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NURSING-WEEK 5 PEER RESPONSE

NURSING-WEEK 5 PEER RESPONSE

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Thank you for sharing your post. Indeed, bloodstream infections are the major cause of increased mortality and morbidity in healthcare facilities (Akova, 2016). These are also attributed to the increased hospital stays and escalating costs of care. A major risk factor for bloodstream infection is central line use. Also, most bloodstream infections occur in settings outside of the ICU within a healthcare facility (Rhee et al., 2016). One of the interventions that have garnered attention in minimizing bloodstream infection rates is the topical use of chlorhexidine gluconate (CHG) antiseptic as a way to decrease skin bacterial load in patients with central lines or central venous catheters. Several studies have analyzed the effectiveness of CHG in ICU populations with the support of its use in other populations not in the ICU. Strategies that have been used include increasing staff awareness and accountability in the target department, resource availability, leadership support, and staff education (Eggimann et al., 2019; Musuuza et al., 2019).

References

Akova, M. (2016). Epidemiology of antimicrobial resistance in bloodstream infections. Virulence7(3), 252-266.

Eggimann, P., Pagani, J. L., Dupuis-Lozeron, E., Ekholm, B., Thévenin, M. J., Joseph, C., … & Que, Y. A. (2019). Sustained reduction of catheter-associated bloodstream infections with enhancement of catheter bundle by chlorhexidine dressings over 11 years. Intensive care medicine45(6), 823-833.

Musuuza, J. S., Guru, P. K., O’Horo, J. C., Bongiorno, C. M., Korobkin, M. A., Gangnon, R. E., & Safdar, N. (2019). The impact of chlorhexidine bathing on hospital-acquired bloodstream infections: a systematic review and meta-analysis. BMC infectious diseases19(1), 1-10.

Rhee, Y., Heung, M., Chen, B., & Chenoweth, C. E. (2015). Central line-associated bloodstream infections in non-ICU inpatient wards: a 2-year analysis. infection control & hospital epidemiology36(4), 424-430.

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