Chlorhexidine Bathing Reduces Hospital Acquired Infections Healthcare-associated infections (HAIs) contribute to mortality, prolonged hospital stays, and increased healthcare costs. The Center for Disease Control and Prevention (CDC, 2016) announces, “one in 25 hospital patients has at least one healthcare-associated infection.” Given this astounding statistic and the fact that most of HAIs are preventable; nurses must seek out evidence-based research to employ interventions that prevent HAIs
Purpose of Oral Hygiene in Conjunction with Chlorhexidine Evidence- Based Practice Proposal The basis for the proposal is ventilator-associated pneumonia’s (VAP) occurrence can potentially be controlled by cautious consideration to the process of oral hygiene, where routine oral hygiene versus oral hygiene in conjunction with chlorhexidine (CHX) are examined to make sure the ideal outcomes for these patients occur. Background A ventilator- associated pneumonia (VAP) is a critical contamination
2. Comment on class result with respect to differences in filter types, differences in filter assemblies, and overall on the confidence you would have in using this type of sterilisation process in preparation of pharmaceutical products. List the factors that may cause contamination during filtration. (20 marks) Factors that may contribute to contamination: • Not disinfecting work area • Fibres from filter, clothing etc. • Potential chemical release from filter, syringe etc. • Assembly of Swinnex
Infections in Critically Ill Adults. The Journal of the American Medical Association, 301(12), 1231-1241. doi: 10.1001/jama.2009.376 Timsit, J.-F., Schwebel, C., Bouadma, L., Geffroy, A., Garrouste-Orgeas, M. t., Pease, S., . . . Lucet, J.-C. (2009). Chlorhexidine-Impregnated Sponges and Less Frequent Dressing Changes for Prevention of Catheter-Related Infections in Critically Ill Adults: A Randomized Controlled Trial. The Journal of the American Medical Association, 301(12), 1231-1241. doi: 10.1001/jama
Care Unit patients. Retrieved February 05, 2017, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760051/ Koeman, M., Van Der Ven, A. J., Hak, E., Joore, H. C., Kaasjager, K., De Smet, A. G., . . Bonten, M. J. (2006). Oral Decontamination with Chlorhexidine Reduces the Incidence of Ventilator-associated Pneumonia. American Journal of Respiratory and Critical Care Medicine,173(12), 1348-1355. doi:10.1164/rccm.200505-820oc Scannapieco, F. A. (2014).The Oral-Systemic Health Connection: A Guide to Patient
administration of medication that cannot be given peripherally due to possible harm, or either for providing large volumes of blood and other fluids. Ways to prevent infections include making sure that sterile technique is followed, and bathing with chlorhexidine instead of povidone-iodine. Reassessment of needs for central lines is also critical when trying to prevent infection.
Central lines (CL) are used frequently in hospitals throughout the world. They are placed by trained health care providers, many times nurses, using sterile technique but nosocomial central line catheter associated blood stream infections (CLABSI) have been a dangerous issue. This is a problem that nurses need to pay particular attention to, and is a quality assurance issue, because CLABSI’s “are associated with increased morbidity, mortality, and health care costs” (The Joint Commission, 2012)
nonaseptic insertion or with improper maintenance of the catheter exit site. CBIs are commonly associated with sepsis, fever, chills and hypotension. Skin flora at the insertion site is the most common source of catheter colonization. Chlorhexidine Gluconate The use of Chlorhexidine gluconate (CHG), a well-known antiseptic agent with broad-spectrum antimicrobial and antifungal activity, to disinfect the ... ... middle of paper ... ...s with sensitive skin disorders. According to manufacturer-funded evidence
org/knowledge/pages/changes/implementtheventilatorbundle.aspx. Koeman, M., Van der Ven, A., Hak, E. (2006). Oral Decontamination with Chlorhexidine Reduces the Incidence of Ventilator-associated Pneumonia. American Journal of Respiratory and Critical Care Medicine, 173, 1348-1355. Munro, C.L., Grap, M.J., Jones, D.J., McClish, D.K, Sessler, C.N. (2009). Chlorhexidine, toothbrushing and preventing Ventilator Associated Pneumonia in Critically Ill Patients. American Journal of Critical Care, 18(5)
There may be bacteria fighting benefits for anyone who can tolerate swishing an oily bolus around in their mouth for twenty minutes a day, but the question arises as to who is doing this “pulling” – oil pulling that is. Is it the same patient who can’t commit to two minutes of brushing? According to the American Student Dental Association, “the term “pulling” is referring to the medicinal action of the oil “pulling” out toxins and bacteria from the user’s blood stream.” The common oils used to do
Patient-Centered Variables Patient-centered variables can negatively impact perioperative care, particularly within the intraoperative and postoperative stages. Lifespan considerations, such as infants and older adults, put clients at increased risk for adverse outcomes, including perioperative hypothermia. Immature thermoregulatory functioning combined with the use of anesthesia are contributing factors for infants developing hypothermia intraoperatively, but recent studies indicate that the use
CAMBRA- CURRENT STRATEGIES ON CARIES PREVENTION AND MANAGEMENT Introduction: Dental caries occurs through a complex interaction over time between acidogenic micro organisms and fermentable carbohydrate, and host factors including teeth and saliva.1 The caries process can be described as a imbalance between re and demineralization and when more minerals are lost than gained from the hard tissues over time, caries lesion occurs.2Dental caries, if allowed to progress will result in non cavitated caries
Ventilator Associated Pneumonia Abstract Ventilator Associated Pneumonia (VAP) is one of the most common infections that are acquired through many ways and is particularly found in the Intensive Care Unit (ICU). One of the primary risk factors that lead to the development of VAP is the availability of an endotracheal tube. In many cases, the intubation process takes place in the emergency room (ER), pre-hospital, and in the operation room. In the current world, VAP has been directly associated with
Central-line infections are common in intensive care units and due to their increased risk an exposure, they are life threatening and costly. Processes, for example, changing occlusive dressings, cleaning the site of insertion, as well as scrubbing the end caps before a nurse can access the line are some of the ways in which practitioners expose themselves to these infections. Since nurses working in the intensive care units are constantly exposed to the risk of central line infections, it is crucial
agent. These stains cannot be removed by prophylaxis, some of them can be removed by bleaching. CAUSES OF TOOTH STAINS Extrinsic stains Plaque Calculus (tartar) Bacteria Smoking Tobacco and tobacco products Betel nut (supari) Mouthwashes, e.g. chlorhexidine, Beverages (tea, coffee, red wine, cola) Foods (curry, cooking oils and fried foods, foods with colorings, berries, beetroot) Dietary precipitate Antibiotics (erythromycin, amoxicillins) Iron supplements Intrinsic stains Disease: - Haematological
Gingivitis is a type of periodontal disease and is when the gums are inflamed. The gums in the teeth destroy the tissues because of the inflammation and infection known as periodontal disease (MedlinePlus n. pag.). Gingivitis typically precedes periodontitis but it is important to understand that not all gingivitis progresses to periodontitis (“Gum Disease” n. pag.). Most of the time gingivitis is from not brushing and flossing which may lead to the use of certain drugs and source of medical disorders
Humans have been obsessed with fresh breathe for centuries (Fung, 2017). Haitosis, or bad breath has many different causes but ultimately dealing with the underlying cause is the only potential permanent cure (Burke, 2016). Most oral rinses are like broad spectrum antibiotics and do not treat a specific bacterial strain (Burke 2016). Their effect only last for 1 hour or less. There are two types of mouthwashes: Cosmetic vs Therapeutic (Center 2017). Cosmetic mouthwash temporarily controls
Introduction Many western societies have diverticulitis as a disease with the highest incidence, associated with gastrointestinal tract (Vermeulen et al., 2010, p. 651). A research explains that a complicated diverticulitis, which Mr Walker had, is “a diverticular inflammation associated with an abscess, phlegmon, fistula, obstruction, bleeding, or perforation” (Wilkins, Embry & George, 2013, p. 612). The causes of diverticulitis are poorly understood. Obesity, aging and low dietary fiber consumptions
Tooth is composed of three hard tissues enamel, dentin and cementum .The colour of the tooth is determined by reflectance of dentin and thickness of enamel[30].As cementum is in root portion of the tooth its influence on determining the color of the tooth is not much. Tooth color is different among the different people, different teeth in same person and different areas of the same tooth[31].Tooth color is not constant and it changes due to various reasons.According to the location of the stain the
Contagious Equine Metritis (CEM) was first discovered in 1977, subsequent to outbreaks in Newmarket, United Kingdom and Ireland affecting Thoroughbred populations (Timoney, 2011). Following these outbreaks of CEM, a ban on the importation of horses into the United States from the UK, Ireland and France was put into effect (Schulman et al., 2013). Despite implementation of strict requirements concerning the import of breeding horses from countries known or suspected to be affected by CEM, the first