Health Care Related Infections
Terms in this set (13)
What is the most common type of hospital acquired infection?
CA-UTI. Shown to occur after urinary catherization. insertion or after catheter is in can cause infection.
normally healthy bladder is sterile. bacteria may be present around the urtethra, but normally unable to enter the bladder. catheter can pick up bacteria from urethra and give them an easy route to the bladder.
enteric bacteria. skin flora like staph epi and staph aureus. if poor immune system more risk for candida UTI
second most common type of hospital acquired infection.
patho of pneumonia
nuber and virulence entering lower respiratory tract influences seriousness.
primary route of infection of the lungs is through microaspiration of organims that have colonized the oropharyngeal. less frequently from GI tract.
within 48 hours will acquire flora of the hospita.
treatment of nosocomial
start with broad spectrum antibiotics to cover MRSA and resistant GNB that might be part of hospital flora.
drainage of abscess, remove central line, removal of foley catheter.
line related is an example of one. developed to prevent infections. goal is to prevent CA-UTI, VAP, surgical site infection....
preventing line infection
full barrier precautions during insertion of CVCs
avoidance of the femoral insertion site
removal of catheters when no longer indicated
prevent surgical site infection
timely admin of effective preop antibiotics. preop shwoering with antimicrobial soaps. preop application of antiseptics to the skin of patient. washing and golving of surgeon's hands. use of sterile drapes. use of gowns and masks by operating room personnel.
ventilator associated pneumonia
active surveillance for VAP. use noninvasive ventilation whenever possible. minimze duration of ventilation. assessments of readiness to wean and use weaning protocols daily. education of personnel.
maintain patients in somewhat elevated position. avoid gastric overdistention. avoid unplanned extubation and reintubation. use a cuffed endotracheal tube. maintain cuff pressure.
five moments for hand hygiene
before touching a patient, before clean/aseptic procedures, after body fluid exposure/risk, after touching a patient, after touching patient surroundings.
microflora of hands found in the periungal and subungal areas. long fingernals and artificial nails increase in periungal colonization with variety of pathogens.