Clostridium Difficile Infection In Long Term Care Facilities
Clostridium Difficile Infection In Long Term Care Facilities Book in PDF, ePub and Kindle version is available to download in english. Read online anytime anywhere directly from your device. Click on the download button below to get a free pdf file of Clostridium Difficile Infection In Long Term Care Facilities book. This book definitely worth reading, it is an incredibly well-written.
Clostridium Difficile Infection in Long-Term Care Facilities by Teena Chopra Pdf
This book aims to fill knowledge gap among healthcare workers about Clostridium difficile (also known as C.difficile and CDI) among aging patients, especially those in long-term care facilities (LTCFs). Written by experts in infectious diseases and geriatric medicine, this book provides comprehensive information on all aspects of CDI pertaining to LTCF settings, including epidemiology, diagnosis, prevention, management and the unique challenges faced by LTCFs with regards to the CDI problem. The book begins by introducing the topic as it relates to aging patients before delving into the various aspects of CDI management. Topics include infection control and prevention, treatment of CDI, and the establishment of antibiotic stewardship programs to reduce inappropriate antibiotic use and reduce CDI rates. The book also features a chapter on probiotics for the prevention of CDI and new strategies to monitor environmental cleaning practices of CDI patient rooms that do not appear in any other resource. Clostridium Difficile Infection in Long-Term Care Facilities is an excellent resource for geriatricians, infectious diseases specialists, long-term care administrators, nurses, pharmacists, researchers, and all clinicians working with infections in long-term care settings.
Author : Laboratory Centre for Disease Control (Canada) Publisher : Canadian Government Publishing Page : 52 pages File Size : 45,6 Mb Release : 1994 Category : Health facilities ISBN : UIUC:30112123393107
Infection Control Guidelines for Long-term Care Facilities by Laboratory Centre for Disease Control (Canada) Pdf
The first Infection control guidelines for long-term care facilities were published in 1986. Since that time the interest in, and knowledge of, the requirements of infection control programs for long-term care facilities has steadily increased. This document presents the second version and looks at the following points: organizational structure of an infection control program; environmental concerns; departments and services; management of specific care situations; occupational health; and, epidemic investigation and control.
Potentially Preventable Emergency Department Visits by Nursing Home Residents by Christine Caffrey Pdf
KEY FINDINGS: Data from the National Nursing Home Survey, 2004. In 2004, 8 percent of U.S. nursing home residents had an emergency department (ED) visit in the past 90 days. Among nursing home residents with an ED visit in the past 90 days, 40 percent had a potentially preventable ED visit. Injuries from falls were the most common conditions accounting for potentially preventable ED visits by nursing home residents. Nursing home residents who had a potentially preventable ED visit in the past 90 days had shorter lengths of stay and more medications In 2004, 8 percent of U.S. nursing home residents had an emergency department (ED) visit in the past 90 days. Among nursing home residents with an ED visit in the past 90 days, 40 percent had a potentially preventable ED visit. Injuries from falls were the most common conditions accounting for potentially preventable ED visits by nursing home residents. Nursing home residents who had a potentially preventable ED visit in the past 90 days had shorter lengths of stay and more medications.
Infection Preventionist's Guide to Long-Term Care by Association for Professionals in Infection Control & Epidemiology, Incorporated Pdf
This in-depth reference presents a comprehensive approach to developing a facility-based infection prevention program, including numerous practical tips and clinical advice for successful implementation. Topics addressed include: Regulatory requirements Comprehensive infection prevention risk assessment and program development Surveillance and reporting Nursing assessment and interventions to prevent the most commonly occurring infections in long-term care Environmental cleaning and disinfection Unique long-term care issues such as care transitions and life enrichment activities Occupational health, immunization programs, and staff education Disaster and pandemic preparedness And more Appropriate for all types of long-term care facilities and includes a CD-ROM with customizable forms, helpful tools, and additional resources specific to infection prevention and control.
David E. Beck,John L. Rombeau,Michael J. Stamos,Steven D. Wexner
Author : David E. Beck,John L. Rombeau,Michael J. Stamos,Steven D. Wexner Publisher : Springer Science & Business Media Page : 1042 pages File Size : 44,7 Mb Release : 2009-06-12 Category : Medical ISBN : 9780387734408
The ASCRS Manual of Colon and Rectal Surgery by David E. Beck,John L. Rombeau,Michael J. Stamos,Steven D. Wexner Pdf
The ASCRS Textbook of Surgery of the Colon and Rectum offers a comprehensive textbook designed to provide state of the art information to residents in training and fully trained surgeons seeking recertification. The textbook also supports the mission of the ASCRS to be the world’s authority on colon and rectal disease. The combination of junior and senior authors selected from the membership of the ASCRS for each chapter will provide a comprehensive summary of each topic and allow the touch of experience to focus and temper the material. This approach should provide the reader with a very open minded, evidence based approach to all aspects of colorectal disease. Derived from the textbook, The ASCRS Manual of Surgery of the Colon and Rectum offers a “hands on” version of the textbook, written with the same comprehensive, evidence-based approach but distilled to the clinical essentials. In a handy pocket format, readers will find the bread and butter information for the broad spectrum of practice. In a consistent style, each chapter outlines the condition or procedure being discussed in a concise outline format – easy to read, appropriately illustrated and referenced.
Infection Management for Geriatrics in Long-Term Care Facilities by Thomas T. Yoshikawa,Joseph G. Ouslander Pdf
Offering an authoritative overview of all infection management protocols currently utilized by infectious disease specialists, geriatricians, and infection control practitioners, this Second Edition examines current strategies to diagnose, treat, control, and prevent common infectious diseases in long-term care geriatric facilities. Covering a wide
Clostridium difficile bacteria could be found everywhere around us: in the air, water, and soil and in the feces of humans and animals. You can easily become infected with C. difficile if you touch contaminated clothing, sheets, or other objects and then touch your mouth. Many people have the bacteria in their intestines and never have any symptoms. Still, it can cause symptoms ranging from diarrhea to life-threatening inflammation of the colon. The chance of developing a C. difficile infection increases with the usage of high doses of antibiotics over a prolonged period; thus, it is most often spread in the healthcare facilities between workers, patients, and residents. Each year in the United States, almost a half million people get sick from C. difficile, and approximately 29,000 patients died within 30 days of its initial diagnosis. Nowadays, C. difficile infections have become more frequent, severe, and difficult to treat. Therefore, the early diagnosis and the suitable treatment have become a real demand. In this book, we present the experience of worldwide specialists on the diagnosis and the treatment of C. difficile infections along with its lights and shadows.
U. S. Department of Health and Human Services,Agency for Healthcare Research and Quality
Author : U. S. Department of Health and Human Services,Agency for Healthcare Research and Quality Publisher : CreateSpace Page : 266 pages File Size : 41,5 Mb Release : 2013-04-06 Category : Medical ISBN : 148405492X
Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium Difficile Infection by U. S. Department of Health and Human Services,Agency for Healthcare Research and Quality Pdf
Clostridium difficile infection (CDI) is a serious healthcare-associated infection and a growing health care problem. C. difficile is a Gram-positive, spore-forming, anaerobic bacterium that, when ingested, can cause CDI if it is a toxigenic strain. CDI symptoms include varying levels of diarrhea severity, as well as pseudomembranous colitis and toxic megacolon. CDI incidence is estimated at 6.5 cases per 10,000 patient days in hospital. About 250,000 hospitalizations were associated with CDI in 2005. Direct attributable mortality from CDI has been reported to be as high as 6.9 % of cases. Elderly people in hospitals account for the vast majority of severe morbidity and mortality. Residents of long-term care facilities are also at higher risk. Incidence rates may increase by fourfold or fivefold during outbreaks. In addition to institutional care environments, C. difficile is also common in the community, being easily isolated from soil and water samples. Community-associated CDI rates are generally much lower, accounting for 27 % of all CDI cases in a recent prevalence study, but are also on the rise. However, the source of the C. difficile organisms responsible for cases of CDI in the community is not well understood. In order for CDI to develop, a person must be infected with a strain of C. difficile capable of making toxin in the person's colon. Approximately 1–2 % of healthy individuals are colonized with C. difficile. If these people have usual, healthy colonic flora, the risk of CDI is very low. There is a small risk of CDI if the colon flora becomes disturbed, commonly through antibiotic use, while the person is colonized with a toxigenic strain. Antibiotics that disturb colon flora enough to allow CDI to develop must get into the colon, and they are associated with alterations in relative amounts of colon bacterial constituents. The immune status of the patient also contributes to the risk of developing CDI and the experienced severity. Other risk factors include increasing age, female gender, comorbidities, gastrointestinal procedures, and use of gastric acid suppression medications. Risk profiles for recurrent CDI are similar. One study, which statistically modeled CDI within the hospital setting, suggested that reducing patient susceptibility to infection is more effective in reducing CDI cases than lowering transmission rates. The purpose of this systematic review was to provide an overarching assessment of the evidence for comparing the accuracy of diagnostic tests and the effectiveness of prevention and treatment interventions on initial and recurrent CDI-related patient outcomes in adult patients. The major impetus of this review is the presence of clinical disease, not asymptomatic carriage of the C. difficile organism. The review focuses on adult patients because adults, and particularly elderly adults, carry the large majority of the morbidity and mortality burden. The following Key Questions (KQs) form the basis for this review: KQ 1. How do different methods for detection of toxigenic C. difficile to assist with diagnosis of CDI compare in their sensitivity and specificity? Do the differences in performance measures vary with sample characteristics? KQ 2. What are effective prevention strategies? What is the effectiveness of current prevention strategies? What are the harms associated with prevention strategies? How sustainable are prevention practices in health care (outpatient, hospital inpatient, extended care) and community settings? KQ 3. What are the comparative effectiveness and harms of different antibiotic treatments? Does effectiveness vary by disease severity or strain? Does effectiveness vary by patient characteristics: age, gender, comorbidity, hospital- versus community-acquired setting? How do prevention and treatment of CDI affect resistance of other pathogens? KQ 4. What are the effectiveness and harms of nonstandard adjunctive interventions? In patients with relapse/recurrent CDI?
Best Practices Document for the Management of Clostridium Difficile in All Health Care Settings by Ontario. Provincial Infectious Diseases Advisory Committee,Ontario. Ministry of Health and Long-Term Care Pdf
Infection Control for Advanced Practice Professionals by Denise M. Korniewicz, Ph.D, RN, FAAN Pdf
Presents best practices for infection prevention and control in advanced practice Emphasizes team approach for infection control Case study provided for each chapter This professional reference combines research on the best practices for infection control in clinical settings with essential information for advanced practice nurses and physician assistants. The book is organized by healthcare settings, and the coverage ranges from small practice offices to large hospitals and medical institutions. Each chapter is prefaced by a case study which is then incorporated into the theoretical material of the chapter as a continuing illustration. This format provides a reader-friendly instructional resource for advanced practice certifications and staff development. From the Foreword "At last is published a long-needed text for advanced practice nurses (APNs), providing them with the information essential to the care of essentially every patient they will encounter. Infection Control for Advanced Practice Professionals fills a void in the literature and recognizes the importance of a team approach to the prevention of infections in the variety of care settings in which APNs are practicing. The book is particularly timely and relevant because it appropriately places infection prevention solidly within the larger patient safety movement and affirms that preventing infections is everybody's concern. In acute care settings, for example, infection control has occasionally been relegated to the infection prevention specialist (e.g., infection control nurse or hospital epidemiologist) or the infection control committee. This has shown to be ineffective in any setting. It is those who "touch" the patients and oversee their care who must assume the responsibility for preventing untoward events such as infections. While not all infections are preventable, there is indeed room for improvement. This comprehensive reference is a first and essential step in that direction!" Elaine Larson, PhD, RN, FAAN, CIC Anna C. Maxwell Professor of Nursing Research Associate Dean for Research School of Nursing Professor of Epidemiology Joseph Mailman School of Public Health Columbia University Editor, American Journal of Infection Control TABLE OF CONTENTS Foreword Preface List of Contributors 1. Principles of Infection Control Joan Hebden 1.1. Case Presentation 1.2. Essential Content for Infection Control Skills 1.3. Creating and Sustaining a Culture of Safety 1.4. The Measurement of Performance 1.5. Team-led Performance Initiatives 1.6. Monitoring and Feedback 1.7. Creating an Action Plan for Performance Improvement 1.8. Making a Business Case for HAI Prevention 1.9. Interpretation/Application of Infection Control Data 1.10. Patient Safety and Health System Issues 1.11. Summary Points 1.12. References 2. Safe Infection Control in the Workplace Carol Patton and Denise M. Korniewicz 2.1. Case Presentation 2.2. Essential Content for Safe Infection Control in the Workplace 2.3. Employer Standards for Bloodborne Pathogen Precautions 2.4. Personal Protective Equipment (PPE) 2.5. Sharps Injuries 2.6. Designing Programs of Healthcare Worker Safety 2.7. Surveillance and Behavioral-based Performance of Healthcare Workers 2.8. Creating a Culture of Safe Infection Control Practices 2.9. References 3. Patient Safety and the Chain of Infection Joan Hebden 3.1. Case Presentation 3.2. Essential Content for Infection Control Skills 3.3. Interpretation/Application of Infection Control Data 3.4. Patient Safety and Health System: Infection Control Practices 3.5. Summary Points 3.6. References 4. Essentials of Epidemiologic Measures and Data Interpretation Maher M. El-Masri and Davy Tawadrous 4.1. Case Presentation 4.2. Measures of Disease Frequency 4.3. Measures of Disease-exposure Association 4.4. Statistical Probability (P. Value) 4.5. Clinical Versus Statistical Significance 4.6. Summary Points 4.7. References 5. Infection Control in Acute Care Settings Jeanne Hinton Siegel 5.1. Case Presentation 5.2. Essential Content for Infection Control 5.3. Hand Hygiene 5.4. Engineering Controls 5.5. New Monitoring Techniques 5.6. Use of Isolation to Prevent the Spread of Infections 5.7. Review of Healthcare Environments 5.8. Advanced Practice Professionals' Roles in Public Health 5.9. References 6. Infection Control in Critical Care Settings Mary Wyckoff 6.1. Case Presentation 6.2. Essential Content for Infection Control 6.3. Hospital Acquired Infections in Critical 6.4. Attributable Cost of Hospital Acquired Infections 6.5. How to Effectively Process Change 6.6. Conclusion and Summary Points 6.7. References 7. Infection Control in the Emergency Department Settings Michelle Wright 7.1. Case Presentation 7.2. Essential Content for Infection Control Skills 7.3. Precautions 7.4. Unknown Illness 7.5. Biochemical Agents 7.6. Trauma 7.7. Travel 7.8. Equipment Sharing 7.9. Patient Mobility 7.10. Overcrowding 7.11. Empirical Antibiotic Therapy 7.12. Novel Approaches 7.13. Summary Points 7.14. References 8. Infection Control in Primary Care Settings Carol Patton and Denise M. Korniewicz 8.1. Case Presentation 8.2. Essential Content for Infection Control Skills 8.3. Creating the Culture of Infection Control in Primary Care Settings 8.4. Strategies for Best Practices for Infection Control in Primary Care Settings 8.5. Summary Points 8.6. References 9. Infection Control Principles for Long-term Care Environments Judith Seltzer and Denise M. Korniewicz 9.1. Case Presentation 9.2. Essential Content for Infection Control Skills 9.3. General Environmental Issues (Wheelchairs, Hand Rails, Walkers, Cleaning Rooms) 9.4. Regulatory Measures 9.5. Summary Points 9.6. References 10. Infection Control in the Home Jeanette Adams 10.1. Case Presentation 10.2. Essential Content for Infection Control Skills 10.3. Health Care Providers 10.4. Multidrug-Resistant Organisms 10.5. Interpretation/Application of Infection Control Data 10.6. Discussion about Patient Safety and Health System Issues Related to ICP 10.7. Summary Points 10.8. References 11. Infection Control Practice in Mental Health Settings James Weidel 11.1. Case Presentation 11.2. Environment of Care of the Psychiatric/Mental Health Facility 11.3. Limited Access to Supplies 11.4. Linen and Clothing 11.5. Provider-Patient Interaction 11.6. Food Safety 11.7. Patient Handling of Food 11.8. Sanitation and Housekeeping 11.9. Risk Factors Associated with Infection Among Psychiatric Patients 11.10. Isolation 11.11. Transmission Based Precautions 11.12. Restraints and Infection Control 11.13. Conclusion 11.14. Summary Points 11.15. References 12. Infection Control in Ambulatory Surgical Centers Judith Seltzer 12.1. Case Presentation 12.2. Essential Content for Infection Control in Ambulatory Surgical Settings 12.3. Regulatory Influences 12.4. Infection Control Monitoring 12.5. Active Participation 12.6. Long-term Infection Control Principles in Ambulatory Surgical Settings 12.7. Summary Points 12.8. References 13. Infection Control in the Community Jeanette Adams 13.1. Case Presentation 13.2. Essential Content for Infection Control Skills 13.3. Food Borne Infections 13.4. Prevention of Infectious Diseases 13.5. Methicillin Resistant Staphylococcus Aureus (MRSA) 13.6. Clostridium Difficile (C-diff.) 13.7. Human Immunodeficiency Virus (HIV) 211 13.8. Interpretation/Application of Infection Control Data 13.9. Discussion about Patient Safety and Health System Issues Related To ICP 13.10. Summary Points 13.11. References 14. Infection Control for Emergency Mobile Health Units Michelle Wright 14.1. Case Presentation 14.2. Essential Content for Infection Control Skills 14.3. Vector Borne Illnesses 14.4. Overcrowding 14.5. Personnel Safety 14.6. Medically Trained Volunteers 14.7. Untrained Volunteers 14.8. Interpretation/Application of Infection Control Data 14.9. Patient Safety and Health System Issues 14.10. Summary Points 14.11. References 15. Future Issues in Monitoring for Safe Infection Control Practices Denise M. Korniewicz 15.1. Case Presentation 15.2. Essential Content Infection Control of the Future 15.3. Future Engineering Controls 15.4. Safety Through Knowledge 15.5. Future Patient Participation, Public Awareness and Patient Advocacy 15.6. Summary Points 15.7. References Index
Author : Abraham Verghese,Steven L. Berk Publisher : S Karger Ag Page : 0 pages File Size : 53,7 Mb Release : 1990 Category : Medical ISBN : 3805550758
Diversity-Oriented Synthesis by Andrea Trabocchi Pdf
Discover an enhanced synthetic approach to developing and screening chemical compound libraries Diversity-oriented synthesis is a new paradigm for developing large collections of structurally diverse small molecules as probes to investigate biological pathways. This book presents the most effective methods in diversity-oriented synthesis for creating small molecule collections. It offers tested and proven strategies for developing diversity-oriented synthetic libraries and screening methods for identifying ligands. Lastly, it explores some promising new applications based on diversity-oriented synthesis that have the potential to dramatically advance studies in drug discovery and chemical biology. Diversity-Oriented Synthesis begins with an introductory chapter that explores the basics, including a discussion of the relationship between diversity-oriented synthesis and classic combinatorial chemistry. Divided into four parts, the book: Offers key chemical methods for the generation of small molecules using diversity-oriented principles, including peptidomimetics and macrocycles Expands on the concept of diversity-oriented synthesis by describing chemical libraries Provides modern approaches to screening diversity-oriented synthetic libraries, including high-throughput and high-content screening, small molecule microarrays, and smart screening assays Presents the applications of diversity-oriented synthetic libraries and small molecules in drug discovery and chemical biology, reporting the results of key studies and forecasting the role of diversity-oriented synthesis in future biomedical research This book has been written and edited by leading international experts in organic synthesis and its applications. Their contributions are based on a thorough review of the current literature as well as their own firsthand experience developing synthetic methods and applications. Clearly written and extensively referenced, Diversity-Oriented Synthesis introduces novices to this highly promising field of research and serves as a springboard for experts to advance their own research studies and develop new applications.
The Expert Panel on the Potential Socio-Economic Impacts of Antimicrobial Resistance in Canada
Author : The Expert Panel on the Potential Socio-Economic Impacts of Antimicrobial Resistance in Canada Publisher : Council of Canadian Academies Page : 268 pages File Size : 55,6 Mb Release : 2019-11-12 Category : Medical ISBN : 9781926522753
When Antibiotics Fail by The Expert Panel on the Potential Socio-Economic Impacts of Antimicrobial Resistance in Canada Pdf
When Antibiotics Fail examines the current impacts of AMR on our healthcare system, projects the future impact on Canada’s GDP, and looks at how widespread resistance will influence the day-to-day lives of Canadians. The report examines these issues through a One Health lens, recognizing the interconnected nature of AMR, from healthcare settings to the environment to the agriculture sector. It is the most comprehensive report to date on the economic impact of AMR in Canada.
Mayhall’s Hospital Epidemiology and Infection Prevention by David Weber,Tom Talbot Pdf
The fifth edition of Mayhall’s Hospital Epidemiology and Infection Prevention has a new streamlined focus, with new editors and contributors, a new two-color format, and a new title. Continuing the legacy of excellence established by Dr. C. Glen Mayhall, this thoroughly revised text covers all aspects of healthcare-associated infections and their prevention and remains the most comprehensive reference available in this complex field. It examines every type of healthcare-associated (nosocomial) infection and addresses every issue relating to surveillance, prevention, and control of these infections in patients and in healthcare personnel, providing unparalleled coverage for hospital epidemiologists and infectious disease specialists.
