Wednesday, March 24, 2010

prevent antibiotic resistance

12 steps to prevent hospitalized adults

Prevent Infection

vaccinate hospitalized adults

get the devices out:

foley catheters, lines of all kinds - peripoheral IVs, invaisive lines - alines, swans, central

lines, triple lumens,PICCs, dialysis catheters; feeding tubes; tracheosotomy tubes

Diagnose and Treat Infections Effectively

Use appropirate methods for diagnosis

Target the pathogens - if UTI treat with oral agents for 3-5 days

BSI IV route better

Acess the experts:ID consults

Use Antimicrobials Wisely

Practice antimicrobial control - judiciously use antibiotics for appropirate infections not

colonizations

Use local data - antibiograms show with microbes are problems in your hospital

Treat infection, not contamination or colonization

Stop treatment: emperic antibitotic treatment should be reevaluated in 3 days to continue

or stop

Prevent transmission

Practice infection control - appropirate cohorting if need be

private rooms

isolate out MDROs from general hospital population

Practice hand hygiene and personal protective equipment (PPE)

Wash hands, wash hands, wash hands - cannot be said enough

PPE - appropirate to care - to prevent staff from transmitting microbes to other

patients and staff.

Equipment disinfection - prevent microbe spread

Hsopital room cleaning

No comments:

Post a Comment