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Selected Category: Healthcare-associated infections

New protocol offers hospitals an option to detect bacterial contamination of duodenoscopes

Categories: Healthcare-associated infections

Michael Bell, MD

Michael Bell, MD

Author: Michael Bell, MD
Deputy Director of CDCs Division of Healthcare Quality Promotion

Combatting antibiotic-resistant infections and protecting patients are national priorities. The President’s FY 2016 Budget invests in efforts to combat and prevent antibiotic resistance, and nearly doubles the amount of federal funding to more than $1.2 billion. The Administration has also issued its National Strategy on Combating Antibiotic-Resistant Bacteria, which outlines steps the U.S. government will take to improve prevention, detection, and control of resistant pathogens.   

Recent outbreaks of CRE (carbapenem-resistant Enterobacteriaceae) related to a type of endoscope called a duodenoscope underscore the importance of quick response to new threats to patient health. In the past when outbreaks related to the use of these scopes have occurred, they have been attributed to failure to follow duodenoscope manufacturer-recommended cleaning protocols. The fact that recent outbreaks have occurred without identified lapses of infection control is a call for action.

With input from healthcare facilities, professional partners and stakeholders, CDC has developed an interim protocol for facilities that want to test their duodenoscopes for contamination with bacteria, including CRE, after the cleaning and disinfection process. The protocol provides a plan to determine how scopes may be sampled and how to test the samples in a lab. This is not a replacement for ongoing training and oversight to ensure that cleaning and disinfection steps are all performed correctly. But it might be a way to detect contamination, whether due to lack of adherence to manufacturer-recommended reprocessing practices or any other reason, and to prompt follow-up action to protect patients if needed.

C. diff survivor and advocate shares her story

Categories: Clostridium difficile, Healthcare-associated infections, Patients

Nancy Caralla

Nancy Caralla

Guest Author: Nancy C Caralla
Founding Executive Director,
President of the C Diff Foundation.

My name is Nancy Caralla, and I know all too much about Clostridium difficile (C. diff).  I am a nurse and contracted C. diff while caring for patients suffering from this horrible infection. Now, I am a C. diff survivor. Tragically, our family lost my father from C. diff, too. I know how fighting a C. diff infection can be exhausting on so many levels. It is a physically, mentally, and financially debilitating infection. It has the ability to steal away a loved one, tear away dreams, create added stress on families, diminish financial nest eggs, eliminate employment opportunities, build geographic mobility limitations, and create tears in even the strongest individuals. All aspects of one’s being are involved in fighting a C. diff infection. This is why I have dedicated myself to “Raising C. diff Awareness” worldwide.

The C diff Foundation was brought to fruition in 2012 with a mission to provide education and advocate for C. diff infection prevention, treatment, and environmental safety worldwide. It provides Antibiotic News, Nutrition Support, Government and private Scientific Research and Development Studies, and a CDF Volunteer program. The C diff Foundation hosts a 24-hour hotline to support patients, families, and health care providers through the difficulties of a C. diff infection (1-844-FOR-CDIF).

Our hotline now gets 20-30 calls a day from individuals impacted by this germ. These are some of the most common questions we get asked: 

35 U.S. hospitals designated as Ebola treatment centers

Categories: Healthcare-associated infections

Ebola: U.S. Hospital Readiness as of Dec. 2014

Ebola: U.S. Hospital Readiness as of Dec. 2014

CDC trains and assesses Ebola hospital readiness in collaborative effort

An increasing number of U.S. hospitals are now equipped to treat patients with Ebola, giving nationwide health system Ebola readiness efforts a boost. According to the Centers for Disease Control and Prevention (CDC), state health officials have identified and designated 35 hospitals with Ebola treatment centers, with more expected in the coming weeks.

Hospitals with Ebola treatment centers have been designated by state health officials to serve as treatment facilities for Ebola patients based on a collaborative decision with local health authorities and the hospital administration.

Ebola treatment centers are staffed, equipped and have been assessed to have current capabilities, training and resources to provide the complex treatment necessary to care for a person with Ebola while minimizing risk to health care workers.

“We continue our efforts to strengthen domestic preparedness and hospital readiness. I am pleased to announce that 35 hospitals have been designated by state health officials as Ebola treatment centers that are prepared, trained, and ready to provide care for a patient with Ebola,” said Health and Human Services Secretary Sylvia M. Burwell.

Coming Out of “Deafening Silence” to Fight Sepsis Together

Categories: Healthcare-associated infections, Sepsis

Steven Q. Simpson, MD

Steven Q. Simpson, MD

Guest Author: Steven Q. Simpson, MD
University of Kansas and Sepsis Alliance

What severe sepsis needs is the equivalent of an American Heart Association. An organization that exists to teach the general public, as well as physicians, how to save lives. Thanks, in large part, to the heart association, Americans are well versed in the symptoms of heart attack. Pick up the phone and call your mother (this assumes that your mother is not a doc, which is not a 100% safe assumption, but is more likely to be true than not). Ask her what causes heart attacks. There is a high likelihood that she understands that heart attacks stem from acute occlusion of a coronary artery. She can probably tell you that the symptoms include pain in the chest, jaw, and shoulder and that there are clot busting drugs to help, if you get to the hospital quickly. More than likely, she also recognizes some of the major risk factors, including cholesterol, hypertension, and – one hopes – smoking.

Now ask her about sepsis, and listen to the deafening silence on the other end of the phone line. Severe sepsis is the stealth killer; it kills between 30% and 50% of people who develop it, and it is one of the most common causes of death in the US, although the deaths are often attributed to underlying diseases, such as COPD or cancer. There are no public service announcements about sepsis. One does not find the signs or symptoms in the lay press. Only the occasional nightmare story about a young person in whom the diagnosis of severe sepsis was missed and who died as a result. The sad thing is that this happens much more frequently than the reports in the papers show up. Worse yet, physicians remain, in large part, oblivious to the simple approach to infected patients that would prevent many of the deaths. Worst of all, every family has been touched by severe sepsis in one way or another, but they mostly do not know it, because none of the doctors called it that, only “severe pneumonia,” “kidney infection,” “peritonitis.”

Executive Order Issued On One of the Most Urgent Health Concerns Facing Us Today

Categories: Antimicrobial Resistance, Healthcare-associated infections

Plates of plates of methicillin-resistant Staphylococcus aureus (MRSA) in CDC’s healthcare-associated infections laboratory.

Plates of plates of methicillin-resistant Staphylococcus aureus (MRSA) in CDC’s healthcare-associated infections laboratory.

National Strategy to Combat Antibiotic-Resistant Bacteria

The announcement Thursday morning of the President’s Executive Order and the National Strategy to Combat Antibiotic-Resistant Bacteria marks the administration’s response to one of the most urgent health threats facing us today – antibiotic resistance.

Read more of the original post

 

 

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