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Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

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Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
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Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

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The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
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Asepsis01:28

Asepsis

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The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
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Hand hygiene01:23

Hand hygiene

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
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Standard Precaution01:26

Standard Precaution

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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Animal Model of Implant-Associated Infections in Mice
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Surgical Site Infection Reduction Program: Challenges and Opportunities.

Kevin G Shea1, Alexandra C Styhl, Howard A King

  • 1*St. Luke's Health System, St. Luke's Boise Medical Center, Boise, ID †Department of Orthopedics, University of Utah, Salt Lake City, UT.

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Surgical site infections (SSIs) are a significant hospital burden. Project Zero successfully reduced SSIs by 50% through targeted interventions in orthopaedic and neurosurgical care.

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Area of Science:

  • Healthcare Management
  • Infection Control
  • Surgical Safety

Background:

  • Surgical site infections (SSIs) constitute 23% of hospital-acquired infections.
  • SSIs incur substantial direct medical costs, estimated at $10 billion annually.
  • High incidence of SSIs necessitates effective prevention strategies.

Purpose of the Study:

  • To implement and evaluate a comprehensive program to reduce SSIs.
  • To focus on high-risk departments: orthopaedics and neurosurgery.
  • To achieve a target of zero surgical site infections.

Main Methods:

  • Established a dedicated committee (Project Zero) to address SSIs.
  • Identified key risk factors: patient comorbidities, operating room practices, and procedure type.
  • Implemented a preoperative clinic and standardized protocols for environmental and procedural management.

Main Results:

  • Achieved a 50% reduction in the hospital's SSI rate.
  • Demonstrated the effectiveness of a multidisciplinary approach.
  • Identified specific interventions that significantly impact SSI incidence.

Conclusions:

  • Project Zero's interventions successfully reduced surgical site infections.
  • A combination of preoperative assessment and protocol management is effective.
  • Continued research into best practices is crucial for maintaining zero infections.