Controversies in Hospital Infection Prevention
Wherein we ponder vexing issues in infection prevention and control, inside and outside the hospital.
Controversies in Hospital Infection Prevention's Latest Posts
Things are just awful in Liberia, and getting worse elsewhere as well. The problem now clearly outpaces the response, resulting in shortages of everything from barrier protection to hospital beds. Worse, there is a breakdown in civil order and trust that makes it impossible to do the hard work of case identification, contact tracing and education--which is what ultimately brings epidemics under control. The latest, and somewhat controversial, call is for a large-scale military or […]
Last week, Andreas Voss gave a talk on the year's top papers in infection prevention at ICAAC. He graciously allowed us to post his slides to the blog. To see his presentation, click here. Thanks, Andreas!
Today's New York Times OpEd section has a provocative and scary piece by Mike Osterholm. It focuses on the possibility that mutations in the Ebola virus could allow the virus to spread via the airborne route. I must admit that I don't know enough virology to comment on the probability of that occurring, but it is sobering to think about the implications of this. He also offers some recommendations for improving the management of the current epidemic.Image: Jonathon Rosen, New York Times
Many have spent the last month or so preparing for possible patients with Ebola. Last week I had the opportunity to review the tremendous amount of work that the UIHC infection preventionists have completed towards our preparation. During this process, I watched these videos prepared by the Biocontainment Unit at the Nebraska Medical Center that demonstrate the proper use of Biological Level C PPE. My thoughts when viewing these are that without significant practice, it would be very difficult […]
In keeping with the pediatric theme this week, there is a nice study just published in Pediatrics outlining the general trends in Pediatric HAIs between 2007 and 2012. Stephen Patrick and colleagues from Vanderbilt and Boston Children's Hospital used CDC NHSN data from 173 NICUs and 64 PICUs to track CLABSI, VAP and CAUTI rates.The good news is that CLABSIs declined from 4.9 to 1.5 per 1000 central-line days in the NICU and from 4.7 to 1.0 per 1000 CL-days in the PICU. There were also […]
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