C301Johnson 1 Translational Research for Practice & PopulationsAllison C. JohnsonWestern Governors UniversityNovember 18, 2017
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
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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