Expert discusses certain measures that can help prevent HAI spread

Mar 17 2011

Healthcare-associated infections (HAIs) represent a growing concern for both patients and healthcare providers across the nation. The Centers for Disease Control and Prevention (CDC) estimates that approximately 1.7 million HAIs occur each year and contribute to the death of 99,000. Additionally, HAIs are the fourth leading cause of death in the United States, resulting in the death of more people annually than AIDS, breast cancer and auto accidents combined.

National infection prevention expert Ruth M. Carrico PhD, RN, CIC is available to discuss the responsibilities of patients and healthcare facilities to help prevent the spread of HAIs. Creating and maintaining a hygienic environment is everyone's responsibility and teamwork is an important part of the process. Success requires a broad approach, including adherence to the following measures:

•Hand hygiene: The first step for prevention is vigorous monitoring of hand hygiene practices and heightened attention toward increasing hand hygiene rates. Educating staff and visitors of these practices is crucial to reducing the spread of HAIs.

•Isolation and surveillance: Once a patient experiences symptoms that may be associated with infection transmission, such as diarrhea, they should be isolated immediately. An assessment should be performed to determine the cause.

•Contact precautions: All staff entering the isolation environment should be instructed to wear the proper protection equipment. For C. difficile, this includes gowns and gloves. Visitors should also be educated and encouraged to frequently wash their hands and wear the protective gown and gloves when in the patient environment.

•Environmental cleaning and disinfection: Cleaning the environment and using an appropriate disinfectant is critical to helping prevent the spread of pathogens that cause HAIs and protecting the well-being of patients. The use of a product that is registered by the U.S. Environmental Protection Agency (EPA) for proven efficacy claims is crucial. Bleach is approved by the U.S. Environmental Protection Agency (EPA) to kill many types of problematic organisms including C. difficile spores. Using a 1:10 bleach solution as a disinfectant is included in recommendations by APIC, SHEA and CDC to address the challenge of C. difficile.

"Each of these steps may seem like they are easy to implement, but ensuring consistent application of improvements and the rapid addressing of practice deviations take time and attention," said Carrico. "Recognizing that everyone has a stake in improving activities and ideas for successful and sustainable implementation should come from those involved in the process."

Ruth M. Carrico is an Assistant Professor with the University of Louisville School of Public Health and Information Sciences and Associate Faculty with the Center for Health Hazards Preparedness and can speak on the following subject areas:

•The cost of HAIs to both hospitals and patients

•Examples of HAIs and their signs and symptoms, including the most common HAI, Clostridium difficile infection

•Strategies to help prevent the spread of HAIs, including hand hygiene, surveillance, contact precautions as well as environmental cleaning and disinfecting with bleach

•Steps hospitals should take if an HAI outbreak occurs

•Steps patients and families can take to prevent the spread of HAIs

Source: Ruth Carrico Bio