Healthcare Hygiene magazine January 2020 | Page 12
2.8 million infections and 35,000 deaths in the United
States each year. That means, on average, someone in the
United States gets an antibiotic-resistant infection every 11
seconds and every 15 minutes someone dies.”
To keep patients, visitors and staff safe, organizations
should be ready to implement CDCs recommended con-
tainment strategies when these organisms are identified.
This includes ensuring compliance with existing Joint
Commission focus areas, including:
• Implementation of standard and transmission-based
precautions
• Making appropriate personal protective equipment
available to staff
• Training staff on selection, limitations, maintenance,
donning and removal of personal protective equipment
• Enforcing use of appropriate personal protective
equipment
Note: Examples of potential survey findings related to
the aforementioned areas were published in the August
2019 edition of Perspectives, under the “Consistent
Interpretations” section.
We are making progress but there is still much work
to be done both for the common infections that occur in
healthcare such as SSI, and those, such as antibiotic resistant
organism and other high- consequence organisms, that
loom on the horizon.
Each healthcare organization needs to look within and
conduct an accurate risk assessment – and ask: where are
the low hanging fruit and the biggest risks? Are leadership,
staff, patients, their families and their significant others are
involved? And, is everyone working together to prioritize,
plan, implement, and monitor? If we all hold ourselves and
our colleagues responsible and accountable…together we
can get to zero HAIs!
So, 14 years later, do I think that we can achieve zero
HAIs? My answer is a resounding Yes!
Sylvia Garcia, MBA, RN, CIC, is director of infection
prevention and control within the of Division of Healthcare
Improvement at the Joint Commission.
References:
1. Association for Professionals in Infection Control and Epidemiology.
Prevention Strategist. 40 Years of Growth and Progress. Winter 2012.
2. Centers for Medicare & Medicaid Services (CMS), HHS. Medicare
program: changes to the hospital inpatient prospective payment systems
and fiscal year 2008 rates. Federal Register. 2007;72(162):47129–48175.
3. Centers for Disease Control and Prevention. 2018 National and State
Healthcare-Associated Infections Progress Report. Available at: https://www.
cdc.gov/hai/data/portal/progress-report.html
4. Magill SS, et.al. Changes in prevalence of healthcare associated
infections in U.S. Hospitals. N Eng J Med. 2018 Nov 1;379(18):1732-1744.
doi: 10.1056/NEJMoa1801550
5. Centers for Disease Control and Prevention. Antibiotic resistance
threats in the United States – 2019. Available at: https://www.cdc.gov/
drugresistance/pdf/threats-report/2019-ar-threats-report-508.pdf .
6. Centers for Disease Control and Prevention. Containment Strategy
Responding to Emerging AR Threats. Available at: https://www.cdc.gov/
hai/containment/index.html.
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january 2020 • www.healthcarehygienemagazine.com