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Nosocomial Infections in Rural Hospitals

Nosocomial Infections in Rural Hospitals. William R. Barnett Robert Bolger MEDT 401 – Issues in Health Care April 29, 2004. Introduction. Louise White, R.N., B.S.N., C.I.C. Infection Control Coordinator Common hospital-acquired infections: Pneumonia MRSA VRE MDR-TB Legionella spp.

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Nosocomial Infections in Rural Hospitals

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  1. Nosocomial Infections in Rural Hospitals William R. Barnett Robert Bolger MEDT 401 – Issues in Health Care April 29, 2004

  2. Introduction • Louise White, R.N., B.S.N., C.I.C. • Infection Control Coordinator • Common hospital-acquired infections: • Pneumonia • MRSA • VRE • MDR-TB • Legionella spp. • Pseudomonas spp.

  3. Monitoring Patients • Ventilators • Catheters • ICU / PICU / NICU • Caesarean sections • High-risk and new medical procedures • Bariatric surgeries • General and laparoscopic surgeries

  4. Policies / Procedures • National Nosocomial Infections Surveillance System (NNIS) • Wood County Health Department • Ohio Department of Health • Patient monitoring • Safe-patient placement • Antibiotic resistance

  5. CDC Guidelines • Hand hygiene • Isolation precautions • Environmental control • Intravascular device-related infections • Surgical site infections • Catheter associated urinary tract infections • Nosocomial pneumonia

  6. Preventive Measures • Monitor antibiotic usage • Use appropriate protective wear • Disinfection of medical equipment • Aseptic techniques • Establish policies and guidelines • Prescreen incoming patients

  7. Concerns • Emerging infectious diseases • Bioterrorism • Airborne transmission • Hospital / Patient burdens: • Length of hospitalization • Increased morbidity / mortality among patients

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