Infection Control Today

MAY 2019

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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Page 11 of 35

8 ICT May 2019 Bug of the Month Patients With Indwelling Devices are My Favorite Peeps Klebsiella Oh, hello there, come have a seat next to me. I'm just hanging out with Mr. Jones, here, who is very sick and has been placed on a ventilator. What's that? Oh, he won't mind if we hang out a bit. You see, I'm just biding my time, waiting for a chance to jump to his intravenous catheter next. We won't have to wait long, as I know there will be some healthcare worker in a hurry who won't take the appropriate precautions to ensure I'm not hitching a ride straight to his bloodstream. If you haven't realized by now, I'm a Gram-negative who can cause all kinds of healthcare-associated infections, including pneumonia, bloodstream infections, wound or surgical site infections, and meningitis. And as you can see, I love to lurk among patients who have indwelling devices or who are taking long courses of certain antibiotics. I'm becoming resistant to antimicrobials, and increasingly, carbapenems don't faze me. Does that make me a superbug? I think so! Among my superpowers is the ability to get around. I can enter the respiratory tract to cause pneumonia, or I can go swimming in a patient's blood to cause a bloodstream infection. In hospitals, I can be spread through person-to-person contact. For example, from patient to patient via the contaminated hands of healthcare personnel, or other persons; or, less commonly, by contamination of the environment. As yet, I can't fy, so lucky for you, I'm not able to spread through the air. And as I said, I can enter patients' bodies very easily via contaminated medical devices. How can I be stopped? Not that I'm advocating this, mind you, but healthcare personnel can defnitely slow me down by observing stringent infection control guidelines and taking isolation precautions. This includes strict adherence to hand hygiene and wearing gowns and gloves when they enter rooms where patients who have me are residing. Oh, and you'd better instruct the hospital environmental services personnel to follow strict cleaning procedures to prevent my transmission. Too bad Mr. Jones didn't pay closer attention to hand hygiene, because he just made matters worse by touching hospital surfaces such as bed rails, bedside tables, Sponsored by GOJO Industries remote controls, and the phone, and then fddled with his catheter. Such a big no-no! I'm a tricky little devil, as fewer and fewer antibiotics are effective against me, so be sure to have your hospital's clinical microbiology laboratory run tests to determine which antibiotics will treat the infection I cause. And you'd better instruct patients to follow the treatment regimen prescribed to them, or else I'll survive and re-infect them. Oh, such fun to be me! Who am I? ©2019. GOJO Industries, Inc. All rights reserved. | #27799 (04/2019) Hand Hygiene When You Need It Most PURELL SINGLES ® provide peace of mind in more places, more often. Courtesy of the National Institute of Allergy and Infectious Diseases (NIAID)

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