addition to the persistent and residual antibacterial effect for up to six hours on the skin, has led to recommendations for its use as a healthcare provider hand soap, showering/bathing agent prior to surgery, skin preparation agent for drawing blood cultures and for preparing the skin prior to the insertion of intravascular lines.

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Chlorhexidine gluconate (CHG) Resistance in Bacteria—Should I Be Concerned?

Posted by Caitlin Stowe MPH, CPH, CIC, on Dec 1, 2016 10:29:00 AM

A recent article entitled Mechanisms of increased resistance to chlorhexidine and cross-resistance to colistin following exposure of Klebsiella pneumoniae clinical isolates to chlorhexidine published in the Antimicrobial Agents and Chemotherapy journal showed how researchers induced resistance to chlorhexidine (CHG) in Klebsiella pneumoniae, and identified cross-resistance to the antibiotic, colistin—marking the first time that any bacteria was shown to exhibit resistance to CHG.  

[If the resistant Klebsiella from this study was exposed to PDI’s Prevantics® antiseptics products, the bacteria would have been killed by the CHG level. Read further to see why.]

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‘Tis the Season – Holidays, Colds & Flu Season

Posted by Susan (Sue) Burns, BS(MT), CIC, VA-BC™ on Nov 3, 2016 9:22:00 AM

 

Thanksgiving Day is only a few weeks away.

What thoughts come to mind?

Perhaps family, friends, travel, turkey with all its trimmings, pumpkin pie, and shopping?

However, healthcare workers know something else is on the horizon! The time spent with family and friends increases the potential risk for transmission of colds, flu, and other potentially infectious diseases. Infection Prevention Week has just passed, drawing attention to methods that help prevent person-to-person transmission, including clean hands and clean environment.  We cannot afford to lose that momentum going into the next few holiday months ahead.

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