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    Top CDC Recs Factsheet

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    Hotma Uli Siahaan
    This document from the CDC provides guidelines for healthcare facilities to prevent several types of healthcare-associated infections (HAIs). For catheter-associated urinary tract infections, it recommends properly inserting and maintaining catheters, using aseptic technique, and considering alternatives to indwelling catheters. For surgical site infections, it recommends administering antimicrobial prophylaxis correctly, controlling blood glucose, and maintaining normothermia. For central line-associated bloodstream infections outside the ICU, it recommends following proper insertion practices and maintaining lines. For Clostridium difficile infections, it recommends contact precautions and cleaning/disinfection. For methicillin-resistant Staphylococcus aureus infections, it recommends assessing hand hy

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    Top CDC Recs Factsheet

    Uploaded by

    Hotma Uli Siahaan
    30 views2 pages
    This document from the CDC provides guidelines for healthcare facilities to prevent several types of healthcare-associated infections (HAIs). For catheter-associated urinary tract infections, it recommends properly inserting and maintaining catheters, using aseptic technique, and considering alternatives to indwelling catheters. For surgical site infections, it recommends administering antimicrobial prophylaxis correctly, controlling blood glucose, and maintaining normothermia. For central line-associated bloodstream infections outside the ICU, it recommends following proper insertion practices and maintaining lines. For Clostridium difficile infections, it recommends contact precautions and cleaning/disinfection. For methicillin-resistant Staphylococcus aureus infections, it recommends assessing hand hy

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    Top Cdc Recs Factsheet

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    This document from the CDC provides guidelines for healthcare facilities to prevent several types of healthcare-associated infections (HAIs). For catheter-associated urinary tract infections, it recommends properly inserting and maintaining catheters, using aseptic technique, and considering alternatives to indwelling catheters. For surgical site infections, it recommends administering antimicrobial prophylaxis correctly, controlling blood glucose, and maintaining normothermia. For central line-associated bloodstream infections outside the ICU, it recommends following proper insertion practices and maintaining lines. For Clostridium difficile infections, it recommends contact precautions and cleaning/disinfection. For methicillin-resistant Staphylococcus aureus infections, it recommends assessing hand hy

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views2 pages

    Top CDC Recs Factsheet

    Uploaded by

    Hotma Uli Siahaan
    This document from the CDC provides guidelines for healthcare facilities to prevent several types of healthcare-associated infections (HAIs). For catheter-associated urinary tract infections, it recommends properly inserting and maintaining catheters, using aseptic technique, and considering alternatives to indwelling catheters. For surgical site infections, it recommends administering antimicrobial prophylaxis correctly, controlling blood glucose, and maintaining normothermia. For central line-associated bloodstream infections outside the ICU, it recommends following proper insertion practices and maintaining lines. For Clostridium difficile infections, it recommends contact precautions and cleaning/disinfection. For methicillin-resistant Staphylococcus aureus infections, it recommends assessing hand hy

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    TopCDCRecommendations

    Infections
    toPreventHealthcareAssociated

    ToPreventCatheterAssociatedUrinaryTractInfections(CAUTIs)

    Insertcathetersonlyforappropriateindications
    Leavecathetersinplaceonlyaslongasneeded
    Ensurethatonlyproperlytrainedpersonsinsertand
    maintaincatheters
    Insertcathetersusingaseptictechniqueandsterile
    equipment(acutecaresetting)
    Followingasepticinsertion,maintainaclosed
    drainagesystem
    Maintainunobstructedurineflow
    HandhygieneandStandard(orappropriateisolation)
    Precautions

    Alsoconsider:

    Alternativestoindwellingurinarycatheterization
    Useofportableultrasounddevicesforassessingurine
    volumetoreduceunnecessarycatheterizations
    Useofantimicrobial/antisepticimpregnatedcatheters

    ToPreventSurgicalSiteInfections(SSIs)
    Beforesurgery

    Administerantimicrobialprophylaxisinaccordance
    withevidencebasedstandardsandguidelines
    Administerwithin1hourpriortoincision

    2hrforvancomycinand
    fluoroquinolones
    Selectappropriateagentsonbasisof

    Surgicalprocedure

    MostcommonSSIpathogensfor
    theprocedure

    Publishedrecommendations
    Remoteinfectionswheneverpossible:
    Identifyandtreatbeforeelectiveoperation
    Postponeoperationuntilinfectionhas
    resolved
    Donotremovehairattheoperativesiteunlessitwill
    interferewiththeoperation;donotuserazors
    Ifnecessary,removebyclippingorbyuseof
    adepilatoryagent
    SkinPrep
    Useappropriateantisepticagentand
    techniqueforskinpreparation
    Maintainimmediatepostoperativenormothermia
    Colorectalsurgerypatients
    Mechanicallypreparethecolon(Enemas,
    catharticagents)
    Administernonabsorbableoral
    antimicrobialagentsindivideddosesonthe
    daybeforetheoperation

    DuringSurgery:

    AfterSurgery:

    NationalCenterforEmergingandZoonoticInfectiousDiseases
    DivisionofHealthcareQualityPromotion(DHQP)

    KeepORdoorsclosedduringsurgeryexceptasneeded
    forpassageofequipment,personnel,andthepatient

    Protectprimaryclosureincisionswithsteriledressingfor
    2448hrspostop
    Controlbloodglucoselevelduringtheimmediatepost
    operativeperiod(cardiac)
    Measurebloodglucoselevelat6AMonPOD#1
    and#2withprocedureday=POD#0
    Maintainpostopbloodglucoselevelat
    <200mg/dL
    Discontinueantibioticswithin24hrsaftersurgeryend
    time(48hrsforcardiac)

    Alsoconsider
    Before surgery:

    DuringSurgery:

    Redoseantibioticatthe3hrintervalinprocedureswithduration

    NasalscreenanddecolonizeonlyStaphylococcus
    >3hrs
    (*Seeexceptionstothisrecommendation)

    aureuscarriersundergoingelectivecardiacandother
    procedures(i.e.,orthopaedic,neurosurgeryprocedures
    Adjustantimicrobialprophylaxisdoseforobesepatients
    withimplants)withpreoperativemupirocintherapy
    (bodymassindex>30)
    Screenpreoperativebloodglucoselevelsandmaintain
    Useatleast50%fractionofinspiredoxygen
    tightglucosecontrolPOD#1andPOD#2inpatients
    intraoperativelyandimmediatelypostoperativelyin
    undergoingselectelectiveprocedures(e.g.,
    selectprocedure(s)
    arthroplasties,spinalfusions)

    *EngelmanR,etal.TheSocietyofThoracicSurgeonsPracticeGuidelineSeries:AntibioticProphylaxisinCardicaSurgery,Part

    II:AntibioticChoice.AnnThorSurg2007;83:156976

    ToPreventCentralLineAssociatedBloodstreamInfections(CLABSIs)OutsideICUs







    Removeunnecessarycentrallines
    Followproperinsertionpractices
    Facilitateproperinsertionpractices
    Complywithhandhygienerecommendations
    Useadequateskinantisepsis
    Choosepropercentrallineinsertionsites
    Performadequatehub/accessportdisinfection
    Provideeducationoncentrallinemaintenanceand
    insertion

    Alsoconsider:

    Chlorhexidinebathing

    Antimicrobialimpregnatedcatheters

    Chlorhexidineimpregnateddressings

    ToPreventClostridiumdifficile(C.difficile)Infections

    ContactPrecautionsfordurationofdiarrhea
    HandhygieneincompliancewithCDC/WHO
    Cleaninganddisinfectionofequipmentand
    environment
    Laboratorybasedalertsystemforimmediate
    notificationofpositivetestresults
    EducateaboutCDI:HCP,housekeeping,
    administration,patients,families

    ToPreventMRSAInfections




    Assesshandhygienepractices
    ImplementContactPrecautions
    Recognizepreviouslycolonizedpatients
    RapidlyreportMRSAlabresults
    ProvideMRSAeducationforhealthcareproviders

    Alsoconsider:






    ExtenduseofContactPrecautionsbeyonddurationof
    diarrhea(e.g.,48hours)
    Presumptiveisolationforsymptomaticpatientspending
    confirmationofCDI
    EvaluateandoptimizetestingforCDI
    Implementsoapandwaterforhandhygienebefore
    exitingroomofapatientwithCDI
    ImplementuniversalgloveuseonunitswithhighCDI
    rates
    Usesodiumhypochlorite(bleach)containingagentsfor
    environmentalcleaning
    Implementanantimicrobialstewardshipprogram

    Alsoconsider:

    Activesurveillancetestingscreeningofpatientsto
    detectcolonizationevenifnoevidenceofinfection
    Widelyusedandevenrecommendedasacore
    preventionstrategybysome,butpreciserole
    remainscontroversial
    Othernovelstrategies
    Decolonization
    Chlorhexidinebathing

    ForfullpreventiontoolkitsrelatedtotheseandotherHAIsincludingMRSAandC.difficile,visitHAIPreventionToolswebsite
    FullCDCguidelinesavailableatHICPACwebsite

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