HAI Types

Using Infusion Therapy Standards to Enhance Prevention of Device-Associated Bloodstream Infections

August 9, 2016

As infection preventionists (IPs), the Centers for Disease Control and Prevention (CDC)’s Guidelines for the Prevention of Intravascular Device Associated Infections have long served as the cornerstone of much of our policy development. When the SHEA/IDSA Compendium documents were released those too served as a source of guidance.  What sometimes has been overlooked have been the Infusion Nurses Society standards which were updated most recently earlier this year and currently reflect the latest evidence based recommendations for all aspects of infusion therapy across all disciplines involved. To keep moving the needle beyond the status quo we need to expand our involvement beyond just hand and skin antisepsis (an over simplification of our role!) and help with all aspects of vascular access and infusion therapy to impact the overall quality of care for these prevalent devices.

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.

Pages