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PubMed2002

[The introduction of ICD, ICN in Japan, and future expectations].

Infection Control Doctor(ICD) and Infection Control Nurse(ICN) are known as specialist in infection control. In Western countries Infection Control Teams have already been organized under Hospital Infection Control Committees, and ICDs and ICNs have been deployed in them and actively participate in them. The organizations and personnel that should cope with hospital infections in this manner cannot be said to be sufficient in Japan, and there is an urgent need to train specialists for infection control. Accordingly, in 1999 an ICD accreditation system was inaugurated, principally by the Japanese Association for Infectious Diseases and the Japanese Society of Environmental Infections, and in 2000 the Japanese Nursing Association inaugurated an ICN accreditation system in the form of accredited nurses. This paper describes the introduction of ICD and ICN in Japan, future expectations, and associated problems.

Certification↗
PubMed2002

[Infection control team].

Infection control(IC) is a quality-improvement activity that focuses on improving the care of patients and protecting the health of staff. The infection control committee(ICC) should function as the central decision-making and policy-making body for IC. The infection control team(ICT) is responsible for carrying out all aspects of the IC program. ICT should have appropriate access to medical relevant staff members who can provide information on the adequacy of the institution's compliance with regard to IC programs. Healthcare facilities should use ICT to assist in maintaining compliance with IC programs. Surveillance of hospital-acquired infections should be performed and surveillance data should be analyzed appropriately and used to monitor and improve IC and healthcare outcomes.

Cross Infection↗
PubMed2002

Tensions in antibiotic prescribing.

Since 1999, the Agency for Healthcare Research and Quality has funded seven centers across the country to provide practical guidance to physicians and other health care professionals about the drugs they prescribe. These Centers for Education and Research on Therapeutics (CERTs) develop, translate and disseminate objective information on drugs to improve practice. The University of Pennsylvania's CERTs focuses on developing evidence for optimal treatment strategies for infectious diseases, and promoting the judicious use of antibiotics to combat the problem of antibiotic resistance. This Issue Brief explores one of the fundamental challenges physicians face in optimizing antibiotic use: the potential conflict between what is best for an individual patient, and what is best for society as a whole.

Anti-Bacterial Agents↗
PubMed2003

Informing the future: 2. Developing the role of community IPCNs.

This paper is the second in a two-part series summarising the main findings and conclusions of a review of the roles and responsibilities of infection prevention and control nurses commissioned by the Department of Health. It describes the core work of IPCNs, discusses the strengths and constraints of the current role and makes suggestions for future development.

Communicable Disease Control↗
PubMedDate not supplied

A nurse's experience of isolation.

A nurse specialist in infection control, describes how it felt to be on the receiving end of protective isolation.

Adaptation, Psychological↗
PubMed2001

Nursing homes infection control audit.

OBJECTIVES: To carry out a telephone audit looking at the number of nursing homes adhering to the recommendations that nursing homes should-. have a trained infection control link nurse have appropriate reference material respond appropriately to enteric outbreaks record residents with previously identified MRSA and C. diff. be aware of clients with possible infections offer influenza vaccination to all residents. DESIGN: An initial telephone survey of all 23 nursing homes within Forth Valley Health Board area in February 2000 was followed by offering a training programme and repeating the survey in December 2000 to find out if improvements had been made. RESULTS: In February 2000 there were 17(74%) nursing homes with link nurses. In December 2000 this was 19(83%). The numbers who had attended a PHICN induction course were low (11% vs 16%). The lack of availability of reference material in a number of homes gave cause for concern. About one third of nursing homes had residents with diarrhoea and vomiting in the last three months and had called the GP. In February none and in December one of the respondents said that Public Health had been informed. The number of homes which took specimens was 33% in February vs 88% in December and with carriers of MRSA was 75% vs 83%. Those flagging notes increased from 73% to 100%. The number with residents with C.diff was extremely small (1vs2) and all notes were reported to be flagged. CONCLUSION: Staff retention and training were highlighted as areas to be addressed. Improvements in availability of reference material in nursing homes, standardisation of "flagging" or marking of notes and increased notification of possible outbreaks to the Communicable Disease Team are required.

Disease Outbreaks↗
PubMed2003

Preparation is key to containment.

Infection control nurses describe how implementing outbreak kits in their trust has enabled rapid dissemination of information to staff and visitors and has helped contain infectious disease outbreaks.

Cross Infection↗
PubMed2003

[Role of the surgeon in the hospital infections control committees].

Hospital-acquired infections are the ones that develop within hospital stay or appear after discharge. These infections are associated with an increased rate of morbidity and mortality, longer hospital stay and higher hospital costs and Hospital Infections Control Committees have been founded to prevent it. In this review, we intended to investigate the role of the surgeon in this committee.

Committee Membership↗