Preventing and controlling healthcare associated infections
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This article discusses the importance of preventing and controlling healthcare associated infections through evidence-based aseptic work practices, personal protective barriers, and proper hand hygiene. It also explores the barriers and facilitators to change and their impact on overall clinical practices. The article emphasizes the role of nurses in reducing the risk of infection and colonization and highlights the need for adherence to national health and safety standards. The article concludes with a project plan for creating awareness among medical staff and a questionnaire to evaluate the effectiveness of the training.
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Preventing and controlling healthcare associated infections
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Literature review
Introduction
Healthcare related contagions are disease that patients catch while getting cure for careful or
therapeutic illnesses, and numerous Healthcare-associated contagions are preventable. Current
medical amenities utilize numerous kinds of invasive systems and gadgets to treat patients and to
allow them to convalesce. Contagions may be related with systems such as operation and the
devices utilized in medicinal methodology (Zarb et al, 2012). for instance, drains or ducts. HAIs
are key causes of dismalness and death in many clinics everywhere throughout the world and are
associated with a substantial increment in medicinal services charges each year (Vardi et al
2013.). Different elements impact the improvement of HAIs, including quiet factors for instance
keenness of general wellbeing, understanding consideration factors, authoritative factors and
variable utilization of aseptic methods by human services staff.
The most common healthcare-related contagions include Drain-associated urinary region
contagions, invasive site contagions, Pneumonia, Bloodstream infections and Clostridium
difficile. Research proposes that a considerable lot of these diseases are preventable. Endeavors
are in progress to grow usage of procedures known to avoid HAIs, advance improvement of
viable anticipation instruments, and investigate new counteractive action approaches (Surawicz,
et al 2013).. Many endeavors to avert HAIs have concentrated on intense consideration settings.
Progressively, human services conveyance, including complex techniques, is being moved to
outpatient. These settings regularly have constrained limit with respect to oversight and disease
control contrasted with doctor's facility based settings.
Introduction
Healthcare related contagions are disease that patients catch while getting cure for careful or
therapeutic illnesses, and numerous Healthcare-associated contagions are preventable. Current
medical amenities utilize numerous kinds of invasive systems and gadgets to treat patients and to
allow them to convalesce. Contagions may be related with systems such as operation and the
devices utilized in medicinal methodology (Zarb et al, 2012). for instance, drains or ducts. HAIs
are key causes of dismalness and death in many clinics everywhere throughout the world and are
associated with a substantial increment in medicinal services charges each year (Vardi et al
2013.). Different elements impact the improvement of HAIs, including quiet factors for instance
keenness of general wellbeing, understanding consideration factors, authoritative factors and
variable utilization of aseptic methods by human services staff.
The most common healthcare-related contagions include Drain-associated urinary region
contagions, invasive site contagions, Pneumonia, Bloodstream infections and Clostridium
difficile. Research proposes that a considerable lot of these diseases are preventable. Endeavors
are in progress to grow usage of procedures known to avoid HAIs, advance improvement of
viable anticipation instruments, and investigate new counteractive action approaches (Surawicz,
et al 2013).. Many endeavors to avert HAIs have concentrated on intense consideration settings.
Progressively, human services conveyance, including complex techniques, is being moved to
outpatient. These settings regularly have constrained limit with respect to oversight and disease
control contrasted with doctor's facility based settings.
Communicating for Safety for the patients who are under the care from healthcare
professionals.
Insufficient correspondence among medicinal services experts is one of the main sources
of therapeutic mistakes and patient mischief (Tellalian, et al 2013). An audit of reports from the
Joint Commission uncovers that correspondence disappointments were ensnared at the
foundation of more than 70 percent of sentinel occasions.
The emergent gathering of lettering on security and blunder anticipation exposes that
incapable or inadequate communication amongst coworkers is an enormous contributing variable
to unfavorable cases. In the extreme deliberation setting, correspondence disappointments
prompt additions in patient mischief, measure of remain, and strength use, and also more serious
parental figure dissatisfaction and more quick throughput. In multiple site investigations of
escalated care units, poor communitarian communication amongst medical caretakers and
doctors, among other particular components, added to as much as a 1.8-crease increment in
patient hazard balanced mortality and length of remain
Barriers and facilitators to change and their impact on overall clinical practices
There has been strategies put in place to combat healthcare associated infection but these
measures have not been successful due to a number of barriers such as information constraints,
attitude of hospital staff towards the patient and the patients’ attitude towards the staff,
excellence of medical decisions, and sustenance tools such as rules. All in all, data limitations
recognized in the writing can be condensed as not including "the correct data at the opportune
time, the perfect individual, and in the correct arrangement." For instance, dental practitioners
needing data normally counsel their colleagues who may not be proficient about current best
proof. Despite the fact that proof can be gotten to on the web, experts might not have enough
time or expertise to discover the data they need. A few obstructions are naturally part of the oral
human services preparing and conveyance framework. (Oshima, Lee, & Emanuel, 2013).
Changes in medicines may require social adjustments among staff, in spite of the fact that rules
destined to be utilized frequently center around avoidance, budgetary repayment does not
advance preventive strategies.
professionals.
Insufficient correspondence among medicinal services experts is one of the main sources
of therapeutic mistakes and patient mischief (Tellalian, et al 2013). An audit of reports from the
Joint Commission uncovers that correspondence disappointments were ensnared at the
foundation of more than 70 percent of sentinel occasions.
The emergent gathering of lettering on security and blunder anticipation exposes that
incapable or inadequate communication amongst coworkers is an enormous contributing variable
to unfavorable cases. In the extreme deliberation setting, correspondence disappointments
prompt additions in patient mischief, measure of remain, and strength use, and also more serious
parental figure dissatisfaction and more quick throughput. In multiple site investigations of
escalated care units, poor communitarian communication amongst medical caretakers and
doctors, among other particular components, added to as much as a 1.8-crease increment in
patient hazard balanced mortality and length of remain
Barriers and facilitators to change and their impact on overall clinical practices
There has been strategies put in place to combat healthcare associated infection but these
measures have not been successful due to a number of barriers such as information constraints,
attitude of hospital staff towards the patient and the patients’ attitude towards the staff,
excellence of medical decisions, and sustenance tools such as rules. All in all, data limitations
recognized in the writing can be condensed as not including "the correct data at the opportune
time, the perfect individual, and in the correct arrangement." For instance, dental practitioners
needing data normally counsel their colleagues who may not be proficient about current best
proof. Despite the fact that proof can be gotten to on the web, experts might not have enough
time or expertise to discover the data they need. A few obstructions are naturally part of the oral
human services preparing and conveyance framework. (Oshima, Lee, & Emanuel, 2013).
Changes in medicines may require social adjustments among staff, in spite of the fact that rules
destined to be utilized frequently center around avoidance, budgetary repayment does not
advance preventive strategies.
Usually recognized individual obstructions revealed in the writing incorporate lack of
knowledge about examination techniques, poor attention to examine findings, and undesirable
performance towards examination, being unfitted for evaluating investigation quality was said to
be the best obstruction. Deficient aptitudes in rudimentary examination, absence of abilities
inquiring about and assessing its quality, lack of certainty to execute variation, and novelty to the
survey parlance have additionally been said to be an obstructions in the writing (Magrabi et al
2013).
Communication or how the examination is introduced is alternative vital boundary
featured in the writing. (Leppo, et al 2013). The physical availability of distributed research,
writing not gathered in one area absence of consciousness of accessible research writing , and
factual investigations not being reasonable have all been accounted for every now and again in
the writing
Their effect on clinical practices has been variable. Various boundaries have been noticed
that keep the genuine routine with regards to rules, including absence of sufficient
clinical/specialized abilities and institutional hindrances because of restricted assets.( Edwards et
al 2014) Lack of mindfulness, absence of materialness to singular patients, conflict with the
suggestions, and in addition logical requirements additionally influence utilization of rule
proposals to singular patients.
Various facilitators of research utilize have been distinguished in the writing. These
facilitators incorporate administrative and peer bolster, accessibility of time to survey and
actualize investigate discoveries, accessibility of applicable research, partners' help, steady
arrangements, and preparing openings Barriers and facilitators to inquire about usage were
ordered into authoritative elements, singular variables, correspondence elements, and nature of
research.( Alhassan et al 2013).
Conclusion
It is the obligation of all social insurance suppliers to authorize standards of consideration to
anticipate wellbeing care– related diseases, Nurses can lessen the hazard for contamination and
colonization utilizing proof based aseptic work rehearses that reduce the passage of endogenous
or exogenous creatures by means of intrusive medicinal gadgets. (CDC. (2012). Appropriate
knowledge about examination techniques, poor attention to examine findings, and undesirable
performance towards examination, being unfitted for evaluating investigation quality was said to
be the best obstruction. Deficient aptitudes in rudimentary examination, absence of abilities
inquiring about and assessing its quality, lack of certainty to execute variation, and novelty to the
survey parlance have additionally been said to be an obstructions in the writing (Magrabi et al
2013).
Communication or how the examination is introduced is alternative vital boundary
featured in the writing. (Leppo, et al 2013). The physical availability of distributed research,
writing not gathered in one area absence of consciousness of accessible research writing , and
factual investigations not being reasonable have all been accounted for every now and again in
the writing
Their effect on clinical practices has been variable. Various boundaries have been noticed
that keep the genuine routine with regards to rules, including absence of sufficient
clinical/specialized abilities and institutional hindrances because of restricted assets.( Edwards et
al 2014) Lack of mindfulness, absence of materialness to singular patients, conflict with the
suggestions, and in addition logical requirements additionally influence utilization of rule
proposals to singular patients.
Various facilitators of research utilize have been distinguished in the writing. These
facilitators incorporate administrative and peer bolster, accessibility of time to survey and
actualize investigate discoveries, accessibility of applicable research, partners' help, steady
arrangements, and preparing openings Barriers and facilitators to inquire about usage were
ordered into authoritative elements, singular variables, correspondence elements, and nature of
research.( Alhassan et al 2013).
Conclusion
It is the obligation of all social insurance suppliers to authorize standards of consideration to
anticipate wellbeing care– related diseases, Nurses can lessen the hazard for contamination and
colonization utilizing proof based aseptic work rehearses that reduce the passage of endogenous
or exogenous creatures by means of intrusive medicinal gadgets. (CDC. (2012). Appropriate
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utilization of individual defensive hindrances and legitimate hand cleanliness is foremost to
lessening the danger of exogenous transmission to a helpless patient. For instance,
microorganisms have been found in the earth encompassing a patient and on versatile medicinal
gear utilized in the room (Sievert et al 2013).
The absence of a proof based human services framework and a political large scale bolster are
specified as the key hindrances in creating nation. The foundation of an arrangement of
improvement and execution of CPGs as the proof based practice devices won't be conceivable,
except if the boundaries are evacuated (CDC 2014). Information of hindrances will help enhance
interpretation of biomedical research for dental specialists. Data in rules should be present, clear,
and streamlined for use at seat side; carer's feelings of dread should be tended to.
Project plan
Prevention and control of health care associated infection
Disease avoidance and control is a logical methodology and practical arrangement
intended to anticipate hurt caused by contamination to patients and wellbeing laborers. It is
grounded in irresistible sicknesses, the study of disease transmission, sociology and wellbeing
framework.in the case of patient X nothing much was done to prevent the infection, she was
taken back her ward with not well attended to laparotomy wounds and drain tubes which
increased chances of getting infections, even after the infections were diagnosed less was done to
control the intensity of the infections resulting from her laparotomy wounds, she was discharged
from hospital. Few days after she was discharged the infections symptoms escalated causing her
to vomit, dizziness, nausea and difficulty to eat.
The target audience is the both medics (surgeon) nursing teams. The teams are
responsible for carrying out the operation and post-operative care for the patient. Especially the
nurses since they are the once who take care of patients after the operation, lack of keenness and
negligence when attending to patients after operation has led to infections that have caused
deaths of at least 1 patient out of 25 therefore nurses should be enlightened to national health and
safety standards. The project aims at creating awareness among medical staff (specifically
nurses) the importance for proper care for patients, the importance of good hygiene practice for
lessening the danger of exogenous transmission to a helpless patient. For instance,
microorganisms have been found in the earth encompassing a patient and on versatile medicinal
gear utilized in the room (Sievert et al 2013).
The absence of a proof based human services framework and a political large scale bolster are
specified as the key hindrances in creating nation. The foundation of an arrangement of
improvement and execution of CPGs as the proof based practice devices won't be conceivable,
except if the boundaries are evacuated (CDC 2014). Information of hindrances will help enhance
interpretation of biomedical research for dental specialists. Data in rules should be present, clear,
and streamlined for use at seat side; carer's feelings of dread should be tended to.
Project plan
Prevention and control of health care associated infection
Disease avoidance and control is a logical methodology and practical arrangement
intended to anticipate hurt caused by contamination to patients and wellbeing laborers. It is
grounded in irresistible sicknesses, the study of disease transmission, sociology and wellbeing
framework.in the case of patient X nothing much was done to prevent the infection, she was
taken back her ward with not well attended to laparotomy wounds and drain tubes which
increased chances of getting infections, even after the infections were diagnosed less was done to
control the intensity of the infections resulting from her laparotomy wounds, she was discharged
from hospital. Few days after she was discharged the infections symptoms escalated causing her
to vomit, dizziness, nausea and difficulty to eat.
The target audience is the both medics (surgeon) nursing teams. The teams are
responsible for carrying out the operation and post-operative care for the patient. Especially the
nurses since they are the once who take care of patients after the operation, lack of keenness and
negligence when attending to patients after operation has led to infections that have caused
deaths of at least 1 patient out of 25 therefore nurses should be enlightened to national health and
safety standards. The project aims at creating awareness among medical staff (specifically
nurses) the importance for proper care for patients, the importance of good hygiene practice for
admitted patients in order to prevent and control health care infections and ways to execute and
implement prevention and control of healthcare infections.
The information will be presented to the target audience by a PowerPoint presentation.
They are a major tool and easy to use way of conveying message/passing information from one
individual to another. PowerPoint presentation are cost effective since no cost is incurred for
preparation of PowerPoint slides. Visual effects on the target audience, it improves focus of the
audience on the information being shared, and they also provide highlights and annotations. It’s
the most convenient way to reach the target audience.
Questionnaires (online survey papers)will be used to evaluate if the information I tried to
pass around was received and to know how the target audience towards the information
questionnaires are scalable since it enables gathering of information from huge masses of people
easily, they are also flexible and cost effective, they are practical way of data collection and they
can target groups of choice and be managed in a variety of ways, it allows use of both open-
ended and multiple choice question formats. Questionnaires can be used to carry out evaluation
quick and easily, results can be collected quickly and easily when urgently needed hence they are
very convenient for collection of information at an afford cost with ease and effectively.
implement prevention and control of healthcare infections.
The information will be presented to the target audience by a PowerPoint presentation.
They are a major tool and easy to use way of conveying message/passing information from one
individual to another. PowerPoint presentation are cost effective since no cost is incurred for
preparation of PowerPoint slides. Visual effects on the target audience, it improves focus of the
audience on the information being shared, and they also provide highlights and annotations. It’s
the most convenient way to reach the target audience.
Questionnaires (online survey papers)will be used to evaluate if the information I tried to
pass around was received and to know how the target audience towards the information
questionnaires are scalable since it enables gathering of information from huge masses of people
easily, they are also flexible and cost effective, they are practical way of data collection and they
can target groups of choice and be managed in a variety of ways, it allows use of both open-
ended and multiple choice question formats. Questionnaires can be used to carry out evaluation
quick and easily, results can be collected quickly and easily when urgently needed hence they are
very convenient for collection of information at an afford cost with ease and effectively.
Questionnaire
Good day! Am a fresh graduate, I am conducting a survey on the impact of the training on
prevention and controlling healthcare associated infections, your answers will be helpful in
carrying out my survey and your support is highly appreciated. Your response will only be used
for survey purposes.
1) What is your age bracket?
[ ] (20-25) [ ] (26-30) [ ] (31-35) [ ] (36-40) [ ] (41-45) [ ] (46-50)
2) What is your occupation in the hospital?
[ ] Nurse [ ] doctor [ ] surgeon
3) What do you understand by prevention and control of healthcare-associated infections?
4) What did you learn from the PowerPoint presentation done at your hospital on prevention and
control of healthcare associated infections?
5) Does you’re your organization adhere to the national health and safety standards
6) Was the study of any importance to you and your colleagues?
7) What efforts are you doing as an individual to improve on the prevention and control of
healthcare associated infections?
Good day! Am a fresh graduate, I am conducting a survey on the impact of the training on
prevention and controlling healthcare associated infections, your answers will be helpful in
carrying out my survey and your support is highly appreciated. Your response will only be used
for survey purposes.
1) What is your age bracket?
[ ] (20-25) [ ] (26-30) [ ] (31-35) [ ] (36-40) [ ] (41-45) [ ] (46-50)
2) What is your occupation in the hospital?
[ ] Nurse [ ] doctor [ ] surgeon
3) What do you understand by prevention and control of healthcare-associated infections?
4) What did you learn from the PowerPoint presentation done at your hospital on prevention and
control of healthcare associated infections?
5) Does you’re your organization adhere to the national health and safety standards
6) Was the study of any importance to you and your colleagues?
7) What efforts are you doing as an individual to improve on the prevention and control of
healthcare associated infections?
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8) What is measures has the organization put in place to make sure that all national health and
safety standards are adhered to
9) What is your opinion on the state of your organization in relation to the national health and
safety standards (prevention and control of healthcare associated infections?
10) What would you suggest we educate people about?
safety standards are adhered to
9) What is your opinion on the state of your organization in relation to the national health and
safety standards (prevention and control of healthcare associated infections?
10) What would you suggest we educate people about?
References
Alhassan, R. K., Spieker, N., van Ostenberg, P., Ogink, A., Nketiah-Amponsah, E., & de Wit, T.
F. R. (2013). Association between health worker motivation and healthcare quality efforts
in Ghana. Human resources for health, 11(1), 37.
Australian Commission on Safety and Quality in Health Care. (2012). National safety and
quality health service standards. Australian Commission on Safety and Quality in Health
Care.
Centers for Disease Control and Prevention (CDC. (2012). Vital signs: preventing Clostridium
difficile infections. MMWR. Morbidity and mortality weekly report, 61(9), 157.
Centers for Disease Control and Prevention. (2014). Active bacterial core surveillance report,
emerging infections program network, methicillin resistant Staphylococcus aureus,
2014. http://www. cdc. gov/abcs/reports-findings/survreports/mrsa14. html For more
information, visit our web sites: http://www. cdc. gov/abcs/index. html, http://www. cdc.
gov/mrsa Last Updated: Mar, 1, 2016.
Centers for Disease Control and Prevention. (2016). Active bacterial core surveillance report,
emerging infections program network, methicillin resistant Staphylococcus aureus,
2014. http://www. cdc. gov/abcs/reports-findings/survreports/mrsa14. html For more
information, visit our web sites: http://www. cdc. gov/abcs/index. html, http://www. cdc.
gov/mrsa Last Updated: Mar, 1, 2016.
Edwards, J. A., Webster, S., Van Laar, D., & Easton, S. (2014). Psychometric analysis of the UK
Health and Safety Executive's Management Standards work-related stress Indicator
Tool. Work & Stress, 22(2), 96-107.
Huttner, A., Harbarth, S., Carlet, J., Cosgrove, S., Goossens, H., Holmes, A., & Pittet, D. (2013).
Antimicrobial resistance: a global view from the 2013 World Healthcare-Associated
Infections Forum. Antimicrobial resistance and infection control, 2(1), 31.
Leppo, K., Ollila, E., Pena, S., Wismar, M., & Cook, S. (2013). Health in all policies-seizing
opportunities, implementing policies. Sosiaali-ja terveysministeriö.
Alhassan, R. K., Spieker, N., van Ostenberg, P., Ogink, A., Nketiah-Amponsah, E., & de Wit, T.
F. R. (2013). Association between health worker motivation and healthcare quality efforts
in Ghana. Human resources for health, 11(1), 37.
Australian Commission on Safety and Quality in Health Care. (2012). National safety and
quality health service standards. Australian Commission on Safety and Quality in Health
Care.
Centers for Disease Control and Prevention (CDC. (2012). Vital signs: preventing Clostridium
difficile infections. MMWR. Morbidity and mortality weekly report, 61(9), 157.
Centers for Disease Control and Prevention. (2014). Active bacterial core surveillance report,
emerging infections program network, methicillin resistant Staphylococcus aureus,
2014. http://www. cdc. gov/abcs/reports-findings/survreports/mrsa14. html For more
information, visit our web sites: http://www. cdc. gov/abcs/index. html, http://www. cdc.
gov/mrsa Last Updated: Mar, 1, 2016.
Centers for Disease Control and Prevention. (2016). Active bacterial core surveillance report,
emerging infections program network, methicillin resistant Staphylococcus aureus,
2014. http://www. cdc. gov/abcs/reports-findings/survreports/mrsa14. html For more
information, visit our web sites: http://www. cdc. gov/abcs/index. html, http://www. cdc.
gov/mrsa Last Updated: Mar, 1, 2016.
Edwards, J. A., Webster, S., Van Laar, D., & Easton, S. (2014). Psychometric analysis of the UK
Health and Safety Executive's Management Standards work-related stress Indicator
Tool. Work & Stress, 22(2), 96-107.
Huttner, A., Harbarth, S., Carlet, J., Cosgrove, S., Goossens, H., Holmes, A., & Pittet, D. (2013).
Antimicrobial resistance: a global view from the 2013 World Healthcare-Associated
Infections Forum. Antimicrobial resistance and infection control, 2(1), 31.
Leppo, K., Ollila, E., Pena, S., Wismar, M., & Cook, S. (2013). Health in all policies-seizing
opportunities, implementing policies. Sosiaali-ja terveysministeriö.
Magrabi, F., Aarts, J., Nohr, C., Baker, M., Harrison, S., Pelayo, S., ... & Coiera, E. (2013). A
comparative review of patient safety initiatives for national health information
technology. International journal of medical informatics, 82(5), e139-e148.
Oshima Lee, E., & Emanuel, E. J. (2013). Shared decision making to improve care and reduce
costs. New England Journal of Medicine, 368(1), 6-8.
Sendelbach, S., & Funk, M. (2013). Alarm fatigue: a patient safety concern. AACN advanced
critical care, 24(4), 378-386.
Sievert, D. M., Ricks, P., Edwards, J. R., Schneider, A., Patel, J., Srinivasan, A., ... & Fridkin, S.
(2013). Antimicrobial-resistant pathogens associated with healthcare-associated
infections summary of data reported to the National Healthcare Safety Network at the
Centers for Disease Control and Prevention, 2009–2010. Infection Control & Hospital
Epidemiology, 34(1), 1-14.
Surawicz, C. M., Brandt, L. J., Binion, D. G., Ananthakrishnan, A. N., Curry, S. R., Gilligan, P.
H., ... & Zuckerbraun, B. S. (2013). Guidelines for diagnosis, treatment, and prevention
of Clostridium difficile infections. The American journal of gastroenterology, 108(4),
478.
Tellalian, D., Maznavi, K., Bredeek, U. F., & Hardy, W. D. (2013). Pre-exposure prophylaxis
(PrEP) for HIV infection: results of a survey of HIV healthcare providers evaluating their
knowledge, attitudes, and prescribing practices. AIDS patient care and STDs, 27(10),
553-559.
Umscheid, C. A., Mitchell, M. D., Doshi, J. A., Agarwal, R., Williams, K., & Brennan, P. J.
(2011). Estimating the proportion of healthcare-associated infections that are reasonably
preventable and the related mortality and costs. Infection Control & Hospital
Epidemiology, 32(2), 101-114.
Van Den Bos J, Rustagi K, Gray T, Halford M, et al (2011) The $17.1 Billion Problem: The
Annual Cost Of Measurable Medical Errors. Health Affairs
comparative review of patient safety initiatives for national health information
technology. International journal of medical informatics, 82(5), e139-e148.
Oshima Lee, E., & Emanuel, E. J. (2013). Shared decision making to improve care and reduce
costs. New England Journal of Medicine, 368(1), 6-8.
Sendelbach, S., & Funk, M. (2013). Alarm fatigue: a patient safety concern. AACN advanced
critical care, 24(4), 378-386.
Sievert, D. M., Ricks, P., Edwards, J. R., Schneider, A., Patel, J., Srinivasan, A., ... & Fridkin, S.
(2013). Antimicrobial-resistant pathogens associated with healthcare-associated
infections summary of data reported to the National Healthcare Safety Network at the
Centers for Disease Control and Prevention, 2009–2010. Infection Control & Hospital
Epidemiology, 34(1), 1-14.
Surawicz, C. M., Brandt, L. J., Binion, D. G., Ananthakrishnan, A. N., Curry, S. R., Gilligan, P.
H., ... & Zuckerbraun, B. S. (2013). Guidelines for diagnosis, treatment, and prevention
of Clostridium difficile infections. The American journal of gastroenterology, 108(4),
478.
Tellalian, D., Maznavi, K., Bredeek, U. F., & Hardy, W. D. (2013). Pre-exposure prophylaxis
(PrEP) for HIV infection: results of a survey of HIV healthcare providers evaluating their
knowledge, attitudes, and prescribing practices. AIDS patient care and STDs, 27(10),
553-559.
Umscheid, C. A., Mitchell, M. D., Doshi, J. A., Agarwal, R., Williams, K., & Brennan, P. J.
(2011). Estimating the proportion of healthcare-associated infections that are reasonably
preventable and the related mortality and costs. Infection Control & Hospital
Epidemiology, 32(2), 101-114.
Van Den Bos J, Rustagi K, Gray T, Halford M, et al (2011) The $17.1 Billion Problem: The
Annual Cost Of Measurable Medical Errors. Health Affairs
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Vardi, M., Levy, N. S., & Levy, A. P. (2013). Vitamin E in the prevention of cardiovascular
disease-the importance of proper patient selection. Journal of lipid research, jlr-
R026641.
Zarb, P., Coignard, B., Griskeviciene, J., Muller, A., Vankerckhoven, V., & Goossens, H.
(2012). The European Centre for Disease Prevention and Control (ECDC) pilot point
prevalence survey of healthcare-associated infections and antimicrobial
use. EuroSurveillance Monthly, 17(46), 20316.
disease-the importance of proper patient selection. Journal of lipid research, jlr-
R026641.
Zarb, P., Coignard, B., Griskeviciene, J., Muller, A., Vankerckhoven, V., & Goossens, H.
(2012). The European Centre for Disease Prevention and Control (ECDC) pilot point
prevalence survey of healthcare-associated infections and antimicrobial
use. EuroSurveillance Monthly, 17(46), 20316.
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