C-Difficile Infection Control and Prevention Strategies

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "C-Difficile Infection Control and Prevention Strategies"

Transcription

1 C-Difficile Infection Control and Prevention Strategies Adrienne Mims, MD MPH VP, Chief Medical Officer 1/18/2016 1

2 Disclosure This educational activity does not have commercial support or sponsorship. Planners and presenters have no conflict of interest and or vested interest with this educational activity. This educational activity has no endorsement of any products, or co-providerships.

3 Objectives Understand infection control and prevention strategies for C-difficile Understand the harm of over using antibiotics

4

5 Impact of C. diff

6 Percentage of Clostridium difficile infection (CDI) cases (N = 10,342), by inpatient or outpatient status at time of stool collection and type/location of exposures * United States, Emerging Infections Program, 2010

7

8

9 Risk of getting C. diff

10 Symptoms of C. diff Watery diarrhea Fever Loss of appetite Nausea Abdominal pain and tenderness

11 Treatment of C. diff Eliminate other antibiotics (if possible) Oral course of antibiotics for 10 days Metronidazole mild infections, 1 st reoccurrence vancomycin, or fidaxomicin severe case, additional reoccurrences Fecal transplants multiple reoccurrences (effective but not widely available)

12 Prevention of C. diff Hand washing By the patient after toileting and before eating Family visitors Caregivers pre and post contact with patients Use soap and water or an alcohol-based hand rub Prudent use of antibiotics Carefully clean rooms and medical equipment that have been used for patients with C. diff Use EPA-approved, spore-killing disinfectant (such as bleach)

13 Use Contact Precautions to prevent C. diff from spreading to other patients Patients with C. diff - single room or share only with someone else who also has C. diff Healthcare providers - wear gown and gloves and use separate equipment Visitors - wear a gown and gloves When leaving the room- remove gown and gloves and clean hands (hand sanitizer doesn t kill C. difficile) Patients with C. diff - stay in their rooms as much as possible.

14 Antibiotic Stewardship Adrienne Mims, MD MPH VP, Chief Medical Officer 1/18/

15 Disclosure This educational activity does not have commercial support or sponsorship. Planners and presenters have no conflict of interest and or vested interest with this educational activity. This educational activity has no endorsement of any products, or co-providerships.

16 Objectives Understand the harm of over using antibiotics Learn strategies to promote appropriate antibiotic use

17 A post antibiotic era in which common infections and minor injuries can kill far from being an apocalyptic fantasy, is instead a very real possibility for the twenty-first century, Data from 129 member states to show extensive resistance to antimicrobial agents in every region of the world. Keiji Fukuda, WHO Assistant Director-General for Health Security rary/diseaseagents/img17.jpg pseudomonas

18 Tom Frieden, MD / Director - CDC Each year, in the U.S. 2,049,442 illnesses caused by bacteria and fungi that are resistant to at least some classes of antibiotics, out of those illnesses 23,000 deaths $20 billion each year in additional healthcare spending An additional $35 billion lost to society in foregone productivity.

19 If we are not careful, we will soon be in a post-antibiotic era, And for some patients and for some microbes, we are already there. ~ Tom Frieden, MD, Director - CDC

20 How Antibiotics Can Cause Harm Cause nausea and vomiting Cause diarrhea (C.difficile) Cause secondary infections (Candida) Rash or other allergic reactions Harm kidneys or other organs Create bacterial resistance

21 Infection vs. Colonization Infection Presence of pathogen on culture Organism growth & invasion of host Presence of clinical signs & symptoms Colonization Presence of microorganism on culture No tissue invasion Absence of clinical signs & symptoms

22 Surveillance vs. Clinical Criteria Surveillance Criteria Focused on specificity Applied easily retrospectively Not for case finding Not for diagnostic purposes Not for clinical decision making Facility A Clinical Criteria Focused on sensitivity Applied prospectively Can be for case finding Mrs. Jones

23 Checklist Leadership support Accountability Drug expertise Actions to improve use Tracking: monitoring antibiotic prescribing, use, and resistance Reporting information to staff on improving antibiotic use and resistance Education

24 Antibiotic Stewardship for Nursing Homes Antibiotic prescribing and use policies Documentation of : Dose: including route Duration: start date, end date, and planned days of therapy Indication: which includes both rationale (i.e., prophylaxis vs. therapeutic) and treatment site (i.e., urinary tract, respiratory tract) Culture results Applies to those started in facility or prior to arrival

25 Antibiotic Stewardship for Nursing Homes Establish best practices for use of microbiology testing no test of cure cultures Use guidelines and local susceptibilities to create facility specific treatment recommendations (pneumonia, UTI, skin) Review the antibiotic agents available in the facility (inventory accessible during off hours)

26 Antibiotic Stewardship for Nursing Homes Develop and implement algorithms for the assessment of residents by clinical staff Utilize a communication tool for discussing residents with attending clinicians Develop and disseminate a facility-specific report of antibiotic susceptibility to clinical providers antibiogram Reduce prolonged antibiotic treatment courses for common infections short courses

27 Infection specific interventions to improve antibiotic use Do not treat with antibiotics in asymptomatic bacteriuria Reduce antibiotic prophylaxis for prevention of UTI Clarify when to treat pneumonia in facility vs. transferring Do not use superficial wound cultures

28 Residents and Families who want antibiotics Don t trust the natural healing process Want pain / symptom relief Are confident they know the best treatment Instead Educate on when antibiotics may not be needed Discuss alternative treatments: Increased fluid intake, perineal hygiene, regular toileting / pad change, respiratory therapy Monitor for fever or complications

29 American Geriatrics Society Don t use antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present. inician-lists/american-geriatricssociety-antimicrobials-to-treatbacteriuria-in-older-adults/

30 6 WAYS TO BE A SAFE PATIENT

31

32

33

34

35 This material was prepared by GMCF, for Alliant Quality, the Medicare Quality Innovation Network Quality Improvement Organization for Georgia and North Carolina, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. 11SOW-GMCFQIN-C

C. difficile Infections

C. difficile Infections C. difficile Infections Introduction C. difficile is a type of bacteria that can cause diarrhea and infection of the colon. This bacterium is more likely to infect patients at hospitals and other healthcare

More information

Clostridium difficile (C.difficile or C.diff)

Clostridium difficile (C.difficile or C.diff) What is Clostridium difficile (C. difficile)? Clostridium difficile is a bacterium (germ) that can be found in the gut of about 3 in 100 people. Where there are small numbers of the bacterium it does not

More information

Treating and Preventing C-diff Infections. A Review of the Research for Adults and Their Caregivers

Treating and Preventing C-diff Infections. A Review of the Research for Adults and Their Caregivers Treating and Preventing C-diff Infections A Review of the Research for Adults and Their Caregivers Is This Information Right for Me? Yes, if: You are having watery diarrhea with mild cramps three or more

More information

Clostridium difficile (C. difficile)

Clostridium difficile (C. difficile) Clostridium difficile (C. difficile) UHN Information for patients and families Read this resource to learn about: What is C. difficile How people get infected with C. difficile Treatment and medicine How

More information

VRE. Living with. Learning how to control the spread of Vancomycin-resistant enterococci (VRE)

VRE. Living with. Learning how to control the spread of Vancomycin-resistant enterococci (VRE) VRE Living with Learning how to control the spread of Vancomycin-resistant enterococci (VRE) CONTENTS IMPORTANT VRE is a serious infection that may become life-threatening if left untreated. If you or

More information

Educational Module for Nursing Assistants in Long-term Care Facilities: Antibiotic Use and Antibiotic Resistance

Educational Module for Nursing Assistants in Long-term Care Facilities: Antibiotic Use and Antibiotic Resistance Educational Module for Nursing Assistants in Long-term Care Facilities: Antibiotic Use and Antibiotic Resistance Minnesota Department of Health Infectious Disease Epidemiology, Prevention, and Control

More information

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY. Methicillin-resistant Staph aureus: Management in the Outpatient Setting

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY. Methicillin-resistant Staph aureus: Management in the Outpatient Setting EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Methicillin-resistant Staph aureus: Management in the Outpatient Setting Date Originated: Date Reviewed: Date Approved: Page 1 of Approved by: Department

More information

Clostridium difficile Infection (CDI) Gail Bennett, RN, MSN, CIC

Clostridium difficile Infection (CDI) Gail Bennett, RN, MSN, CIC Clostridium difficile Infection (CDI) Gail Bennett, RN, MSN, CIC 1 Clostridium difficile (C.difficile) Antibiotic induced diarrhea Can cause pseudomembranous colitis Most common cause of acute infectious

More information

NURSING SKILLS FAIR GAME QUESTIONS

NURSING SKILLS FAIR GAME QUESTIONS NURSING SKILLS FAIR GAME QUESTIONS FOR UNLICENSED NURSING STAFF The questions contained in this document are intended to be used during a long-term care facility (LTCF) nursing education or skills fair

More information

Living with MRSA & other Resistant Organisms (MDROs) MDRO s are defined as microorganisms, mostly bacteria, that are resistant to antibiotics.

Living with MRSA & other Resistant Organisms (MDROs) MDRO s are defined as microorganisms, mostly bacteria, that are resistant to antibiotics. Living with MRSA & other Resistant Organisms (MDROs) MDRO s are defined as microorganisms, mostly bacteria, that are resistant to antibiotics. CONTENTS LEARNING ABOUT MRSA Page 3 What is MRSA & why is

More information

Safety FIRST: Infection Prevention Tips

Safety FIRST: Infection Prevention Tips Reading Hospital Safety FIRST: Infection Prevention Tips Reading Hospital is committed to providing high quality care to our patients. Your healthcare team does many things to help prevent infections.

More information

Educational Module for Nursing Assistants in Long-term Care Facilities: Antibiotic Use and Antibiotic Resistance

Educational Module for Nursing Assistants in Long-term Care Facilities: Antibiotic Use and Antibiotic Resistance Educational Module for Nursing Assistants in Long-term Care Facilities: Antibiotic Use and Antibiotic Resistance Antibiotic resistance is an increasing concern for everyone. This module: Defines antibiotic

More information

What Is. Norovirus? Learning how to control the spread of norovirus. Web Sites

What Is. Norovirus? Learning how to control the spread of norovirus. Web Sites Web Sites Centers for Disease Control and Prevention (CDC) http://www.cdc.gov/norovirus/index.html Your Local Health Department http://www.azdhs.gov/diro/lhliaison/countymap.htm What Is Ocument dn Norovirus?

More information

Management of Patient/Resident with Clostridium difficile (C. diff)

Management of Patient/Resident with Clostridium difficile (C. diff) Management of Patient/Resident with Clostridium difficile (C. diff) Initiation Problem Goal Intervention Signature Patient/resident has confirmed C. diff OR pseudomembranous colitis OR toxic megacolon.

More information

Teaching Learning Caring

Teaching Learning Caring MRSA What is MRSA (mur -sa) and why is it so serious? Some germs that commonly live on the skin and in the nose are called Staphylococcus or Staph. They are bacteria that usually don t cause any harm.

More information

ECDC INTERIM GUIDANCE

ECDC INTERIM GUIDANCE ECDC INTERIM GUIDANCE Interim ECDC public health guidance on case and contact management for the new influenza A(H1N1) virus infection Version 3, 19 May 2009 ECDC intends to produce a series of interim

More information

Implementing the Long-Term Care UTI Toolkit Wisconsin Coalition on HealthCare Association Infection in Long Term Care

Implementing the Long-Term Care UTI Toolkit Wisconsin Coalition on HealthCare Association Infection in Long Term Care Implementing the Long-Term Care UTI Toolkit Wisconsin Coalition on HealthCare Association Infection in Long Term Care MetaStar Health Care Quality Symposium: The Value of Better Health Paula Kock RN paulak@parkmanorwi.com

More information

VII. INFECTION CONTROL. Breaking the Chain of Transmission to Prevent Hospital Acquired Infections

VII. INFECTION CONTROL. Breaking the Chain of Transmission to Prevent Hospital Acquired Infections VII. INFECTION CONTROL Breaking the Chain of Transmission to Prevent Hospital Acquired Infections What is Infection Control? Infection control is doing everything possible to prevent the spread of germs

More information

Original Article: http://www.mayoclinic.com/health/c-difficile/ds00736

Original Article: http://www.mayoclinic.com/health/c-difficile/ds00736 MayoClinic.com reprints This single copy is for your personal, noncommercial use only. For permission to reprint multiple copies or to order presentation-ready copies for distribution, use the reprints

More information

2013 Indiana Healthcare Provider and Hospital Administrator Multi-Drug Resistant Organism Survey

2013 Indiana Healthcare Provider and Hospital Administrator Multi-Drug Resistant Organism Survey 2013 Indiana Healthcare Provider and Hospital Administrator Multi-Drug Resistant Organism Survey Antibiotic resistance is a global issue that has significant impact in the field of infectious diseases.

More information

healthcare associated infection 1.2

healthcare associated infection 1.2 healthcare associated infection A C T I O N G U I D E 1.2 AUSTRALIAN SAFETY AND QUALITY GOALS FOR HEALTH CARE What are the goals? The Australian Safety and Quality Goals for Health Care set out some important

More information

Let s Get Back To the Basics

Let s Get Back To the Basics Let s Get Back To the Basics Chain of Transmission - Routine Practices and Additional Precautions Susan Cooper MLT CIC Network Coordinator April 27, 2014 Chain of Transmission - Routine Practices and Additional

More information

MRSA. Living with. Acknowledgements. (Methicillin-Resistant Staphylococcus aureus)

MRSA. Living with. Acknowledgements. (Methicillin-Resistant Staphylococcus aureus) How can I keep myself healthy? Hand washing and use of an alcohol-based hand sanitizer are the primary way to prevent acquiring or transmitting bacteria. If you get a cut or scrape, wash it well with soap

More information

Hand Hygiene Facts and Quiz Hand hygiene saves lives!

Hand Hygiene Facts and Quiz Hand hygiene saves lives! Hand Hygiene Facts and Quiz Hand hygiene saves lives! Minnesota Department of Health Infectious Disease Epidemiology, Prevention, and Control Division PO Box 64975 Saint Paul, MN 55164-0975 651-201-5414

More information

Hialeah Nursing and Rehabilitation Center Combines Technology and Best Practices to Improve Infection Control Specific to C.diff

Hialeah Nursing and Rehabilitation Center Combines Technology and Best Practices to Improve Infection Control Specific to C.diff RESEARCH ARTICLE Page 1 of 5 Hialeah Nursing and Rehabilitation Center Combines Technology and Best Practices to Improve Infection Control Specific to C.diff ABSTRACT RB Health Partners, Inc., June 24,

More information

Solid Organ Transplantation

Solid Organ Transplantation Solid Organ Transplantation Infection Prevention And Control Transplant Atlantic 2011 October 13/2011 Kathy Hart Introduction In the past several years, the drugs that we use, the surgeries themselves,

More information

Antibiotic Use in Hemodialysis

Antibiotic Use in Hemodialysis Antibiotic Use in Hemodialysis Opportunities for Antibiotic Stewardship FMQAI: The Florida End Stage Renal Disease Network Learning and Action Webinar August 22, 2013 1 Objectives To understand the benefits

More information

MRSA Transmission. About MRSA

MRSA Transmission. About MRSA Minnesota Department of Health Fact Sheet 12/2007 Learning about MRSA (Methicillin-Resistant Staphylococcus aureus): A guide for patients About MRSA What is MRSA and why is it so serious? Staphylococci

More information

Nursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi L14: Hospital acquired infection, nosocomial infection

Nursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi L14: Hospital acquired infection, nosocomial infection L14: Hospital acquired infection, nosocomial infection Definition A hospital acquired infection, also called a nosocomial infection, is an infection that first appears between 48 hours and four days after

More information

Lab ID Events MRSA Bloodstream Infection and C. difficile

Lab ID Events MRSA Bloodstream Infection and C. difficile Lab ID Events MRSA Bloodstream Infection and C. difficile MDRO and CDI Module Methicillin-resistant Staphylococcus (MRSA), Vancomycinresistant Enterococcus(VRE), certain gram negative bacilli, Clostridium

More information

E. coli Infections. E. coli Bacteria

E. coli Infections. E. coli Bacteria E. coli Infections Introduction E. coli infections are caused by certain types of E. coli bacteria that make you sick. E. coli is short for Escherichia coli. Most E. coli infections get better without

More information

Black Hills Healthcare System

Black Hills Healthcare System Black Hills Healthcare System Methicillin Resistant Staphylococcal Aureus (MRSA) Patient and Family Information What is MRSA? Staphylococcus Aureus, often referred to simply as staph, is a bacteria commonly

More information

METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) COMMUNITY ACQUIRED vs. HEALTHCARE ASSOCIATED

METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) COMMUNITY ACQUIRED vs. HEALTHCARE ASSOCIATED METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) COMMUNITY ACQUIRED vs. HEALTHCARE ASSOCIATED Recently, there have been a number of reports about methicillin-resistant Staph aureus (MRSA) infections

More information

Bloodborne Pathogen Training for School Staff

Bloodborne Pathogen Training for School Staff Bloodborne Pathogen Training for School Staff This CD was provided by the Ohio Department of Health, School and Adolescent Health BBP-1 Note The information contained in this presentation represents a

More information

C. difficile. Answers to frequently asked questions about. at the Jewish General Hospital. www.jgh.ca SIR MORTIMER B. DAVIS JEWISH GENERAL HOSPITAL

C. difficile. Answers to frequently asked questions about. at the Jewish General Hospital. www.jgh.ca SIR MORTIMER B. DAVIS JEWISH GENERAL HOSPITAL Answers to frequently asked questions about C. difficile at the Jewish General Hospital SIR MORTIMER B. DAVIS JEWISH GENERAL HOSPITAL A McGill University Teaching Hospital www.jgh.ca 1. CLOSTRIDIUM DIFFICILE

More information

Infection. Preventing Infections You need to make sure to protect yourself from infection after your surgery by taking the following precautions:

Infection. Preventing Infections You need to make sure to protect yourself from infection after your surgery by taking the following precautions: Infection To protect your new organ(s), you are taking immune-suppression or anti-rejection medicines to keep your body s immune system from rejecting the new organ(s). These anti-rejection medicines lower

More information

What Is Clostridium Difficile (C. Diff)? CLOSTRIDIUM DIFFICILE (C. DIFF)

What Is Clostridium Difficile (C. Diff)? CLOSTRIDIUM DIFFICILE (C. DIFF) What Is Clostridium Difficile (C. Diff)? Clostridium difficile, or C. diff for short, is an infection from a bacterium, or bug, that can grow in your intestines and cause bad GI symptoms. The main risk

More information

BODY SUBSTANCE ISOLATION (BSI): THE STANDARD OF CARE

BODY SUBSTANCE ISOLATION (BSI): THE STANDARD OF CARE CRAIG HOSPITAL POLICY/PROCEDURE Approved: NPC, IC, MEC, P&P 05/06 Effective Date: 02/88 P&P 06/09 Attachments: Revised Date: 05/03, 04/06 Decision Tree for Isolation Precautions Comments on Specific Diseases

More information

Catheter-Associated Urinary Tract Infection (CAUTI) Prevention. Basics of Infection Prevention 2 Day Mini-Course 2013

Catheter-Associated Urinary Tract Infection (CAUTI) Prevention. Basics of Infection Prevention 2 Day Mini-Course 2013 Catheter-Associated Urinary Tract Infection (CAUTI) Prevention Basics of Infection Prevention 2 Day Mini-Course 2013 2 Objectives Define the scope of healthcare-associated urinary tract infections (UTI)

More information

Infection Prevention

Infection Prevention Infection Prevention Dear HSS Patient: The Hospital for Special Surgery is committed to patient safety and quality patient care and is proud to have achieved one of the lowest infection rates in New York

More information

Swine Flu FREQUENTLY ASKED QUESTIONS

Swine Flu FREQUENTLY ASKED QUESTIONS FREQUENTLY ASKED QUESTIONS Swine Flu We know people are concerned about the swine flu situation and we share that concern. At this early stage of this outbreak, there is a lot of uncertainty and the situation

More information

THE A, B, C S OF HEPATITIS. Matt Eidem, M.D. Digestive Health Associates of Texas 1600 Coit Road Suite #301 Plano, Texas 75075 (972) 867-0019

THE A, B, C S OF HEPATITIS. Matt Eidem, M.D. Digestive Health Associates of Texas 1600 Coit Road Suite #301 Plano, Texas 75075 (972) 867-0019 THE A, B, C S OF HEPATITIS Matt Eidem, M.D. Digestive Health Associates of Texas 1600 Coit Road Suite #301 Plano, Texas 75075 (972) 867-0019 WHAT IS HEPATITIS? Hepatitis means inflammation of the liver

More information

Standard Precautions: A Focus on Hand Hygiene

Standard Precautions: A Focus on Hand Hygiene Standard Precautions: A Focus on Hand Hygiene PARTICIPANT GUIDE Developed by: University of Wisconsin Oshkosh Center for Career Development (CCDET) Permission is granted to reproduce these training materials

More information

growing problem By: Jena Cummins, Doctor of Pharmacy Candidate

growing problem By: Jena Cummins, Doctor of Pharmacy Candidate Clostridium difficile: A growing problem By: Jena Cummins, Doctor of Pharmacy Candidate Introduction The word difficile il is Latin for the word difficult. Clostridium difficile, affectionately known as

More information

Staff: Due date for this assignment is October

Staff: Due date for this assignment is October Staff: Directions for completing the mandated OSHA in-service on Bloodborne Pathogens : 1. Read the information 2. Click on the link Bloodborne Pathogens Quiz 3. Complete the Quiz including your Name (first

More information

Back to Basics Routine Practices. Mandy Deeves RN, BScN, CIC Network Coordinator North Simcoe Muskoka Infection Control Network

Back to Basics Routine Practices. Mandy Deeves RN, BScN, CIC Network Coordinator North Simcoe Muskoka Infection Control Network Back to Basics Routine Practices Mandy Deeves RN, BScN, CIC Network Coordinator North Simcoe Muskoka Infection Control Network Objectives To identify: Basic principles of infection prevention and control

More information

Tuberculosis: FAQs. What is the difference between latent TB infection and TB disease?

Tuberculosis: FAQs. What is the difference between latent TB infection and TB disease? Tuberculosis: FAQs What is TB disease? Tuberculosis (TB) is a disease caused by bacteria (germs) that are spread from person to person through the air. TB usually affects the lungs, but it can also affect

More information

About Conjunctivitis (source:

About Conjunctivitis (source: About Conjunctivitis (source: http://www.cdc.gov/conjunctivitis/about/index.html) Conjunctivitis is a common eye condition worldwide. It causes inflammation (swelling) of the conjunctiva the thin layer

More information

California Antimicrobial Stewardship Program Initiative & Clostridium difficile Infection (CDI) Project

California Antimicrobial Stewardship Program Initiative & Clostridium difficile Infection (CDI) Project 1 California Antimicrobial Stewardship Program Initiative & Clostridium difficile Infection (CDI) Project Hospital Association of Southern California Conference February 26, 2015 Vicki Keller, RN,MSN,CIC

More information

What is whooping cough. (pertussis)? Information and Prevention. Ocument dn

What is whooping cough. (pertussis)? Information and Prevention. Ocument dn What is whooping cough Ocument dn (pertussis)? Information and Prevention IMPORTANT Pertussis (or whooping cough) is a highly contagious infection that can cause uncontrollable, violent coughing. If you

More information

Massachusetts Department of Developmental Services MRSA, VRE, and C. Diff Management Protocol

Massachusetts Department of Developmental Services MRSA, VRE, and C. Diff Management Protocol Massachusetts Department of Developmental Services MRSA, VRE, and C. Diff Management Protocol PURPOSE: To provide guidance for personnel in order to prevent the spread of Antibiotic Resistant Microorganisms

More information

Riesa Gusewelle, MNSc, RN, APRN, GNP-BC OBJECTIVES

Riesa Gusewelle, MNSc, RN, APRN, GNP-BC OBJECTIVES Riesa Gusewelle, MNSc, RN, APRN, GNP-BC OBJECTIVES Identify early warning signs of urinary tract infections (UTIs) in older adults Describe actions to take for early management of UTIs in older adults

More information

Clostridium Difficile colitismore virulent than ever ECHO- Sept 17, 2015

Clostridium Difficile colitismore virulent than ever ECHO- Sept 17, 2015 Clostridium Difficile colitismore virulent than ever ECHO- Sept 17, 2015 Charles Krasner, M.D. UNR School of Medicine Sierra NV Veterans Affairs Hospital Growing problem of pseudomembranous colitis MMWR-

More information

Norovirus Outbreak Among Residents of an Assisted Living Facility, Houston County, Alabama 2010 (AL1003NRV 35a)

Norovirus Outbreak Among Residents of an Assisted Living Facility, Houston County, Alabama 2010 (AL1003NRV 35a) Norovirus Outbreak Among Residents of an Assisted Living Facility, Houston County, Alabama 2010 (AL1003NRV 35a) Introduction On March 9, 2010, Public Health Area (PHA) 10 surveillance nurse contacted the

More information

Moving to a hospital or skilled nursing facility

Moving to a hospital or skilled nursing facility H Moving to a hospital or skilled nursing facility What to expect when you have MRSA (Methicillin-resistant Staphylococcus aureus) A booklet for patients, residents, family members, and caregivers About

More information

Ground K 1, Jones W 2, Gahm G 3, Drake C 2, Min S-J 2, Trautner B 4, Wald HL 2

Ground K 1, Jones W 2, Gahm G 3, Drake C 2, Min S-J 2, Trautner B 4, Wald HL 2 Ground K 1, Jones W 2, Gahm G 3, Drake C 2, Min S-J 2, Trautner B 4, Wald HL 2 1 Duke University Hospital, 2 University of Colorado School of Medicine, 3 Vivage, 4 Baylor College of Medicine/Houston VA

More information

How can you protect yourself from infections?

How can you protect yourself from infections? How can you protect yourself from infections? Your Infection Prevention Guide www.esrdncc.org Table of Contents Preventing an infection is an important part of your kidney care...3 Things you can do...4

More information

Sepsis Surveillance Definition Work Update

Sepsis Surveillance Definition Work Update Sepsis Surveillance Definition Work Update Anthony Fiore, MD, MPH Chief, Epidemiology Research and Innovations Branch Division of Healthcare Quality Promotion Centers for Disease Control and Prevention

More information

Love can be good or bad! Ayesha Iqbal MBBS MPH St Louis County Department of Health 02/14/2014

Love can be good or bad! Ayesha Iqbal MBBS MPH St Louis County Department of Health 02/14/2014 Love can be good or bad! Ayesha Iqbal MBBS MPH St Louis County Department of Health 02/14/2014 Bad Love Germs LOVE to attack a host causes disease or If more than 1 host - outbreak Number of Outbreaks

More information

SKILLS FAIR GAME QUESTIONS FOR LICENSED NURSES

SKILLS FAIR GAME QUESTIONS FOR LICENSED NURSES SKILLS FAIR GAME QUESTIONS FOR LICENSED NURSES The questions contained in this document are intended to be used during a long-term care facility (LTCF) nursing education or skills fair for an audience

More information

Exposure. What Healthcare Personnel Need to Know

Exposure. What Healthcare Personnel Need to Know Information from the Centers for Disease Control and Prevention National Center for Infectious Diseases Divison of Healthcare Quality Promotion and Division of Viral Hepatitis For additional brochures

More information

Riesa Gusewelle, MNSc, RN, APRN, GNP-BC. OBJECTIVES Identify early warning signs of urinary tract

Riesa Gusewelle, MNSc, RN, APRN, GNP-BC. OBJECTIVES Identify early warning signs of urinary tract Detection, Early Management & Prevention, of Urinary Tract Infections in Older Adults Riesa Gusewelle, MNSc, RN, APRN, GNP-BC OBJECTIVES Identify early warning signs of urinary tract infections (UTIs)

More information

Diagnosis, Treatment and Response of Rocky Mountain Spotted Fever (RMSF) for Non Medical Professionals. Objectives

Diagnosis, Treatment and Response of Rocky Mountain Spotted Fever (RMSF) for Non Medical Professionals. Objectives Diagnosis, Treatment and Response of Rocky Mountain Spotted Fever (RMSF) for Non Medical Professionals Joanna Regan, MD, MPH, FAAP Medical Epidemiologist Rickettsial Zoonoses Branch Integrated Pest Management

More information

Role of The Pharmaceutical Industry in Responsible Antibiotic Stewardship. Janet Hammond, MD, PhD Global Head Infectious Diseases, Roche pred

Role of The Pharmaceutical Industry in Responsible Antibiotic Stewardship. Janet Hammond, MD, PhD Global Head Infectious Diseases, Roche pred Role of The Pharmaceutical Industry in Responsible Antibiotic Stewardship Janet Hammond, MD, PhD Global Head Infectious Diseases, Roche pred The Problem Safe and effective antibiotics have saved billions

More information

Risk Assessment for all Healthcare workers. Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control

Risk Assessment for all Healthcare workers. Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control Risk Assessment for all Healthcare workers Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control 1 Every healthcare worker has a role to play in ensuring the health, safety and welfare of

More information

Adverse Drug Events and Medication Safety: Diabetes Agents and Hypoglycemia

Adverse Drug Events and Medication Safety: Diabetes Agents and Hypoglycemia Adverse Drug Events and Medication Safety: Diabetes Agents and Hypoglycemia Date: October 20, 2015 Presented by Mike Crooks, PharmD., PCMH-CCE Pharmacy Interventions, Technical Lead 11/9/2015 1 Objectives:

More information

Infection control. Self-study course

Infection control. Self-study course Infection control Self-study course Course objectives By the end of this course you will be able to: 1) Define a germ 2) Define the environment that a germ needs to live and grow 3) Explain the chain of

More information

Why Do Some Antibiotics Fail?

Why Do Some Antibiotics Fail? Why Do Some Antibiotics Fail? Patty W. Wright, M.D. April 2010 Objective To outline common reasons why antibiotic therapy is not successful and how this can be avoided. And to teach you a little bit about

More information

Bloodborne Pathogens 1

Bloodborne Pathogens 1 Bloodborne Pathogens Introduction You are here because at some point in your job you may be exposed to blood and/or body fluids. Specific job codes of employees enrolled in the BBP are outlined in the

More information

Infection Prevention and Control Recommendations for Hospitalized Patients. with Known or Suspected Ebola Virus Disease in U.S.

Infection Prevention and Control Recommendations for Hospitalized Patients. with Known or Suspected Ebola Virus Disease in U.S. Appendix D October 10, 2014 Infection Prevention and Control s for Hospitalized Patients with Known or Suspected Ebola Virus Disease in U.S. Hospitals Standard, contact, and droplet precautions are recommended

More information

Learning About MRSA. 6 How is MRSA treated? 7 When should I seek medical care?

Learning About MRSA. 6 How is MRSA treated? 7 When should I seek medical care? IMPORTANT MRSA is a serious infection that can become life-threatening if left untreated. If you or someone in your family has been diagnosed with MRSA, there are steps you need to take now to avoid spreading

More information

Living with MRSA. Things to remember about living with MRSA: This is really serious. I need to do something about this now!

Living with MRSA. Things to remember about living with MRSA: This is really serious. I need to do something about this now! Things to remember about living with MRSA: 1. Wash your hands often. 2. Take care of yourself: Eat right, exercise, quit smoking, and avoid stress. 3. Take good care of your skin. 4. Keep skin infections

More information

Bloodborne Pathogens Training

Bloodborne Pathogens Training Bloodborne Pathogens Training Welcome to this training session about bloodborne pathogens. This session is intended for any employee who is likely to be exposed to potentially infectious bodily fluids,

More information

Antimicrobial Stewardship for Hospital Acquired Infection Prevention: Focus on C. difficile infection

Antimicrobial Stewardship for Hospital Acquired Infection Prevention: Focus on C. difficile infection Antimicrobial Stewardship for Hospital Acquired Infection Prevention: Focus on C. difficile infection Emi Minejima, PharmD Assistant Professor of Clinical Pharmacy USC School of Pharmacy minejima@usc.edu

More information

Management of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in

Management of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in Management of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in humans. Norovirus was recently approved as the official

More information

b. Distinguish between different venues of senior residence c. Advocate the necessity of geriatrics as a true specialty

b. Distinguish between different venues of senior residence c. Advocate the necessity of geriatrics as a true specialty 1. Introduction/ Getting to know our Seniors a. Identify common concepts and key terms used when discussing geriatrics b. Distinguish between different venues of senior residence c. Advocate the necessity

More information

X-Plain Pneumonia Reference Summary

X-Plain Pneumonia Reference Summary X-Plain Pneumonia Reference Summary Introduction Pneumonia is an inflammation and infection of the lungs. Every year, more than 60,000 Americans die of pneumonia. It can affect anybody, but is more dangerous

More information

Advice for Colleges, Universities, and Students about Ebola in West Africa For Colleges and Universities

Advice for Colleges, Universities, and Students about Ebola in West Africa For Colleges and Universities Advice for Colleges, Universities, and Students about Ebola in West Africa For Colleges and Universities Advice for Study Abroad, Foreign Exchange, or Other Education-related Travel Is it safe to travel

More information

Standard Precautions: Bloodborne Pathogens and Other Potentially Infectious Materials

Standard Precautions: Bloodborne Pathogens and Other Potentially Infectious Materials HealthStream Regulatory Script Standard Precautions: Bloodborne Pathogens and Other Potentially Infectious Materials VERSION: [May 2006] Lesson 1: Introduction Lesson 2: Bloodborne Pathogens Lesson 3:

More information

Frequently asked questions about whooping cough (pertussis)

Frequently asked questions about whooping cough (pertussis) Frequently asked questions about whooping cough (pertussis) About whooping cough What is whooping cough? Whooping cough is a highly contagious illness caused by bacteria. It mainly affects the respiratory

More information

SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE INFECTION CONTROL POLICY OCCUPATIONAL EXPOSURE CONTROL PLAN

SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE INFECTION CONTROL POLICY OCCUPATIONAL EXPOSURE CONTROL PLAN SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE INFECTION CONTROL POLICY OCCUPATIONAL EXPOSURE CONTROL PLAN 101.10 CATEGORY: PREVENTING TRANSMISSION OF REVIEWED: 2/17/04 PATHOGENIC MICROORGANISMS APPROVED:

More information

What is swine flu? Swine Influenza (swine flu) is a respiratory disease of pigs viruses that causes regular outbreaks in pigs.

What is swine flu? Swine Influenza (swine flu) is a respiratory disease of pigs viruses that causes regular outbreaks in pigs. Swine Flu H1N1 What is swine flu? Swine Influenza (swine flu) is a respiratory disease of pigs caused by Type A influenza viruses that causes regular outbreaks in pigs. Swine flu viruses have been reported

More information

Addressing the challenge of healthcare associated infections (HCAIs) in Europe

Addressing the challenge of healthcare associated infections (HCAIs) in Europe POSITION PAPER 05 January 2011 Addressing the challenge of healthcare associated infections (HCAIs) in Europe A Call for Action Page 1 of 8 A holistic approach to combating HCAIs in Europe We must rise

More information

Introduction to Infection Control

Introduction to Infection Control CHAPTER 3 Introduction to Infection Control George Byrns and Mary Elkins Learning Objectives 1 Define terms used in infection control. 2. Review significant risk factors for infection. 3. Identify the

More information

Preventing Transmission of Nosocomial Infections

Preventing Transmission of Nosocomial Infections Preventing Transmission of Nosocomial Infections Review of the Cesarean-section Antibiotic Prophylaxis Program in Jordan and Workshop on Rational Medicine Use and Infection Control Terry Green and Salah

More information

HEPATITIS A, B, AND C

HEPATITIS A, B, AND C HEPATITIS A, B, AND C INTRODUCTION Hepatitis is a medical term that means infection and inflammation of the liver, and hepatitis is caused by infection with a virus. There are seven types of hepatitis,

More information

Canine Influenza FAQ. Questions, Answers, and Interim Guidelines. See Also: 1 of 5 9/2/ :03 AM

Canine Influenza FAQ. Questions, Answers, and Interim Guidelines. See Also: 1 of 5 9/2/ :03 AM 1 of 5 9/2/2015 11:03 AM Canine Influenza FAQ Questions, Answers, and Interim Guidelines Updated April 22, 2015 See Also: Pet Owners' Guide to Canine Influenza Canine Influenza Reference Guide for Veterinarians

More information

Reducing catheter associated urinary tract infections

Reducing catheter associated urinary tract infections Reducing catheter associated urinary tract infections M A Y 2 0 1 3 V I C K I E L O N G S T A F F C O N S U L T A N T N U R S E I N F E C T I O N C O N T R O L Content Urinary tract infection Epidemiology

More information

Infection Prevention and Control Program Risk Assessment 2011

Infection Prevention and Control Program Risk Assessment 2011 Program Failure of Prevention Activities Hand Hygiene Respiratory Hygiene Staff Education Patient Education Basic Infection Prevention Standard Precautions/ PPE (Health,, Legal, safe injection practice

More information

Key Facts about Influenza (Flu) & Flu Vaccine

Key Facts about Influenza (Flu) & Flu Vaccine Key Facts about Influenza (Flu) & Flu Vaccine mouths or noses of people who are nearby. Less often, a person might also get flu by touching a surface or object that has flu virus on it and then touching

More information

SULFONAMIDES SULFONAMIDES TREATMENT OF URINARY TRACT INFECTIONS TREATMENT OF URINARY TRACT INFECTIONS DRUGS USED TO TREAT UTI S

SULFONAMIDES SULFONAMIDES TREATMENT OF URINARY TRACT INFECTIONS TREATMENT OF URINARY TRACT INFECTIONS DRUGS USED TO TREAT UTI S TREATMENT OF URINARY TRACT INFECTIONS Most acute lower urinary tract infections (acute bacterial cystitis) are uncomplicated. E.coli causes 75-90% of episodes of acute uncomplicated cystitis. Staph saprophyticus

More information

Standard Precautions. Contact Precautions

Standard Precautions. Contact Precautions Management of the Patient with a Multidrug-resistant Organism in the Home: Standard Precautions vs. Contact Precautions Mary McGoldrick 14 May 2009 CARING Patients receiving care in the home are often

More information

Infection Control Program Risk Assessment 2008

Infection Control Program Risk Assessment 2008 Program Failure of Prevention Activities Hand Hygiene Respiratory Hygiene Staff Education Patient Education Basic Infection Prevention Standard Precautions/ PPE (Health,, Legal, safe pharmacy compounding

More information

Develop an understanding of the differential diagnosis of pseudomembranous colitis

Develop an understanding of the differential diagnosis of pseudomembranous colitis Update on Clostridium difficile Colitis Clostridium difficile infection has recently emerged in populations without any known risk factors. This presentation will focus on the historical background, diagnosis,

More information

3. Chain of Infection

3. Chain of Infection 3. Chain of Infection Certain conditions must be met in order for a microbe or infectious disease to be spread from person to person. This process, called the chain of infection, can only occur when all

More information

GLOSSARY. ANAL AREA: The area around where the stool comes out, also called rectal area.

GLOSSARY. ANAL AREA: The area around where the stool comes out, also called rectal area. ACUTE: An infection that has a sudden onset and lasts a limited period of time, usually days or a few weeks. ALCOHOL-BASED HAND RUB: Products that can be used to clean hands and perform the same function

More information

Errors in the Operating Room. Patrick E. Voight RN BSN MSA CNOR President Association of perioperative Registered Nurses (AORN)

Errors in the Operating Room. Patrick E. Voight RN BSN MSA CNOR President Association of perioperative Registered Nurses (AORN) Errors in the Operating Room Patrick E. Voight RN BSN MSA CNOR President Association of perioperative Registered Nurses (AORN) What What We All We Strive All Strive For: For: Patient Patient Safety Safety

More information

DHS: SENIORS AND PEOPLE WITH DISABILITIES DIVISION

DHS: SENIORS AND PEOPLE WITH DISABILITIES DIVISION DHS: SENIORS AND PEOPLE WITH DISABILITIES DIVISION Nurse to Nurse Oregon s community-based care nursing newsletter Winter 2009 Vol. 6 No. 1 Infection control Standard Precautions are measures used to protect

More information

Multiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options.

Multiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options. Multiple Myeloma Introduction Multiple myeloma is a type of cancer that affects white blood cells. Each year, thousands of people find out that they have multiple myeloma. This reference summary will help

More information

A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page

A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page IX0200: Prevention & Control of Catheter Associated

More information