Primary prevention of hospital acquired infections

This article has been cited by other articles in PMC. Abstract These guidelines, written for clinicians, contains evidence-based recommendations for the prevention of hospital acquired infections Hospital acquired infections are a major cause of mortality and morbidity and provide challenge to clinicians.

Primary prevention of hospital acquired infections

Read the new white paper Transmission of pathogens, including Carbapenem Resistant Enterobacteriaceae CREby inadequately reprocessed flexible endoscopes is well documented in scientific literature as well as popular media and is recognized as a serious risk to patients.

Healthcare providers and administrators in many roles, Gastroenterology, Infection Prevention, Sterile Processing, Surgical Services, Executive Management, Risk Management, and more, are wrestling with difficult questions—How confident am I that my facility has adequate processes in place?

What are our quality control measures? Are there steps we need to take to minimize the risk of CRE or other pathogen transmission from inadequately reprocessed duodenoscopes or other similarly complex flexible GI endoscopes? Studies show that even with the best of intentions, current reprocessing guidelines are not always followed to the letter.

A study published online Aug 5 in AJIC 1 provides evidence that contamination remains even when observers document that each and every step is completed properly. Not only that, but this study showed that contamination remains even after cleaning or multiple rounds of cleaning and disinfection on colonoscopes and gastroscopes, and thus is a concern not limited to the duodenoscopes that are currently the focus of concern.

Even the oft-cited microbiological culturing is only a small piece of a complex microbiological puzzle, according to Alex Kallen of the CDC in the latest from USA Today.

But how do you know whether an endoscope has been adequately cleaned? Implement a defined, documented process for verifying the efficacy of manual cleaning—this should include the types and number of scopes tested and the frequency of testing Routine monitoring should include visual inspection AND another method of cleaning verification common methods available to healthcare facilities include ATP bioluminescence, protein, hemoglobin, carbohydrate Use rapid cleaning indicators to monitor cleaning efficacy—weekly, preferably daily for each endoscope processed Developing a quality control program that includes routine endoscope monitoring with a rapid cleaning indicator will generate immediately actionable data.

In 30 seconds, the Clean-Trace System is able to quantify the cleanliness of a surface or lumen sample using Adenosine triphosphate ATP bioluminescence. With the integrated software, you can focus your quality improvement efforts for cleaning processes, for example: Pinpoint individual endoscopes that are consistently failing to meet recommended thresholds.

Use generated data to identify potential cleaning process issues, such as missed or inadequate bedside flushes, or the need to modify cleaning solutions.

Document your quality assurance process and provide proof of adequately cleaned endoscopes to consistently deliver highest standard of care.


Despite the critical nature of the distinction between HLD and sterilization, there continues to be a great deal of confusion about, and misuse of, the two terms in discussions of endoscope reprocessing.

Disinfection destroys most recognized pathogenic microorganisms but not necessarily all microbial forms, such as bacterial spores. Faster device reprocessing time and lower cost are the primary benefits of HLD. Terminal sterilization and liquid chemical sterilization processes are required to kill all types of microorganisms including bacterial spores.

A liquid chemical sterilization process does not have this margin of safety. Terminal sterilization with ethylene oxide is validated and described in the IFUs for many models of endoscopes, including high-risk duodenoscopes.

Influencing Health Care

Ethylene Oxide EO is known to be gentle on instruments and is highly penetrating, making it ideal for complex devices such as long lumen flexible endoscopes.

Modern EO sterilizers are engineered for safety and comply with occupational safety requirements. Though outdated concerns and misinformation continue to circulate, here are some facts about EO sterilization with the Steri-Vac Sterilizer GS series.

Safe for staff and the environment: In Maya U. FDA panel convened to hear commentary on the topic. William Rutala, an internationally known expert in Infection Control and Epidemiology, presented the panel with a strong recommendation. FDA should mandate that duodenoscopes preferably all GI scopes used in healthcare facilities be sterile by Nov 08,  · Tag Archives: Hospital-acquired infection prevention Infection Prevention – Patient Safety – Prior And During A Hospital Stay This is a patient – safety article and quite informative and beneficial for everyone.

The Partnership for Patients (PfP) is focused on quality improvement, patient safety and cost-effective patient care.

Primary prevention of hospital acquired infections

Launched in , PfP convened health care providers, hospitals, patients, and government and other stakeholders in a quest to reduce preventable hospital-acquired conditions (HAC) by 40% and day admissions by .

In honor of National Recovery Month, Oregon State Hospital patients and staff participated in Hands Across the Bridge, an event that "spreads hope and shows people recovery is possible."Check out our Addictions and Behavioral Health Services page for resources and help.

Prevention of Hospital Acquired Infections (each adds > $15, to a patient's hospital bill) Only 55% of inpatients receive standard of care for protection (only if pt incontinent), HSV (primary or disseminated), impetigo, head lice, monkey pox, adenovirus . P revention of hospital-acquired infections (HAIs) is a natural concern of all healthcare providers and particularly of surgeons, as our operative interventions expose the patient to the risk of surgical site infections (SSIs) as well as all of the nonsurgical HAIs that all hospitalized patients are at risk of.

Prevention of hospital-acquired infections. A nosocomial infection — also called “hospital acquired infection” can be defined as: An infection acquired in hospital by a patient who was admitted for a reason other than that infection (1).

An infection occurring in a patient in a hospital or other health care facility in whom the infection.

Hospital-acquired infection - Wikipedia