Reasons for Noncompliance With Infection Control Guidelines

2000 ◽  
Vol 21 (6) ◽  
pp. 411-416 ◽  
Author(s):  
Barry M. Farr
Keyword(s):  
Infection Control ◽  
Disease Control ◽  
Effective Leadership ◽  
Infection Control Team ◽  
Standard Precautions ◽  
Antibiotic Resistant ◽  
Control Team ◽  
Control And Prevention ◽  
Prevention Guidelines ◽  
Infection Control Guidelines

Concern frequently is voiced about individuals not complying with guidelines intended to prevent spread of antibiotic-resistant pathogens from patient to patient, but institutional decisions to ignore Centers for Disease Control and Prevention guidelines recommending detection and isolation of colonized patients also have contributed greatly to the increasing rate of infections due to these pathogens. This is so because colonized patients are the main reservoir for spread, and barrier precautions prevent spread much more effectively than Standard Precautions. Providing effective leadership and changing this culture of noncompliance must begin with the infection control team believing that spread is both important and preventable.

scholarly journals Scope of a weekly infection control team rounding in an acute-care teaching hospital: a pilot study

2020 ◽  
Author(s):  
Yeon Su Jeong ◽  
Jin Hwa Kim ◽  
Seungju Lee ◽  
So Young Lee ◽  
Sun Mi Oh ◽  
...  
Keyword(s):  
Pilot Study ◽  
Infection Control ◽  
Acute Care ◽  
Essential Element ◽  
Care Hospital ◽  
Infection Control Team ◽  
Infection Control Program ◽  
Control Team ◽  
Control And Prevention ◽  
Infection Control And Prevention

Abstract Regular and well-organized inspection of infection control is an essential element of an infection control program. The aim of this study was to identify the functional scope of weekly infection control team rounding (ICTR) in an acute care hospital. We conducted weekly ICTR between January 18 and December 26, 2018 to improve the compliance to infection control and prevention measures at a 734-bed academic hospital in the Republic of Korea and analyzed the results retrospectively. We categorized the results into five groups: “well maintained,” “improvement needed,” “long-term support, such as space or manpower, needed,” “not applicable,” or “could not be observed”. A total of nine categories and 85 sub-elements of infection control and prevention practices were evaluated. The median number of infection control team (ICT) visits per department was 7 (interquartile range [IQR]: 6-7). The ICT assessed a median of 16 elements (IQR: 12-22), and a total of 7,452 results were obtained. Of those, 75% were monitored properly, 22% were “not applicable”, and 4% were difficult to observe. The most common practices that were difficult to observe were strategies to prevent catheter-related surgical site infections, pneumonia, and occupationally acquired infections as well as injection safety practices. Although the ICTR was able to maintain regular visits to each department, further strategies beyond regular ICTR are needed to reduce category of “could not observed”. This pilot study may provide an important reference for institutional infection prevention practices as it is the first study to investigate the functional coverage of ICTR.

TINGKAT PENGETAHUAN MAHASISWA KEPANITERAAN KLINIK TENTANG STANDARD PRECAUTIONS PADA PASIEN SEBELUM DAN SETELAH TINDAKAN PERAWATAN GIGI DI RSGM FKG USU

2016 ◽  
Vol 19 (1) ◽  
pp. 4-11
Author(s):  
Olivia Avriyanti Hanafiah ◽  
Gema Nazri Yanti ◽  
Chintya Faradilla ◽  
Dewi Wulandari
Keyword(s):  
Disease Control ◽  
Standard Precautions ◽  
Control And Prevention ◽  
Centers For Disease Control

Prosedur kontrol infeksi yang umum dilakukan adalah dengan menerapkan standard precautions berdasarkan peraturan yang dikeluarkan oleh Centers for Disease Control and Prevention (CDC). Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan mahasiswa kepaniteraan klinik tentang standard precautions operator sebelum dan setelah perawatan gigi. Penelitian ini merupakan penelitian survei deskriptif yang dilakukan dengan cara membagikan kuesioner pada mahasiswa kepaniteraan klinik yang terdiri atas 26 pertanyaan untuk sebelum dan 32 pertanyaan untuk setelah tindakan perawatan gigi. Data diolah secara manual dan dianalisis dengan analisis univariat. Hasil penelitian pengetahuan responden tentang standard precautions sebelum tindakan perawatan yang berpengetahuan kurang 69,8%, 29,3% cukup, 1% responden yang berpengetahuan baik. Setelah perawatan gigi didapat 54,5% responden memiliki pengetahuan cukup, 37,5% berpengetahuan baik, dan hanya 8% responden berpengetahuan kurang. Sebagai kesimpulan,  pengetahuan mahasiswa kepaniteraan klinik tentang standard precautions operator sebelum dan setelah perawatan gigi masih kurang.

scholarly journals Compliance with Standard Precautions and Its Relationship with Views on Infection Control and Prevention Policy among Healthcare Workers during COVID-19 Pandemic

2021 ◽  
Vol 18 (7) ◽  
pp. 3420
Author(s):  
Eliza Lai-Yi Wong ◽  
Kin-Fai Ho ◽  
Dong Dong ◽  
Annie Wai-Ling Cheung ◽  
Peter Sen-Yung Yau ◽  
...  
Keyword(s):  
High Risk ◽  
Infection Control ◽  
High Risk Group ◽  
Infection Prevention And Control ◽  
Prevention Policy ◽  
Standard Precautions ◽  
Healthcare Settings ◽  
Control And Prevention ◽  
And Control ◽  
Infection Control And Prevention

Background: Standard precautions prevent the spread of infections in healthcare settings. Incompliance with infection control guidelines of healthcare workers (HCWs) may increase their risk of exposure to infectious disease, especially under pandemics. The purpose of this study was to assess the level of compliance with the infection prevention and control practices among HCWs in different healthcare settings and its relationship with their views on workplace infection control measures during the COVID-19 pandemic. Methods: Nurses in Hong Kong were invited to respond to a cross-sectional online survey, in which their views on workplace infection and prevention policy, compliance with standard precautions and self-reported health during pandemics were collected. Results: The respondents were dissatisfied with workplace infection and prevention policy in terms of comprehensiveness (62%), clarity (64%), timeliness (63%), and transparency (60%). For the protective behavior, the respondents did not fully comply with the standard precautions when they were involved in medical care. Their compliance was relatively low when having proper patient handling (54%) and performing invasive procedures (46%). A multivariate analysis model proved that the level of compliance of the standard precautions was positively associated with the satisfaction on infection control and prevention policy among high risk group (0.020; 95% CI: 0.005–0.036), while older respondents had higher level of compliance among the inpatient and outpatient groups (coefficient range: 0.065–0.076). The higher level of compliance was also significantly associated with working in designated team and having chronic condition of the respondents among high-risk and inpatient groups. Conclusions: Standard precautions are the most important elements to reduce cross-transmission among HCWs and patients while the satisfaction on infection control and prevention policy would increase the compliance among the high-risk group. An overall suboptimal compliance and poor views on the infection prevention and control guidelines is a warning signal to healthcare system especially during pandemics.

Correct Dosing of Vancomycin in Infants and Children

PEDIATRICS ◽  
1995 ◽  
Vol 96 (6) ◽  
pp. 1177-1177
Author(s):  
Beth A. Logsdon ◽  
Kelley R. Lee ◽  
Fred F. Barrett
Keyword(s):  
Disease Control ◽  
Infants And Children ◽  
Control And Prevention ◽  
Prevention Guidelines ◽  
Centers For Disease Control ◽  
In Infants And Children

In accordance with the recent Centers for Disease Control and Prevention guidelines for the use of vancomycin,1 we began uating the indications and dose of vancomycin IV used in our institution. We discovered a large amount of incorrect dosing of vancomycin in infants and children with 30 mg/kg/day (10 mg/kg q8h). This dose has been traced to The Harriet Lane Handbook, 13th edition.2 However, all the references listed in Harriet Lane on page 561 recommend the standard dosing of vancomycin, 40 mg/kg/day (10 mg/kg q6h).

scholarly journals Infection control team activity and recent antibiograms in the Kobe University Hospital

2013 ◽  
Vol 66 (9) ◽  
pp. 511-516 ◽  
Author(s):  
Katsumi Shigemura ◽  
Kayo Osawa ◽  
Akira Mukai ◽  
Goh Ohji ◽  
Jong Ja Lee ◽  
...  
Keyword(s):  
Infection Control ◽  
University Hospital ◽  
Infection Control Team ◽  
Control Team ◽  
Team Activity

scholarly journals High-Level Disinfection in Ambulatory Care: Overcoming the Barriers of a Decentralized System through Auditing and Education

2021 ◽  
Vol 1 (S1) ◽  
pp. s11-s11
Author(s):  
Sonja Rivera Saenz
Keyword(s):  
Infection Control ◽  
Ambulatory Care ◽  
Inventory Management ◽  
Ambulatory Setting ◽  
Infection Control Team ◽  
Care Network ◽  
Standard Work ◽  
Increased Risk ◽  
Control Team ◽  
High Level

Background: High-level disinfection (HLD) of semicritical instruments in a multispecialty ambulatory care network has the potential for increased risk due to the decentralized instrument reprocessing and lack of a sterile processing department. Attention to HLD practices is an important part of device-borne outbreak prevention. Method: An HLD database was developed to identify specific departments and locations where HLD occurred across a 30-medical practice ambulatory care network in eastern Massachusetts, which included otolaryngology, urology, endoscopy, and obstetrics/gynecology departments. Based on qualitative feedback from managers and reprocessing staff, this database centralized information that included the supply inventory including manufacturer and model information, HLD methodology, standard work, and listing of competency evaluations. The infection control team then led audits to directly observe compliance with instrument reprocessing and a monthly-driven HLD calendar was developed to enforce annual competencies. Result: The results of the audits demonstrated variability across departments with gaps in precleaning, transportation of used instruments, the dilution of enzymatic cleaner, and maintenance of quality control logs. Given the uniqueness of shape and size of various ambulatory locations, proper storage and separation between clean and dirty spaces were common pitfalls. Auditing also revealed different levels of staff understanding of standard work and variable inventory management. Centralized education sessions held jointly by the infection control team and various manufacturers for the reprocessing staff helped to create and reinforce best practices. Conclusion: Decentralized HLD that occurs across multiple ambulatory care sites led to gaps in instrument reprocessing and unique challenges due to variable geography of sites, physical space constraints, and an independent approach to procuring medical supplies. Through the auditing and feedback of all areas that perform HLD, an effective and sustainable strategy was created to ensure practice improvement. Streamlining standard work, seeking direct input from frontline staff, and collective educational events were critical to our success in the ambulatory setting.Funding: NoDisclosures: None

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