768. Gaining Compliance-Getting Results

Background Compliance with the chlorhexidine gluconate (CHG) daily application component of the CLABSI prevention bundle potentially could negatively affect infection rates. In an attempt to increase CHG compliance, a 3-month trial for soap based CHG bathing was undertaken on two pediatric oncology units with long term central line patients. Methods The current bathing process involved 2 steps, a soap and water bath followed one hour later by a CHG wipe. It was time consuming and received complaints from staff and parents resulting in lower documented compliance rates. A one step process was implemented combining skin cleansing and CHG application with one product. Staff, parents and patients were educated on proper bathing technique. Instruction brochures printed in multiple languages were employed and discussed for education. An electronic survey was developed to collect parent feedback. Results The trial was from October - December 2020 and included 25 select patients in the cancer center. Patients and parents provided positive feedback with the new process. Audits measured both line maintenance and bathing. If one step was missed-than non- compliance with the bundle was noted . Bundle adherence increased with auditors noting that this was due entirely to an increase in bathing compliance. From April to September 2020 prior to implementation of the soap based CHG bathing, CHG compliance on the Stem Cell Transplant Unit (SCTU) averaged 48%. During the three month period after the trial, CHG compliance has averaged 64%. CHG monthly compliance reached 85% by April 2021. In addition, patients compliant with CHG bathing demonstrated a significant reduction in coagulase negative staphylococcus (CoNS ) blood stream infections due to the reduction of CoNS skin colonization. Cost analysis for the one week in the 15 bed BMT unit and 10 HemONC patients showed that the one step soap based CHG was &161.50 and the CHG wipe cost &960,75; a difference of &799.25per week or &41,561.00 annually. Conclusion Any infection prevention strategy needs to involve staff and parents for compliance and outcome success. Disclosures All Authors: No reported disclosures

The component composition of the essential oil from Laurus nobilis L. unripe fruits harvested in Ukraine

Aim. To study the qualitative composition and the quantitative content of the essential oil components from Laurus nobilis L. unripe fruits.Results and discussion. In the essential oil from Laurus nobilis L. unripe fruits 31 compounds were determined; among them 28 substances were identified. A high content was characteristic for spatulenol (1947.1 mg/kg) and betulenol (925.3 mg/kg).Experimental part. The raw material for obtaining the essential oil (unripe fruits) of Laurus nobilis L. was harvested in November 2017 in Alushta and the village of Rybalskoe, Crimea. The component composition of the essential oil of the unripe fruits from Laurus nobilis L. was studied and the constituents of the essential oil were identified by chromato-mass spectrometry using an Agilent Technology 6890N chromatograph. The component composition of the essential oil was revealed by comparing the results obtained with data from the NIST 02 mass spectrum library (more than 174.000 substances).Conclusions. The component composition of the essential oil from Laurus nobilis L. unripe fruits harvested in Ukraine has been studied. Taking into account the set of the biologically active compounds found in the essential oil of Laurus nobilis L. it can be argued that further pharmacognostic studies of fruits of this plant as the medicinal raw material with the predicted pharmacological activity (e.g., antimicrobial and skin cleansing) are promising.

EVALUATION OF EFFICACY OF DIFFERENT METHODS FOR MICROBIAL ECZEMA TREATMENT

The aim of the study is to analyze the effectiveness of the methods of treatment (MT) of microbial eczema (ME) available in pediatric practice. Materials and methods of research: the article presents the results of the evaluation of efficacy of the methods of treatment of ME in 108 patients aged 1–13 years with ME, taking into account the study of their safety and financial feasibility. ME severity was assessed using IOSTME (Microbial Eczema Severity Evaluation Index). The efficacy of ME therapy was assessed using clinical criteria. Results: with the same safety and clinical efficacy, the use of cold atmospheric plasma (CAP) in the complex therapy of ME has an advantage over the standard treatment method (MT1) and over complex therapy using laser therapy (MT2). The health care efficiency (Km) differed in the use of analytic treatments with the highest proportion of clinical recovery results (complete skin cleansing) in patients receiving complex therapy using CAP (MT3): when using MT1 – in 1 out of 20 cases (5%), with MT2 – in 3 out of 49 patients (6%), with MT3 – in 26 out of 39 cases (67%) (p<0,001). The decrease in the cost of complex treatment methods (MT2 and MT3) was due to a significant reduction in the duration of inpatient treatment: when using MT1 – 14,5 [14,0; 15,0], MT2 – 11,0 [10,0; 12,0], MT3 – 6,0 [6,0; 6,0] bed-days, despite the more expensive medical services for MT2 (1,37 times more expensive than MT1) and MT3 (2,33 times more expensive than MT1 and 1,71 times more expensive than MT2). Conclusion: the use of CAP in the complex treatment of ME is effective, safe and cost-effective.

The Frequency and Spectrum of Bacterial Contamination of Packed Red Blood Cells and Platelet Concentrate Units from a Sample of Iraqi Blood Donors

Bacterial contamination of donated blood is defined as the presence of bacteria in the blood components which are collected and/or processed for transfusion. It is the second cause of death beyond ABO-mismatch. The aims were to determine the frequency of bacterial contaminations in stored packed RBC and platelet concentrate units. This cross-sectional study was conducted in Baghdad between 2nd of September to 27th of December 2019. Two hundred samples; 100 samples from packed RBC units and 100 samples from platelet concentrate units were randomly selected. There were 38/100 of platelet concentrate units found to be contaminated, while 28/100 samples studied of packed RBC units were contaminated by bacteria. The high rate of contamination of samples presented. Gram-positive bacteria were the most predominant, and this attributed to poor skin cleansing and antiseptic techniques used prior to donor blood collection.

THE MYTH OF CSR ON THE EXAMPLE OF DOVE CAMPAIGN

"This article discusses the concept of corporate social responsibility (CSR) in the particular case of a controversial Dove campaign for Real Beauty (CFRB) and its role in the production and consumption of contemporary popular meanings of empowerment, social change, and female beauty in global consumer culture. Because in some instances such corporate strategies appear well received, we move beyond cynical dismissal to analyze corporate discourse to identify its transformative possibilities and contradictions. The analysis replaces the oversimplifying approaches to the ethics of CSR with a communicative perspective that highlights the need for a contextual examination of the ethical dilemmas that arisen from CSR practices. In this article, I engage with this CSR campaign, using critical discourse analysis (CDA) to uncover its mechanisms and ideological functioning. CDA of the print, television, and new media texts reveals a certain juxtaposition between liberation and oppression of CFRB. The analysis show how Dove was able to transform an ordinary commodity, skin cleansing products, into a consumer activist brand through which consumers could take part in solving self-esteem and social problems. My analysis of CFRB shows the ways that CSR often operates to co-opte the criticism by embracing it, consolidating brand loyalty and corporate profits, and defuse struggles around consumption. By doing so, CSR forms a complex strategy to legitimize particular brands and commodities, so it can be seen as the ideological force of contemporary consumer capitalism."

Skincare and quality of life among older residents living in Japanese nursing homes

This study aimed to clarify the practices of skincare such as bathing, face-washing, and using of skincare products, among older adults living in nursing homes in Japan. From July to August 2017, questionnaire surveys were mailed to 343 long-term care facilities in one prefecture in Japan, and 105 facilities returned the survey. Management policies on the use of facial skincare products was significantly associated with the number of resident/caregiver ratio. Meanwhile, residents in nursing homes with higher numbers of caregivers washed their faces and bathed at lower rates. There were no correlations between the number of resident/caregiver ratio, face-washing, and bathing times. When older residents could not independently perform their skin cleansing and care, that care is likely to happen less often. Sufficient manpower for the support of older residents’ skincare will improve the quality of life in long-term nursing facilities.