Reducing Healthcare-associated Infections in Neonates by Standardizing and Improving Compliance to Aseptic Non-touch Techniques: A Quality Improvement Approach

2018 ◽  
Vol 55 (9) ◽  
pp. 748-752 ◽  
Author(s):  
Supreet Khurana ◽  
Shiv Sajan Saini ◽  
Venkataseshan Sundaram ◽  
Sourabh Dutta ◽  
Praveen Kumar
Keyword(s):  
Quality Improvement ◽  
Healthcare Associated Infections ◽  
Healthcare Associated

Implementing quality improvement strategies to reduce healthcare-associated infections: A systematic review

2014 ◽  
Vol 42 (10) ◽  
pp. S274-S283 ◽  
Author(s):  
Barbara Mauger ◽  
Anne Marbella ◽  
Elizabeth Pines ◽  
Ryan Chopra ◽  
Edgar R. Black ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Improvement ◽  
Healthcare Associated Infections ◽  
Improvement Strategies ◽  
Healthcare Associated

scholarly journals Applying Quality Improvement Approaches for the Control of Critical Medical Processes in a Healthcare Facility

2021 ◽  
Vol 18 (2) ◽  
pp. 19-23
Author(s):  
Flaviu Moldovan ◽  
Petruta Blaga
Keyword(s):  
Quality Improvement ◽  
Scientific Literature ◽  
Healthcare Quality ◽  
Healthcare Facility ◽  
Healthcare Associated Infections ◽  
Healthcare Facilities ◽  
Medical Databases ◽  
Ishikawa Diagram ◽  
Healthcare Associated ◽  
Basic Medical

Abstract Healthcare facilities face major challenges as patients require for the continuous improvement of the healthcare quality. We have used as research method the study of the scientific literature from the medical databases, and we have identified the categories of processes that ensure the quality in a healthcare facility. It is drawn a detailed map of the basic medical processes which highlights the sequence and interaction of medical processes that take place on requesting patients until they become resolved patients. The particularization of quality improvement methods for the improvement of critical medical processes is presented. By using the Pareto diagram it is analyzed the adverse events associated with healthcare and by employment of Ishikawa diagram it is analyzed the causes of associated infections highlighting the factors that contributed to the increase of confirmed healthcare associated infections, which are assigned to the hospital information system and the hospital monitoring system.

scholarly journals Reducing healthcare-associated infections by improving compliance to aseptic non-touch technique in intravenous line maintenance: a quality improvement approach

2021 ◽  
Vol 10 (Suppl 1) ◽  
pp. e001394
Author(s):  
Savithri Shettigar ◽  
Abhishek Somasekhara Aradhya ◽  
Srinath Ramappa ◽  
Venugopal Reddy ◽  
Praveen Venkatagiri
Keyword(s):  
Quality Improvement ◽  
Neonatal Intensive Care ◽  
Standard Operating Procedure ◽  
Care Bundle ◽  
Healthcare Associated Infections ◽  
Intravenous Line ◽  
Audit Data ◽  
Improve Compliance ◽  
Healthcare Associated ◽  
Evidence Based Care

BackgroundLack of standardisation and failure to maintain aseptic techniques during procedures contributes to healthcare-associated infections (HCAI). Although numerous procedures are performed in neonatal intensive care units (NICU), handling peripheral intravenous lines is one of the simple and common procedures performed daily. Despite evidence-based care bundle approach variability is higher, and compliance to asepsis is less in routine clinical practice. In this study, we aimed to standardise and improve compliance with Aseptic non-technique (ANTT) in intravenous line maintenance of neonates admitted to NICU to reduce HCAI by 50% over 6 months.MethodsAll nurses were subjects of assessment for compliance with intravenous line maintenance. All admitted neonates with intravenous lines were subjects for the HCAI data collection. At baseline, the current practices for intravenous line maintenance were observed on a generic ANTT audit proforma. Pictorial standard operating procedure (SOP) was developed based on ANTT. Implementation and sustenance were ensured by Plan-Do-Study-Act cycles. Audit data on compliance to ANTT and trends of HCAI rates were displayed using run charts monthly. Qualitative experience from the nursing staff was also recorded.ResultsSignificant improvement was seen in compliance to various components—use of the aseptic field (0% to 100%), closed ports (0% to 100%), key part contamination reduction (80% to 0%), and intravenous hub scrubbing (0% to 72%). SOP of intravenous line maintenance based on ANTT could be implemented and sustained throughout for 9 months. There was a reduction of HCAI from 26 per 1000 patient days to 8 per 1000 patient days. Qualitative experience showed the main determinant of compliance to scrub the hub was the neonate’s sickness level.ConclusionsUsing a quality improvement model of improvement, ANTT in intravenous line maintenance was implemented stepwise. Improving compliance with ANTT principles in intravenous line maintenance reduced HCAI. Scrub the hub requires longer sustained efforts to become part of the practice.

Healthcare associated infections caused by non-fermenting Gram negative rods (NFGNR): six years of experience of a tertiary hospital

2013 ◽  
Vol 7 (2) ◽  
pp. 06-12
Author(s):  
Zahidul Hasan ◽  
Md. Kamrul Islam ◽  
Arifa Hossain
Keyword(s):  
Blood Stream Infection ◽  
Tertiary Care ◽  
Blood Stream ◽  
Tertiary Hospital ◽  
Healthcare Associated Infections ◽  
Care Hospital ◽  
Gram Negative ◽  
Acinetobacter Spp ◽  
Tract Infections ◽  
Healthcare Associated

Recently non-fermenting Gram negative rods (NFGNR) are playing an important role in healthcare associated infections. This observational study in a tertiary care hospital of Dhaka city conducted during 01August 2007 to 30 June 2013 found that 34.8% isolated organisms from patients with healthcare associated infections were NFGNR. Majority (74.3 %) of these infections were occurring inside critical care areas. Pseudomonas and Acinetobacter together constituted 79.6% of the total NFGNR whereas Burkholderia cephacia complex (15.4%), Stenotrophomonas (4.3%) and Chryseobacterium species (0.7%) combined constituted remaining 20.4%. Out of total NFGNRs, Pseudomonas was responsible for highest number of catheter associated urinary tract infections (55.6%), ventilator associated pneumonia (46.3%), respiratory tract infection (65.8%) and surgical site infection (70.6%). Blood stream infection was predominantly caused by Burkholderia cephacia complex (33.5%) and Acinetobacter spp. (39.5%). Other than colistin most of the organisms were resistant to antibiotics commonly recommended for NFGNR.DOI: http://dx.doi.org/10.3329/bjmm.v7i2.19326 Bangladesh J Med Microbiol 2013; 07(02): 6-12

Epidemiology and antimicrobial resistance of Acinetobacter

2018 ◽  
Vol 2 (4) ◽  
pp. 46-59
Author(s):  
A.G. Salmanov ◽  
O.M. Verner ◽  
L.F. Slepova
Keyword(s):  
Antibiotic Resistance ◽  
Laboratory Testing ◽  
Immunocompromised Host ◽  
Clinical Problem ◽  
Healthcare Associated Infections ◽  
Opportunistic Bacteria ◽  
Acinetobacter Spp ◽  
Healthcare Associated ◽  
Major Clinical Problem

Species of the Acinetobacter represent opportunistic bacteria with a growing clinical significance for Healthcare-associated infections (HAIs). In this literature review, we focus on the current role of Acinetobacter in infectious pathology and describe taxonomy, pathogenicity, and antibiotic resistance of these bacteria. Pathogenesis and regulation of virulence factors in Acinetobacter spp. are described in detail. The majority of acinetobacterial infections are associated with A. baumannii and occur predominantly in an immunocompromised host. Usually, acinetobacterial  infections  are characterized by local purulent inflammation; in severe cases, meningitis and sepsis may develop. Antibiotic resistance of Acinetobacter is a major clinical problem; therefore we give special attention to laboratory testing of resistance to antibiotics as well as identification of Acinetobacter.

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