Infection Control Link Nurse Program: An interdisciplinary approach n targeting health care-acquired infection
| Autor: | Kristopher Kipp, Lisa Yahle-Dunbar, Kristen Lefeld, Jennifer Martin, Justin Smyer, Mary Nash, Preeti Pancholi, Linda Wellington, Susan Brown, Jerry Mansfield, Julie E. Mangino, Linda Chase, Madhuri Sopirala, Pat Kulich, Nancy Zikri, Hagop Mekhjian, David O. Taylor, Mary Howard, Xueliang Pan, Amber Myers, Jeanne Dickman |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Methicillin-Resistant Staphylococcus aureus
Epidemiology media_common.quotation_subject Nurses Bacteremia Rate ratio medicine.disease_cause Article Hospitals University Patient safety Nursing Hygiene Health care medicine Infection control Humans media_common Cross Infection Infection Control business.industry Health Policy Incidence (epidemiology) Incidence Public Health Environmental and Occupational Health Staphylococcal Infections Methicillin-resistant Staphylococcus aureus Confidence interval Drug Utilization Infectious Diseases business Disinfectants |
| Popis: | We describe a successful interdisciplinary liaison program that effectively reduced health care-acquired (HCA), methicillin-resistant Staphylococcus aureus (MRSA) in a university hospital setting.Baseline was from January 2006 to March 2008, and intervention period was April 2008 to September 2009. Staff nurses were trained to be liaisons (link nurses) to infection prevention (IP) personnel with clearly defined goals assigned and with ongoing monthly education. HCA-MRSA incidence per 1,000 patient-days (PD) was compared between baseline and intervention period along with total and non-HCA-MRSA, HCA and non-HCA-MRSA bacteremia, and hand soap/sanitizer usage. Hand hygiene compliance was assessed.A reduction in MRSA rates was as follows in intervention period compared with baseline: HCA-MRSA decreased by 28% from 0.92 to 0.67 cases per 1,000 PD (incidence rate ratio, 0.72; 95% confidence interval: 0.62-0.83, P.001), and HCA-MRSA bacteremia rate was reduced by 41% from 0.18 to 0.10 per 1,000 PD (incidence rate ratio, 0.59; 95% confidence interval: 0.42-0.84, P = .003). Total MRSA rate and MRSA bacteremia rate also showed significant reduction with nonsignificant reductions in overall non-HCA-MRSA and non-HCA-MRSA bacteremia. Hand soap/sanitizer usage and compliance with hand hygiene also increased significantly during IP.Link nurse program effectively reduced HCA-MRSA. Goal-defined metrics with ongoing re-education for the nurses by IP personnel helped drive these results. |
| Databáze: | OpenAIRE |
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