C301.doc - C301 Johnson 1 Translational Research for Practice Populations Allison C Johnson Western Governors University C301 Johnson 2

C301.doc - C301 Johnson 1 Translational Research for...

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C301Johnson 1 Translational Research for Practice & PopulationsAllison C. JohnsonWestern Governors UniversityNovember 18, 2017
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C301Johnson 2      A. Current Practices In the United States "on any given day, about one in 25 hospital patients developat least one healthcare-associated infection (Centers for Disease Control and Prevention,2016)."   Hospitals   have   made   many   great   strides   in   decreasing   these   rates   andimplementing   prevention   protocols,   but   unfortunately   there   is   still   need   forimprovement.  According to the Centers for Disease Control and Prevention data fromthe HAI Prevention Survey of 2011, it is estimated that there were 721,800 hospitalacquired infections and of which 75,000 were mortalities.  The major sites for infectionwhile   in   the   hospital   setting   are   pneumonia,   gastrointestinal   illness,   urinary   tractinfections, bloodstream infections, and surgical site infections.  The key to infection isprevention, it is much more cost effective to prevent an illness than to treat, and this iseven more so with patient's who are already compromised due to a primary illness andhospitalization.   Current   practices   for   hospital   acquired   infection   prevention   includeproper   hand   hygiene,   standard   precautions,   proper   patient   assessment,   appropriateenvironmental cleaning, and adherence to isolation protocols.   Comparing data fromsurveys conducted in 2009 with 2011 there were decreases in infection rates amongbloodstream infection, surgical site infections, and communicable disease transmission,but there was no evidence of a decline in catheter-associated urinary tract infections(CAUTI).        Catheter associated urinary tract infections are continually the most common hospitalacquired   infection   among   patient   databases   nationwide,   and   are   directly   related   toincreased morbidity and mortality.  Current practices related to prevention of CAUTIs are
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C301Johnson 3outlined   by the   Centers   for   Disease   Control   and   Prevention   committee,   HealthcareInfection   and   Control   Practices   Advisory   Committee   (HICPAC).   The   goal   of   thiscommittee   is   to   set   a   standardized   practice   for indwelling   urinary   catheterindication, insertion   and   maintenance   to   prevent   infection.  Assessment   and   properidentification  of urinary  catheter  placement is paramount in  prevention  of insertingunnecessary indwelling urinary systems.   Aseptic technique during placement of thecatheter is also directly linked to infection rates, thus aseptic technique is critical in
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