Best Practices Document for the Management of Clostridium Difficile in All Health Care Settings

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Publisher :
ISBN 13 : 9781424915453
Total Pages : 29 pages
Book Rating : 4.9/5 (154 download)

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Book Synopsis Best Practices Document for the Management of Clostridium Difficile in All Health Care Settings by : Ontario. Provincial Infectious Diseases Advisory Committee

Download or read book Best Practices Document for the Management of Clostridium Difficile in All Health Care Settings written by Ontario. Provincial Infectious Diseases Advisory Committee and published by . This book was released on 2007 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Best Practices Document for the Management of Clostridium Difficile in All Health Care Settings

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Publisher :
ISBN 13 :
Total Pages : 31 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis Best Practices Document for the Management of Clostridium Difficile in All Health Care Settings by :

Download or read book Best Practices Document for the Management of Clostridium Difficile in All Health Care Settings written by and published by . This book was released on 2007 with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Clostridium Difficile Infection in Long-Term Care Facilities

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Author :
Publisher : Springer Nature
ISBN 13 : 3030297721
Total Pages : 80 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Clostridium Difficile Infection in Long-Term Care Facilities by : Teena Chopra

Download or read book Clostridium Difficile Infection in Long-Term Care Facilities written by Teena Chopra and published by Springer Nature. This book was released on 2019-11-14 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book aims to fill knowledge gap among healthcare workers about Clostridium difficile (also known as C.difficile and CDI) among aging patients, especially those in long-term care facilities (LTCFs). Written by experts in infectious diseases and geriatric medicine, this book provides comprehensive information on all aspects of CDI pertaining to LTCF settings, including epidemiology, diagnosis, prevention, management and the unique challenges faced by LTCFs with regards to the CDI problem. The book begins by introducing the topic as it relates to aging patients before delving into the various aspects of CDI management. Topics include infection control and prevention, treatment of CDI, and the establishment of antibiotic stewardship programs to reduce inappropriate antibiotic use and reduce CDI rates. The book also features a chapter on probiotics for the prevention of CDI and new strategies to monitor environmental cleaning practices of CDI patient rooms that do not appear in any other resource. Clostridium Difficile Infection in Long-Term Care Facilities is an excellent resource for geriatricians, infectious diseases specialists, long-term care administrators, nurses, pharmacists, researchers, and all clinicians working with infections in long-term care settings.

Caring for People who Sniff Petrol Or Other Volatile Substances

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Publisher :
ISBN 13 : 9781864965223
Total Pages : 33 pages
Book Rating : 4.9/5 (652 download)

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Book Synopsis Caring for People who Sniff Petrol Or Other Volatile Substances by : National Health and Medical Research Council (Australia)

Download or read book Caring for People who Sniff Petrol Or Other Volatile Substances written by National Health and Medical Research Council (Australia) and published by . This book was released on 2011 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances.

Clostridium Difficile Infection GUIDELINES Pocketcard

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Publisher : International Guidelines Center
ISBN 13 : 9780984666713
Total Pages : 6 pages
Book Rating : 4.6/5 (667 download)

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Book Synopsis Clostridium Difficile Infection GUIDELINES Pocketcard by : Infectious Diseases Society of America

Download or read book Clostridium Difficile Infection GUIDELINES Pocketcard written by Infectious Diseases Society of America and published by International Guidelines Center. This book was released on 2011-09-27 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt: GUIDELINES Pocketcard is a tri-fold pocketcard containing society-endorsed, evidence-based treatment guidelines in a brief algorithmic format that is most preferred by practicing clinicians, quality managers, nurses, educators, and medical students.1, 2The Clostridium difficile Infection GUIDELINES Pocketcard is endorsed by the Infectious Diseases Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA), and is based on their latest guidelines. This practical quick-reference tool contains diagnostic and assessment guidelines, a table of available diagnostic tests, treatment recommendations and algorithm, drug therapy, dosing information, and infection control measures. The Clostridium difficile Infection GUIDELINES Pocketcard provides all that is needed to make accurate clinical decisions at the point of care including: Key Points: Diagnosis and Prevention; Testing Modalities with Recommendations for Use; Specific Recommendations for Treatment; Treatment Algorithm; Infection Control Measures; Extensive List of Available C. difficile Testing Modalities; Current Medication Tables with Brand and Generic Names; Detailed Drug Information: Strengths, Formulations, Comments. Applications: point-of-care, education, QI interventions, clinical trials, medical reference, clinical research. 12007 PDR Physician Survey. 2VA-HHS national guidelines attribute preference survey.

WHO Guidelines on Hand Hygiene in Health Care

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Publisher : World Health Organization
ISBN 13 : 9789241597906
Total Pages : 0 pages
Book Rating : 4.5/5 (979 download)

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Book Synopsis WHO Guidelines on Hand Hygiene in Health Care by : World Health Organization

Download or read book WHO Guidelines on Hand Hygiene in Health Care written by World Health Organization and published by World Health Organization. This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The WHO Guidelines on Hand Hygiene in Health Care provide health-care workers (HCWs), hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve practices and reduce transmission of pathogenic microorganisms to patients and HCWs. The present Guidelines are intended to be implemented in any situation in which health care is delivered either to a patient or to a specific group in a population. Therefore, this concept applies to all settings where health care is permanently or occasionally performed, such as home care by birth attendants. Definitions of health-care settings are proposed in Appendix 1. These Guidelines and the associated WHO Multimodal Hand Hygiene Improvement Strategy and an Implementation Toolkit (http://www.who.int/gpsc/en/) are designed to offer health-care facilities in Member States a conceptual framework and practical tools for the application of recommendations in practice at the bedside. While ensuring consistency with the Guidelines recommendations, individual adaptation according to local regulations, settings, needs, and resources is desirable. This extensive review includes in one document sufficient technical information to support training materials and help plan implementation strategies. The document comprises six parts.

Future Research Needs for Prevention and Treatment of Clostridium Difficile Infection

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Publisher : CreateSpace
ISBN 13 : 9781484033043
Total Pages : 66 pages
Book Rating : 4.0/5 (33 download)

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Book Synopsis Future Research Needs for Prevention and Treatment of Clostridium Difficile Infection by : U. S. Department of Health and Human Services

Download or read book Future Research Needs for Prevention and Treatment of Clostridium Difficile Infection written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-04-04 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clostridium difficile infection (CDI) is a serious healthcare-associated infection and a growing health care problem, especially with the emergence of more virulent strains in the early 2000s. Clostridium difficile was first recognized as having the ability to cause pseudomembranous colitis in the late 1970s. CDI is now the most common cause of nosocomial infectious diarrhea. Asymptomatic colonization in healthy adults has been observed in only 3 percent of persons, while the prevalence of such colonization among residents in long-term-care facilities approaches 50 percent. Individuals colonized with Clostridium difficile serve as a reservoir for infection by contaminating the environment with Clostridium difficile spores, thus leading to the spread of the organism on the hands of health care workers or via use of medical equipment. CDI is increasing in incidence and, in all likelihood, severity. The number of cases diagnosed among patients discharged from hospitals increased from 31 per 100,000 persons in 1996 to 84 per 100,000 persons in 2005. Infection due to a relatively new strain of Clostridium difficile, termed “North American pulsed-field gel electrophoresis type 1” (NAP1), is felt to be at least partially responsible for this increased incidence of CDI as well as for the increased severity of clinical illness. The NAP1 strain is capable of producing more than 15 times the quantity of both toxins A and B, which are directly responsible for the damage to the intestinal tract of infected patients. Hence, CDI is not only now more common, but also more severe, leading to an attributable mortality of up to 16 percent of all deaths. A comparative effectiveness review (CER) was prepared by the Minnesota Evidence-based Practice Center (EPC) on Comparative Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium difficile Infection (December 2011). The purpose of the CER was to provide an overarching assessment of the evidence for comparing the accuracy of diagnostic tests and the effectiveness of prevention and treatment interventions on initial and recurrent CDI related patient outcomes in adults. Key informants, provided input to the EPC on the scope of the CER, agreed that its greatest contribution to the field could be to have an independent organization provide a comprehensive review of the major concerns of the field for both clinicians and researchers. The major impetus underlying the SR was a concern about the presence of clinical disease, not asymptomatic carriage of the Clostridium difficile organism.1 Molecular epidemiological studies whose main purpose was to identify the strains of Clostridium difficile present in the population were outside the scope of the CER. The CER focused on adult patients as they, particularly elderly adults, carry the most of the morbidity and mortality burden.The CER addressed the following Key Questions (KQs): 1. How do different methods for detection of toxigenic Clostridium difficile to assist with diagnosis of CDI compare in their sensitivity and specificity? a. Do the differences in performance measures vary with sample characteristics? 2. What are effective prevention strategies? a. What is the effectiveness of current prevention strategies? b. What are the harms associated with prevention strategies? c. How sustainable are prevention practices in health care (outpatient, hospital inpatient, extended care) and community settings? 3. What are the comparative effectiveness and harms of different antibiotic treatments? a. Does effectiveness vary by disease severity or strain? b. Does effectiveness vary by patient characteristics: age, gender, comorbidity, hospital versus community-acquired setting? c. How do prevention and treatment of CDI affect resistance of other pathogens? 4. What are the effectiveness and harms of nonstandard adjunctive interventions? a. In patients with relapse/recurrent CDI?

Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium Difficile Infection

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Publisher : CreateSpace
ISBN 13 : 9781484054925
Total Pages : 266 pages
Book Rating : 4.0/5 (549 download)

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Book Synopsis Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium Difficile Infection by : U. S. Department of Health and Human Services

Download or read book Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium Difficile Infection written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-04-06 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clostridium difficile infection (CDI) is a serious healthcare-associated infection and a growing health care problem. C. difficile is a Gram-positive, spore-forming, anaerobic bacterium that, when ingested, can cause CDI if it is a toxigenic strain. CDI symptoms include varying levels of diarrhea severity, as well as pseudomembranous colitis and toxic megacolon. CDI incidence is estimated at 6.5 cases per 10,000 patient days in hospital. About 250,000 hospitalizations were associated with CDI in 2005. Direct attributable mortality from CDI has been reported to be as high as 6.9 % of cases. Elderly people in hospitals account for the vast majority of severe morbidity and mortality. Residents of long-term care facilities are also at higher risk. Incidence rates may increase by fourfold or fivefold during outbreaks. In addition to institutional care environments, C. difficile is also common in the community, being easily isolated from soil and water samples. Community-associated CDI rates are generally much lower, accounting for 27 % of all CDI cases in a recent prevalence study, but are also on the rise. However, the source of the C. difficile organisms responsible for cases of CDI in the community is not well understood. In order for CDI to develop, a person must be infected with a strain of C. difficile capable of making toxin in the person's colon. Approximately 1–2 % of healthy individuals are colonized with C. difficile. If these people have usual, healthy colonic flora, the risk of CDI is very low. There is a small risk of CDI if the colon flora becomes disturbed, commonly through antibiotic use, while the person is colonized with a toxigenic strain. Antibiotics that disturb colon flora enough to allow CDI to develop must get into the colon, and they are associated with alterations in relative amounts of colon bacterial constituents. The immune status of the patient also contributes to the risk of developing CDI and the experienced severity. Other risk factors include increasing age, female gender, comorbidities, gastrointestinal procedures, and use of gastric acid suppression medications. Risk profiles for recurrent CDI are similar. One study, which statistically modeled CDI within the hospital setting, suggested that reducing patient susceptibility to infection is more effective in reducing CDI cases than lowering transmission rates. The purpose of this systematic review was to provide an overarching assessment of the evidence for comparing the accuracy of diagnostic tests and the effectiveness of prevention and treatment interventions on initial and recurrent CDI-related patient outcomes in adult patients. The major impetus of this review is the presence of clinical disease, not asymptomatic carriage of the C. difficile organism. The review focuses on adult patients because adults, and particularly elderly adults, carry the large majority of the morbidity and mortality burden. The following Key Questions (KQs) form the basis for this review: KQ 1. How do different methods for detection of toxigenic C. difficile to assist with diagnosis of CDI compare in their sensitivity and specificity? Do the differences in performance measures vary with sample characteristics? KQ 2. What are effective prevention strategies? What is the effectiveness of current prevention strategies? What are the harms associated with prevention strategies? How sustainable are prevention practices in health care (outpatient, hospital inpatient, extended care) and community settings? KQ 3. What are the comparative effectiveness and harms of different antibiotic treatments? Does effectiveness vary by disease severity or strain? Does effectiveness vary by patient characteristics: age, gender, comorbidity, hospital- versus community-acquired setting? How do prevention and treatment of CDI affect resistance of other pathogens? KQ 4. What are the effectiveness and harms of nonstandard adjunctive interventions? In patients with relapse/recurrent CDI?

Medical Microbiology and Infection

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Publisher : John Wiley & Sons
ISBN 13 : 111837228X
Total Pages : 340 pages
Book Rating : 4.1/5 (183 download)

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Book Synopsis Medical Microbiology and Infection by : Tom Elliott

Download or read book Medical Microbiology and Infection written by Tom Elliott and published by John Wiley & Sons. This book was released on 2012-05-29 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical Microbiology and Infection Lecture Notes is ideal for medical students, junior doctors, pharmacy students, junior pharmacists, nurses, and those training in the allied health professions. It presents a thorough introduction and overview of this core subject area, and has been fully revised and updated to include: Chapters written by leading experts reflecting current research and teaching practice New chapters covering Diagnosis of Infections and Epidemiology and Prevention & Management of Infections Integrated full-colour illustrations and clinical images A self-assessment section to test understanding Whether you need to develop your knowledge for clinical practice, or refresh that knowledge in the run up to examinations, Medical Microbiology and Infection Lecture Notes will help foster a systematic approach to the clinical situation for all medical students and hospital doctors.

Guide to the Elimination of Clostridium Difficile in Healthcare Settings

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Publisher :
ISBN 13 : 9781933013374
Total Pages : 66 pages
Book Rating : 4.0/5 (133 download)

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Book Synopsis Guide to the Elimination of Clostridium Difficile in Healthcare Settings by : Association for Professionals in Infection Control and Epidemiology

Download or read book Guide to the Elimination of Clostridium Difficile in Healthcare Settings written by Association for Professionals in Infection Control and Epidemiology and published by . This book was released on 2008 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level

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Publisher :
ISBN 13 : 9789241549929
Total Pages : 92 pages
Book Rating : 4.5/5 (499 download)

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Book Synopsis Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level by : World Health Organization

Download or read book Guidelines on Core Components of Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level written by World Health Organization and published by . This book was released on 2017-01-31 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care-associated infections (HAI) are one of the most common adverse events in care delivery and a major public health problem with an impact on morbidity, mortality and quality of life. At any one time, up to 7% of patients in developed and 10% in developing countries will acquire at least one HAI. These infections also present a significant economic burden at the societal level. However, a large percentage are preventable through effective infection prevention and control (IPC) measures. These new guidelines on the core components of IPC programmes at the national and facility level will enhance the capacity of Member States to develop and implement effective technical and behaviour modifying interventions. They form a key part of WHO strategies to prevent current and future threats from infectious diseases such as Ebola, strengthen health service resilience, help combat antimicrobial resistance (AMR) and improve the overall quality of health care delivery. They are also intended to support countries in the development of their own national protocols for IPC and AMR action plans and to support health care facilities as they develop or strengthen their own approaches to IPC. These are the first international evidence-based guidelines on the core components of IPC programmes. These new WHO guidelines are applicable for any country and suitable to local adaptations, and take account of the strength of available scientific evidence, the cost and resource implications, and patient values and preferences.

Patient Safety and Quality

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Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Professional Research Project

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Professional Research Project by : Raquel Velazquez

Download or read book Professional Research Project written by Raquel Velazquez and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clostridium difficile infection is a common and potentially fatal health-care associated infection of the colon; the incidence of morbidity and mortality and excess health-care costs resulting from CDIs in hospitalized patients are all at historic highs in the hospital setting. According to many evaluated research materials, CDI is one of the leading causes of hospital acquired infections (HAI). The solution is to increase the proper use of PPE, obtain adequate equipment for use in isolation rooms, enforce compliance from all members of the healthcare team, educate staff on proper handwashing technique, distribute the newest education materials, evaluate staff knowledge on CDI transmission and pathophysiology, and implement the use of shoe coverings in isolation rooms. These intervention will increase knowledge and help to increase patient safety, and to reach best practice goals while decreasing cost. The writer identified the problem, provided implementation strategies and associated a well-known theory to support the implementation process. The evaluation, tools, needed education, and variables will be addressed and a clear way of disseminating this project will be presented to stakeholders.

Multi-Agent Systems and Agent-Based Simulation

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Publisher : Springer Science & Business Media
ISBN 13 : 3540654763
Total Pages : 245 pages
Book Rating : 4.5/5 (46 download)

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Book Synopsis Multi-Agent Systems and Agent-Based Simulation by : Jaime S. Sichman

Download or read book Multi-Agent Systems and Agent-Based Simulation written by Jaime S. Sichman and published by Springer Science & Business Media. This book was released on 1998-12-18 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fifteen papers were presented at the first workshop on Multi-Agent Systems and Agent-Based Simulation held as part of the Agents World conference in Paris, July 4-- 6, 1998. The workshop was designed to bring together two developing communities: the multi-agent systems researchers who were the core participants at Agents World, and social scientists interested in using MAS as a research tool. Most of the social sciences were represented, with contributions touching on sociology, management science, economics, psychology, environmental science, ecology, and linguistics. The workshop was organised in association with SimSoc, an informal group of social scientists who have arranged an irregular series of influential workshops on using simulation in the social sciences beginning in 1992. While the papers were quite heterogeneous in substantive domain and in their disciplinary origins, there were several themes which recurred during the workshop. One of these was considered in more depth in a round table discussion led by Jim Doran at the end of the workshop on 'Representing cognition for social simulation', which addressed the issue of whether and how cognition should be modelled. Quite divergent views were expressed, with some participants denying that individual cognition needed to be modelled at all, and others arguing that cognition must be at the centre of social simulation.

Clostridium Difficile Infection (CDI) Prevention

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Clostridium Difficile Infection (CDI) Prevention by : Fremah Nuamah

Download or read book Clostridium Difficile Infection (CDI) Prevention written by Fremah Nuamah and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The impact of bed occupancy (BO) rate, overcrowding and length of hospital stay on the spread of clostridium difficille infection (CDI) has become a major concern in healthcare as well as a challenge in maintaining patient safety in hospital settings. One major objective of this project is to establish that high bed occupancy rates is a compelling danger for the spread of CDI in the hospital setting. However, Kaier, K. K., Mutters, N. T., and Frank, U. U. 2012). noted in their studies that leaving hospital beds empty creates a potential for financial burden. The assessment, control, implementation, evaluation, and dissemination plans with literature reviews are presented in this project. CDI can spread from patient to patient through the contaminated hands of healthcare providers, patients and families by spore forming bacterium of CDI. Improving hand hygiene, and judiciously adhering to infection control protocols reduces the spread of CDI and other hospital acquired infections (HAIs) in different settings. Bed management policies and maximum bed occupancy rates are integral part of infection control and need to be addressed. The earlier patients are discharged from hospital beds to their homes, the greater the chance to prevent the spread of CDI. Studies have shown that a strong correlation exist between high rate of bed occupancy and the spread of CDI. Two of such are Aziz, A. 2013, who concluded in his report that it is essential to document every bowel movement to indicate the control of C-difficiile and information on preventive measures, should be made accessible to patients and their families. Lanzas, C.,& Dubberke, E. R. 2014). who reported testing for asymptomatic carriers on admission may decrease both the number of new colonizations and hospital-onset cases of CDI.

Guideline for Isolation Precautions in Hospitals

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Publisher :
ISBN 13 :
Total Pages : 88 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Guideline for Isolation Precautions in Hospitals by : Julia S. Garner

Download or read book Guideline for Isolation Precautions in Hospitals written by Julia S. Garner and published by . This book was released on 1983 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Hospital Acquired Infections: Prevention & Control: Prevention and Control

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Author :
Publisher : Wolters kluwer india Pvt Ltd
ISBN 13 : 8184731973
Total Pages : 562 pages
Book Rating : 4.1/5 (847 download)

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Book Synopsis Hospital Acquired Infections: Prevention & Control: Prevention and Control by : Purva Mathur

Download or read book Hospital Acquired Infections: Prevention & Control: Prevention and Control written by Purva Mathur and published by Wolters kluwer india Pvt Ltd. This book was released on 2010-01-01 with total page 562 pages. Available in PDF, EPUB and Kindle. Book excerpt: The spread of infections associated with hospitals and clinics has increased dramatically in recent years and their prevention constitutes a major challenge for healthcare personnel. This book highlights the growing threat from hospital acquired infections and thoroughly explains the relevant measures for their prevention. Measures for control are also succinctly presented. The book also focuses on local epidemiology relating to the spread of these infections in India and highlights appropriate measures for their prevention. The text is presented in a clear and crisp style and important features and procedures are adequately highlighted in relevant boxes, tables and flowcharts. Physicians, surgeons and microbiologists would find this book to be extremely useful. Laboratory personnel and nursing staff would also benefit considerably from this book.