HAI Types

When One is Too Many: One Hospital's Strategies to Reduce CAUTI

July 11, 2016

The reporting of any type of healthcare-associated infection (HAI) is difficult.  First, it indicates our patients have experienced a complication. Second, for an acute-care facility, we consistently have a low denominator; therefore any HAI has a significant impact on an infection rate that is publically reportable. This hospital was pleased to report an infection rate of zero for catheter associated urinary tract infections (CAUTIs) for more than two years.  Unfortunately, in 2015, three of our patients experienced a CAUTI which dramatically increased the reported infection rate and raised important concerns. Urinary tract infections are the most common type of HAI reported to the National Healthcare Safety Network, with more than 75 percent of those UTIs being catheter associated. The literature tells us that the impact of these infections includes increased length of stay, increased costs, unnecessary antimicrobial use, and is the leading cause of secondary bloodstream infections which results in increased mortality rates. Determining the cause for the increase in infections experienced at this facility and developing strategies to decrease these HAIs became a priority.

Infection Prevention Programs: Promoting Value, Securing Resources

June 20, 2016

Promoting the value of infection prevention programs and securing the resources necessary to ensure the continued viability of such programs has become an imperative for the infection preventionist (IP) in the era of healthcare reform and increased demands on IPs' time. A new guidance document aims to provide an updated assessment of the resources and requirements for an effective infection prevention and control/healthcare epidemiology (IPC/HE) program.