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A Systems Change: Preventing the spread of Clostridium Difficile by improving handhygiene compliance - Dissertation Example

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A Systems Change: Preventing the Spread of Clostridium Difficile by Improving Hand Hygiene Compliance Student Number and Number Name of Professor Number of Words: 777 Introduction A type of pathogenic bacteria, Clostridium difficile (C…
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Download file to see previous pages 503). The only time C. difficile can be transformed into actively dangerous bacteria is when ingested by human beings. For this reason, Rebelo (2009) explained that it is a common misconception that C. difficile could directly infect other patients through body contact. C. difficile could cause serious illness on the part of the elderly and immunocompromised patients (Rebelo, 2009). Since patients infected with C. difficile may experience mild to extremely severe diarrhea (Cookson, 2007), dehydrated patients who failed to seek medical treatment can be at risk of going through a life threatening situation. Aiming to protect the vulnerable patients from going through the health and physical consequences of C. difficile infection, this report will focus on examining the importance of hand hygiene. Importance of Hand Hygiene C. difficile traces can be found in hospital environment particularly over the bed tables, side-curtains, scrub suits, lab gown, computer keyboards, bedpans, furniture, linens, and stethoscope among others (Rebelo, 2009). Based on the research study of Selwyn (2000), the hands of health care professionals could collect as much as a thousand units/cm2 of micro-organisms. Given that C. difficile spores can easily stick on bare hands, health care professionals who are regularly working in hospital environment can easily transfer C. difficile traces from one patient to another. ...
re associated infections (HCAI), effective hand hygiene should be practiced by the health care professionals (Burnett, Lee, & Kydd, 2008; Poutanen & Simor, 2004). It means that health care professionals should make it a habit to wash their hands with anti-microbial soap for at least 10 to 15 minutes in order to lessen the chance that they will be transmitting C. difficile either among the other health care professionals or directly to the patients (Kampf & Hollingsworth, 2008; Larson et al., 2005; CDC, 2002). Since C. difficile spores can hide under the nails, health care professionals should make it a habit to use clean orange wood stick whenever there is a need to perform surgical hand washing. Since there is a high rate of non-compliance or sub-optimal compliance with regards to hand hygiene protocol using water and anti-bacterial soap (Burns, Sabetta, & Smardin, 2006), the research study of Knight at al. (2010) revealed that it is a good option to implement a hospital-wide alcohol-based hand rub (ABHR) in terms of increasing the rate of hand hygiene compliance from 5.3% (before the implementation) up to 19.6% (after the implementation) and reducing the number of C. difficile diarrhea cases from 4.96 per 10,000 patients (before implementation) down to 3.98 per 10,000 patients (after implementation). On the contrary, several studies revealed that the use of alcohol-based hand rub2 is effective in controlling MRSA or VRE but not spores like C. difficile (Chen, 2010; Kampf & Hollingsworth, 2008). Instead of promoting the use of alcohol-based hand rub in hospital settings, it is best to wash hands with plain soap3 to remove spores like C. difficile (Weber et al., 2003). Conclusion and Recommendations Proper hand washing using plain soap is effective in removing C. ...Download file to see next pagesRead More
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