Infection Control Today

NOV 2018

ICT delivers to infection preventionists & their colleagues in the operating room, sterile processing/central sterile, environmental services & materials management, timely & relevant news, trends & information impacting the profession & the industry

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6 ICT November 2018 editor's letter EDITORIAL EDITOR IN CHIEF Kelly M. Pyrek S ALE S/MARK E TING ACCOUNT EXECUTIVE Jay Franco SUBSCRIPT ION CUSTOMER SERVICE 800-581-1811 PRODUC TION ART DIRECTOR Robert Rys AD PRODUCTION MANAGER Bonnie Streit DIRECTOR PUBLICATIONS Joseph Chackola HUMAN RESOURCES DIRECTOR Donna Layton INFORMA E XHIBITIONS LLC 2020 N. Central Ave., Ste. 400 Phoenix, AZ 85004 Phone: 48 0 -867 - 7943 Web: "Our analysis shows that even in high income countries and in institutions that supposedly have implemented the standard- of-care infection prevention and control measures, improvement s may still be possible," says Peter W. Schreiber, MD, the study's lead author and a researcher from the Division of Infectious Diseases and Hospital Epidemiology at the University Hospital of Zurich. "Healthcare institutions have a responsibility to improve quality of patient care and reduce infection rates by effectively implementing customized multifaceted strategies and improve patient outcomes." "While medical innovations create less invasive procedures that reduce the risk of infection, these same advances in technology allow physicians to perform interventions on previously ineligible patients who are less healthy and more vulnerable to infection," says Stefan Kuster, another author on the study and a researcher from the University Hospital Zurich and Swissnoso. "Continuous efforts in infection prevention and control are needed to keep up with medical progress." Until next month, bust those bugs! " P r o g r e s s m a d e b u t r o o m f o r improvement" seems to be the mantra of modern healthcare. In our part of the medical universe, researchers are now saying that healthcare-associated infections (HAIs) can be reduced by up to 55 percent by systematically implementing evidence-based infection prevention and control strategies. A recent review of 144 studies suggests that there is considerable room for improvement in infection prevention and control practices. "HAIs come at a considerable expense to patients and families, but also cost the U.S. healthcare system an estimated $9.8 billion each year," says Keith Kaye, MD, MPH, president of SHEA and a healthcare epidemi- ologist who was not involved in this study. "There have been tremendous advancements in developing strategies to prevent and control HAIs. This study demonstrates a need to remain vigilant in identifying and maintaining key infection control processes to ensure they can be optimally used to prevent infections, which in some cases, are life-threatening." Researchers from University Hospital Zurich and the Swiss National Center for Infection Control (Swissnoso) sought to determine the proportion of HAIs prevented through infection control interventions in different economic settings. All the papers included in the analysis studied efforts designed to prevent at least one of the fi ve most common healthcare-associated infections using a combi- nation of two or more interventions, such as education and surveillance or preoperative skin decolonization and preoperative changes in the skin disinfection protocol. The interventions consistently produced a 35 percent to 55 percent reduction in new infections. The largest effect was for prevention of central line-associated bloodstream infections. Other infections studied were catheter-associated urinary tract infections, surgical site infections, ventilator-associated pneumonia, and health- care-associated pneumonia. Kelly M. Pyrek Editor in Chief Are You Doing All You Can to Prevent Infections? Reference: Schreiber PW, Sax H, Wolfensberger A, Clack L, Kuster SP and Swissnoso. The Preventable Proportion of Healthcare- Associated Infections 2005-2016: Systematic Review and Meta-Analysis. Web, Sept. 20, 2018. " HAIs come at a " considerable expense " to patients and families, but also cost the U.S. healthcare system an estimated $9.8 billion each year. d

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