Nosocomial Infections Stethoscopes
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Nosocomial Infections Stethoscopes
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Nosocomial Infection $87.62 High Quality Content by WIKIPEDIA articles Nosocomial infections are infections which are a result of treatment in a hospital or a healthcare service unit, but not secondary to the patients original condition. Infections are considered nosocomial if they first appear 48 hours or more after hospital admission or within 30 days after discharge. Nosocomial comes from the Greek word nosokomeion ( ) meaning hospital (nosos = disease, komeo = to take care of). This type of infection is also known as a hospitalacquired infection (or more generically healthcareassociated infection). Author: Surhone, Lambert M./ Timpledon, Miriam T./ Marseken, Susan F. Binding Type: Paperback Number of Pages: 128 Publication Date: 2010/06/14 Language: English Dimensions: 5.98 x 9.01 x 0.30 inches |
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Infection Control, Principles and Practice: Unit 3, Types of Nosocomial Infections and Clinical Situations (Diskette) $180.38 No Synopsis Available |
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Nosocomial Pneumonia $194.95 No Synopsis Available |
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Pulmonary Infections, an Issue of Clinics in Chest Medicine (Hardcover) $210.88 This issue provides fully updated informatino on pneumonia, including healthcare associated pneumonia, new diagnostic tests for pneumonia, epidemic viral pneumonia and other emerging pathogens, biomarkers to optimize antibiotic therapy for pneumonia, pharmacokinetics and pharmacodynamics to improve management of penumonia. Nosocomial tracheobronchitis and bronchiectasis are also discussed. Articles on CAP and VAP, including an examination of the impact of guidelines on outcomes, de-escalation therapy, inhaled antibiotic therapy and prevention of VAP are also included. |
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Aero First 72% Alcohol Non-Aerosol Foaming Hand Sanitizer, 1 Liter, 6/Case $138.99 * AeroFirst is safe, effective and eliminates 99.99% of germs.* Formulated for pervention and control of nosocomial infections with 72% alcohol and conditioners. |
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Aero First 70% Alcohol Non-Aerosol Foaming Hand Sanitizer with Pump, 47 mL, 12/Case $114.59 * AeroFirst is safe, effective and eliminates 99.99% of germs. * Formulated for pervention and control of nosocomial infections with 70% alcohol and conditioners. |
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Cleanlife 02221 InstantFoam Alcohol Hand Sanitizer 47 mL with Pump Case of 12 $114.15 Size: 47 ml. With Pump Case of 12. AeroFirst is safe effective and eliminates 99.99 of germs. Formulated for pervention and control of nosocomial infections with 72 alcohol and conditioners. |
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Cleanlife 02201 InstantFoam Alcohol Hand Sanitizer 1 Liter Case of 6 $187.22 Size: 1 Liter. Case of 6. AeroFirst is safe effective and eliminates 99.99 of germs. Formulated for pervention and control of nosocomial infections with 72 alcohol and conditioners. |
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Cleanlife 02230 InstantFoam Alcohol Hand Sanitizer 400ML 12 per case $269.99 NoRinse Alcohol Based Hand Sanitizer is formulated for prevention and control of nosocomial infections with 70 alcohol and conditioners. It dries instantly when rubbed in. Size: 400ml. |
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Nosocomial Pneumonia : Strategies for Management $169.65 No Synopsis Available |
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Welch Allyn Binaural/Spring Assembly for DLX and Elite Stethoscopes, Navy $89.95 Welch Allyn Binaural/Spring Assembly for Harvey DLX and Harvey Elite Stethoscopes. |
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Welch Allyn Binaural/Spring Assembly for DLX and Elite Stethoscopes, Burgundy $89.95 Welch Allyn Binaural/Spring Assembly for Harvey DLX and Harvey Elite Stethoscopes. |
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Welch Allyn Binaural/Spring Assembly for DLX and Elite Stethoscopes, Black $76.37 Welch Allyn Binaural/Spring Assembly for Harvey DLX and Harvey Elite Stethoscopes. |
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Welch Allyn Binaural/Spring Assembly for DLX and Elite Stethoscopes, Forest Green $89.95 Welch Allyn Binaural/Spring Assembly for Harvey DLX and Harvey Elite Stethoscopes. |
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Welch Allyn Diaphragm Disc for Harvey Elite & Professional Adult Stethoscopes $12.12 Welch Allyn Diaphragm Disc for Harvey Elite & Professional Adult Stethoscopes |
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Three Stethoscopes, from the Time of Rene Theophile Hyacinthe Laennec $49.99 Three Stethoscopes, from the Time of Rene Theophile Hyacinthe Laennec - Giclee Print |
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Flavored Foam Toothette Oral Swabs, Paper Handle, Dentifrice Treated, Pink, 250/bx $27.99 These individually wrapped swabs are made with paper handles to help prevent touch-contamination.Features:* Treated with Dentrifice - Pink.* Minimizes nosocomial infections.* Disposable oral swabs color coded. * Mint Flavored. |
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Contemporary Diagnosis and Management of Nosocomial Pneumonias $24.37 No Synopsis Available |
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Agent Based Emergency Department Nosocomial Disease Spread Simulator v0.5
American Hospitals Kill 100,000 A Year
If you've ever had the sneaking suspicion hospitals aren't doing all they can to prevent infections, you may be right. According to three studies published in the American Journal of Medical Quality, most hospital-acquired, or nosocomial infections, arise as a result of hospital procedures, not from the level of patients' illness. Inadequate hand-washing and insufficient donning of sterile clothing by busy healthcare workers are believed to be major contributing factors.
The Veterans Affairs hospital in Pittsburgh, PA thought more could be done and began an experimental program six years ago, utilizing simple sanitation and isolation techniques to cut the infection rate by 78% in their surgical care unit. The plan was simple and cost-effective, slashing hospital expenses by $900,000 overall.
Richard P. Shannon, who headed a similar program at Allegheny General Hospital in Pittsburgh to reduce the number of catheter infections, concurs. Shannon showed that the average infection cost the hospital $27,000, and that health insurance reimbursements for weeks of treatment could not keep pace with actual expenses. Basic hand sanitation was a major emphasis of his program.
Such programs could be crucial for Texas healthcare systems, a state that is already overburdened with less-than-adequate numbers of qualified physicians, a flood of rural residents rushing to the larger cities of Dallas, Austin, and Houston to seek care otherwise unavailable or inaccessible to the uninsured, and 25% of its population going without any kind of health insurance whatsoever. Lawmakers in Texas are already pushing for change, and in May, the state House passed Bill SB288, requiring hospitals in Texas to publicly disclose certain infection rates developed by patients in the course of treatment.
Veterans Affairs' methods are rudimentary enough: test all incoming patients for drug-resistant bacterial infections and isolate those with positive results, being sure healthcare workers don sterile gloves and gowns before entering those areas; equip every room with separate stethoscopes, and every room and corridor with hand sanitizer dispensers; discard blood pressure cuffs after each use. Total cost of the program? Around $500,000 per year, including test kits, salaries for three workers, and the $175-per-patient expense of gloves, gowns, and hand sanitizer. The program was so successful that the hospital began phasing it in at each of their 140 acute-care centers in March, and several European countries have all but eliminated certain resistant infections through similar regimens.
The Centers for Disease Control projected that 1.7 million patients in this country will contract a hospital-acquired infection this year, and that tens of billions of dollars will be spent treating them. Ninety-nine thousand will die from these infections, killing seven times as many people as HIV, and more than diabetes and Alzheimer's disease. Tragically, many of these fatal infections will result from relatively routine procedures.
The primary problem is not just infections, but rather drug-resistant infections. Hospitals are perfect environments for these super bugs to develop -- decreased immune systems, open surgical wounds, plenty of victims in close proximity, and a plethora of antibiotics in which to mutate in response. The most prominent one of them, methicillin-resistant staphylococcus aureus (MRSA), accounts for 63% of hospital staphylococcus infections, up from 22% in 1998. That's a dramatic jump in less than ten years. MRSA can be asymptomatic, making it difficult to recognize and, once recognized, difficult to treat.
Simple screenings would identify most cases of MRSA, but only one-quarter of hospitals methodologically screen for bacterial colonies. Terri Gerigk Wolf, director of the Veterans Affairs Pittsburgh Healthcare Systems, believes a certain element of denial is in place. "People don't believe it's in their institution, and that if it is, that it's too big to do anything about. But we have shown you can do something about it."
State legislatures other than Texas' are also stepping in. Eighteen states now require hospitals to publish infection rates; New Jersey and Illinois are the first to require hospitals to test all intensive-care patients for MRSA. In Pennsylvania, Governor Edward G. Rendell signed a bill requiring MRSA screening of certain high-risk patients, though he did not win efforts to test all patients for drug-resistant infections.
Critics, such as Dr. John A. Jernigan, question the necessity of such programs, believing improving hygienic and surgical practices alone may yield similar results. It's "a legitimate scientific debate," said Jernigan, about whether hospitals should take the time and expense of screening every patient. Other critics wonder if isolating infected patients will result in lower quality care. Statistically, patients in isolation are seen half as often, and suffer more falls, bed sores, and stress. Understaffed hospitals may also be an issue; blaming healthcare workers who are already overburdened, while simple enough, might not be a real solution. Hiring more staff, so that workers have more time to do all "the little things" that make such a difference, could have dramatic results.
The American Hospital Association recommends trying methods other than universal screening, and testing all incoming patients only when those methods are unsuccessful. But, to the former lieutenant governor of New York, Betsy McCaughey, that is simply unacceptable. The agency "is largely to blame," she said for failure to contain these infections. "their lax guidelines have given hospitals an excuse to do too little."
Sad, but perhaps true, is an age-old adage: "An ounce of prevention is worth a pound of cure." In other words, try not getting sick so you won't end up getting even sicker.
Being aware of the current state of healthcare reform is an important aspect of taking care of yourself, but so is watching out for your health on an everyday basis. How you take care of yourself will certainly affect you as you age, and eventually your wallet, as well.
About the Author
Pat Carpenter writes for Precedent Insurance Company. Precedent puts a new spin on health insurance. Learn more at Precedent.com
