Preventing Hospital-Acquired Infections

[metronycguy]

Re C Diff the key does seem to be SOAP AND WATER. My wife had terrible case of C Diff during recent 160 days of hospitalizatioon post pneumonia. Her new primary physician attended a seminart on C Diff recently and says the incidence of C Diff spiked in the recent past coinciding with the near universal adoption at health care facilities of antibacterial cleansers hung from all the walls, doorways, etc. Health care providers would move from patient to patient carefully cleansing their hands with disinfectants which were ineffective against C Diff - had they used soap and water other patients would have been protected.

if you read most sanitizers inclining liquid and hand sanitizer. bathrooom sanitizers for ever room sanitizer.. .
most state it will disinfect if left wet for 10 minutes on non-porous surfaces.

the forst time i read instructional odnhand sanitizer, it stated at least a couple minutes and to let air dry for that time/


who does this----------- no body

[metronycguy]

see the new c diff treatment i posted last night,

i posted a new c diff treatment i saw on med page on this forum last night, it sounds strange, but check it out and you can always get more info from the people doing this technique. it is weird though, transplant of feces, but they said they had success.i will come back and edit with the link

[ekephart]

My son contracted a UTI (club ciela(sp?)) at the trauma hospital that not only is resistant but required that we all wear isolation gowns not only for his trauma stay but also for his rehab stay (total of five months). We were very compliant about the gowns ad gloves and were told at then end of our rehab stay that we are the exception.

He evidently still has the germs since they were never killed. The only time I wear gloves while taking care of him is when I administer a bullet (for obvious reasons). I do, however, wash my hands 100 times a day. Yes my hand are dry ( a bit of EVOO before bed helps when I remember). No one at my house has gotten sick, nor has Ryan. It his urine gets on a open wound, there is probably a risk.

One of the nurses at his rehab facility told me that washing was better than gloves since the gloves are in the same room as the patient and exposed not only to his germs, but those of anyone touching the box without washing first. She also expressed the need for patients for skin to skin contact. How would you feel if no one was willing to touch you without putting on gloves? Washing before and after contact is the answer.

Ryan got his infection by doing bowel program in the bed (no option at that time) with a foley (again, no option at that time). I do still think that better hygiene could have prevented it (securing the foley area so that no contact with stool was possible). My big fear is that if he ever an inpatient again and they test him, it is back to isolation even though he has carried this for almost two years and no one has gotten sick. We used to joke that we were going to take the foley hose and swing it around the room to make them properly clean in the unit. Watching the cleaning person every day make me understand that they are not as diligent as I am in my kitchen and my kitchen is not a trauma unit.--eak

[Patty41]

I got C-Diff while in ICU. Several years later my, otherwise healthy young sister-in-law (age 34), had surgery to reverse a temporary colostomy and acquired C-Diff in the same ICU. She became septic, was in a coma, on a ventilator, and died 3months later (last November). My baby brother and her had only been married for 2 1/2 years and their first baby was only 8 months old at the time of her death.

It really does make me nervous about needing surgery or to be hospitalized...

WOW--what a horrible and tragic story. So sorry for your family's loss!!

[Patty41]

On my first remark that she needed to wash her hands, she asked me if I was going to buy her hand lotion because washing her hands made them too dry.

she went off on a rant that included a lecture that she was a hundred times more likely to 'catch something nasty' from me than I am from her. I promptly reported her to doctor who directed the ER, who just happened to be on duty that night.

There is no excuse for patients needing to educate medical professionals about the need for hand hygiene and monitor their compliance with it.

I sincerely hope this nurse was disciplined severely for her actions. As you say--there is NO excuse for this type of inappropriate behavior. If soft, pretty hands is her priority, over the health and well being of her patients, she needs to be fired so she can sit at home and lotion her hands all day. I'd report that kind on non-sense to her board of nursing. Even if she denies the statement, your statement will be part of the public record of her being investigated. Then, if in the future, a similar complaint is alleged, the board will be required to, at the very least, reprimande her license, which too will be available for the public to view. As a nurse, I don't want to see any health care provider unjustly accused of wrong doing, but the board is a powerful tool when a serious and willful violation has been committed.

[t8burst]

Patty this thread is almost 2 years old. It popped up in new posts because of a spam posting.

[Patty41]

Patty this thread is almost 2 years old. It popped up in new posts because of a spam posting.

LoL..thanks t8burst!! Certainly, I need to pay more attention to the dates on the items I'm responding to. Thanks again!!

[JakeHalsted]

1. ALWAYS take garlic supplement if you are in a hospital at any time for any reason.
2. NEVER catheterize in a hospital or a doctor's office if you aren't a patient. If you must stay for a procedure, request a profolactic anti-biotic.

How to avoid them? MUST you go to a doctor or hospital or whatever? Wet your pants. It's better than a God damn hospital infection, believe you me

[metronycguy]

My son contracted a UTI (club ciela(sp?)) k

klebsiella pneumoniae i think i s what you meant , i know it was a long time ago , but i got it and am worried about doinf PIE as much as i should since i don't know a good disinfectant for it, and doing pie by myself, things get contaminated. i wear 3 or 4 pairs of gloves so i can remove a contaminated pair, but bathroom furniture ,light switches , take like 20 minutes before it works, 15 to 30 seconds for e coli hiv,one of the flue's, .
i remember when i was having my spinal cord stil re-positioned for like the 6 or 7 time, i was awake , and the doctor said its a known thing in the OR , the longer open, the bigger chance of infection.
so i guess it is in the air . You would think they could fog the ER between patients , and do a total air change.
Or run swabs and test to see if there is a bacteria floating around.

[rollingpixv2]

The simplest explanation is the truth.

All I can add is to watch EVERYONE, and not to be afraid to speak up if your uncomfortable. If you see something and don't speak up you have no one to blame but yourself.

Many studies have shown that the #1 method most important for the prevention of hospital-acquired infections (often drug resistant) is consistent and effective hand hygiene on the part of caregivers and visitors. The CDC is encouraging hospitals to show this short film (or podcast) to all patients admitted to the hospital (which is what we are doing now where I work). It is also applicable to family, agency, or PCA caregivers in your home.

Take the time now to look at it now:

http://www.cdc.gov/handhygiene/Patie...ion_Video.html

(KLD)

[metronycguy]

fda letting germicides that do not kill bacteria to have 5 years to change the labeli

i just saw that c-diff, , can live on hospital furniture for 2 weeks and even on hands of hospital employees for 2 weeks. to top it off , many of the germicides that state they kill the pathogen or bacteria whichever is correct, do not , and are not effective. To make it even worse they were giving the companies 5 years to correct their labeling.i received that from the FDA list or pub med list a couple days ago.,
It was bad enough that few people flowed the directions and let the surface remain wet for 5 minutes to kill the stubborn ones, now finding out that those that did follow the directions, may have still been working with contaminated area., when i gt home i will post the article.

[SCI-Nurse]

Only chlorox kills cdiff not the other things and not hand sanitizer. And of course washing hands will wash it away.
Every patient items,-bed,bedside table, side rails, tv remote-whatever is touched etc.. should be sanitized daily and after csare- do you ever see this being done?
But preactive and if you can ask for the cleanser and do it!
CWO

[zagam]

LoL..thanks t8burst!! Certainly, I need to pay more attention to the dates on the items I'm responding to. Thanks again!!

I can't read the middleendian dates in white.

ISO date is CCYY-MM-DD. Littleendian date c'th is DD/MM/YY or DD/MM/CCYY.

[smapple]

Hospital rules for Cathy:
Always wash hands before touching. Caregiver stays with her, or I do. We are the only ones allowed to touch her unless absolutely necessary on their part. She is used to our germs. They argue, but that is life. Problem is even if they wash- if they push back their hair, or scratch their nose, or put hands on hips or whatever common human thing they do, they probably did it down the hall as well, and transfer whatever that is between patients even after washing. I pull her out of the hospital ASAP- even for recovery. They have forms they make us sign called AMA. I have signed several. Each time she had extended stay, she caught something. Better to die at home than slow MRSA death in a hospital. Plus, we have the equipment they do not. Lifts, chairs, etc.

[SophieWaggner83]

Thank you very much for this important information, I’m just lying in the hospital right now and this information will be very useful to me! All health and all the best in such difficult times
Sophie - https://edocbd.com/