BIOS 350 Chapter Notes - Chapter 14: Vancomycin, Enterococcus, Methicillin
Document Summary
Any inpatient infection that occurs after > 72 of admission. Infections occurring as a consequence of surgery: 1 in 10 hospitalized patients will contract an infection. Results of this multistate prevalence survey of health care associated infections indicate that public health surveillance and prevention activities should continue to address c. difficile infections expanding surveillance and prevention activities to include other health care associated infections. Functional impairment, innate and specific host defenses. Effective infection control: protective barriers(gowns, gloves, masks, isolation(respiratory, airborne, contact, appropriate procedures(device use and handling, surveillance with feedback to clinical staff. Sources of catheter contamination: hands of medical personal, hub colonization, contaminated fluid, patients skin microflora, contaminated on insertion, hematogenous spread. 80k related to central line infections, 28k deaths. Catheter placement venipuncturist technique femoral vein or lower extremity site. Use sterile gown, gloves, mask and large sterile drape. Avoid femoral site(high infection rate) clean skin with chlorhexidine(antibacterial) Evolution of drug resistance in: aureus, penicillin(1950, methicillin(1970, vancomycin(1990)
