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Dr. Peter Pronovost on CDC’s Vital Signs Report: Where do we go from here?

Categories: Antimicrobial Resistance, BSIs, CLABSI, Healthcare-associated infections, Hemodialysis, MRSA, NHSN

Dr. Peter Pronovost on CDC’s Vital Signs Report: Where do we go from here?

Dr. Peter Pronovost on CDC’s Vital Signs Report: Where do we go from here?

Dr. Peter Pronovost, Johns Hopkins University, provides three video commentaries on CDC’s recent Vital Signs report on central line-associated bloodstream infections in hospitals and dialysis facilities. Dr. Pronovost’s commentary is provided below. Click on the video to watch.

Transcript: Where do we go from here?

“We must ensure that all patients in ICUs receive best practices. We have seen dramatic reductions in infections in all types of ICUs – teaching and community, large and small, urban and rural. Yet the results are patchy. Some ICUs remain with high CLABSI rates.

We must apply these lessons to reduce other types of preventable harm such as ventilator-associated pneumonia.

Regional Projects Spur Creative Strategies for HAI Prevention Across US

Categories: Healthcare-associated infections, Hemodialysis, NHSN, Outpatient Care

HHS Region Map

HHS Region Map

Author – Rani Jeeva
Team Leader for Healthcare-Associated Infections
HHS Office of Healthcare Quality

HAI elimination is a top priority for the U.S. Department of Health and Human Services (HHS). The HHS Steering Committee for the Prevention of Healthcare-Associated Infections was established in July 2008 with the charge to develop a comprehensive strategy to prevent and reduce HAIs. The result was the Action Plan to Prevent Healthcare-Associated Infections, which outlines national goals for prevention and key actions for achieving them. 

Toward Elimination of Healthcare-associated Infections: A call to Action

Categories: CLABSI, Healthcare-associated infections, Hemodialysis, Long Term Care (LTC), Outpatient Care

Dr. Denise Cardo

Dr. Denise Cardo

Author – Dr. Denise Cardo
Director of CDC’s Division of Healthcare Quality Promotion

Recently, partners hosting the 5th Decennial International Conference on healthcare-associated infections (HAIs) – APIC, CDC, IDSA and SHEA – along with public health and other professional organizations (CSTE, ASTHO, PIDS), called for the elimination of healthcare-associated infections (HAIs), by implementing proven public health strategies used to combat other diseases (see statement in ICHE or AJIC). This is a bold step.

Is it possible?

Scientifically, there exists a legitimate opportunity to eliminate specific HAIs, including central line-associated bloodstream infections (CLABSIs). Recent local and regional initiatives have shown 60%-70% overall decreases of CLABSIs in intensive care units (ICUs), with some locations reporting zero CLABSIs for up to four years following implementation.

Is this enough?

More needs to be done to accomplish the HHS Action Plan to Prevent HAIs and extend those successes into all healthcare settings such as outpatient surgery centers, long-term care facilities and dialysis clinics.

Sharing Successes and Challenges of Preventing CLABSIs in Dialysis

Categories: CLABSI, Healthcare-associated infections, Hemodialysis

Healthcare Professional

Healthcare Professionals

Author – Barbara Bond, RN
Senior Quality Improvement Advisor
Delmarva Foundation

Each year, healthcare-associated infections (HAIs) cause substantial illness, hospitalization and, even, death in hemodialysis patients. From 1994 to 2007, rates of hospitalization for infection among this patient population have increased by nearly 38%. As infection rates have increased, so has our need to respond and implement measures that help reduce infections in hemodialysis. That is why we became a part of the Centers for Disease Control and Prevention’s (CDC) collaborative.

The CDC sponsors this collaborative to assist hemodialysis organizations in their efforts to reduce and prevent central line-associated blood stream infections (CLABSIs). It is my job to help support those activities and to work toward answering those nagging questions that we in the healthcare community are often too scared to ask.

Preventing CLABSIs in Dialysis

Categories: CLABSI, Hemodialysis, NHSN

dialysis brochure

dialysis brochure

Author – Priti Patel, MD, MPH
Medical Officer
CDC’s Division of Healthcare Quality Promotion

Reducing central line-associated bloodstream infections (CLABSIs) is a national priority. We all know about the incredible efforts dedicated to preventing these infections in intensive care units and other inpatient units – but what about settings outside of acute care?

Since 2009, CDC has partnered with interested dialysis providers, infection preventionists, health departments, and others to prevent CLABSIs in chronic hemodialysis patients. Over the last year, this group has teamed up to develop a set of interventions that are being implemented in participating facilities. In the process, they are setting new standards for what can be achieved through infection prevention in hemodialysis facilities.

Monthly conference calls offer educational opportunities to the collaborative participants and serve as a forum for discussion of common challenges and potential solutions. Participants have regular access to CDC subject matter experts and other stakeholders who offer support and assistance. Participating facilities enter data into the dialysis module of CDC’s National Healthcare Safety Network (NHSN). Using NHSN data, the participants can compare their rates with the rest of the group and can use this information to influence decisions in their facility; NHSN data also allows us to follow the impact of the collaborative over time.

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