Journal of Community Nursing - page 27

INFECTION PREVENTION
CONCLUSION
Healthcare professionals, and
community nurses in particular, are
facing unique challenges as patients
are increasingly being managed at
home or in community centres. This
means that new ways of working
are often required to deal with
developing and ever-changing
threats, such as CA-MRSA.
In order to respond to the changing
face of health care and the particular
challenges of managing more seriously
unwell patients at home, community
nurses need to have a working
knowledge of common health issues
— such as infection risk — that can
affect any patient, regardless of their
primary diagnosis.
As well as increasing their
knowledge base about the changing
nature of community health care, it
is also important that community
nurses develop their knowledge of
treatment strategies. In the case of
infection prevention and control,
this includes educating patients
and providing practical guidance on
personal hygiene. This can involve
using antimicrobial body washes
to help reduce the incidence of
infection at home, as well as being a
means of decontaminating the body
before elective surgery, and taking a
proactive approach to reduce the risk
of developing an infection.
REFERENCES
Al Maqbali MA (2013)
Br J Nurs
22(21):
1227–33
Andersson AE, BerghI, Karlsson J, Nilsson K
(2010)
Am J Infect Control
38(9):
711–7
David MZ, Daum RS (010)
Clin Microbiol
Rev
23(3):
616–87
Department of Health (2006)
Health
Technical Memorandum 07-01: Safe
management of healthcare waste
. DH,
London
Department of Health (2009)
Transforming
community services: ambition, action,
achievement. Transforming services for acute
care closer to home
. DH, London
Department of Health (2013)
UK five-
year antimicrobial resistance strategy
2013–2018
. DH, London. Available at:
https://www.gov.uk/government/uploads/
JCN
Preston R (2005)
Br J Nurs
14(10):
540–5
Rigopoulos D, Rallis E, Gregoriou S, et al
(2009)
Dermatology
218:
67–8
Smyth ET, McIlvenny G, Enstone JE, et al
(2008)
J Hosp Infect
69:
230–48
Stephen-Haynes J (2014)
J Community Nurs
28(3):
76–80
Swanson J, Jeanes A (2011)
Br J Community
Nurs
16(6):
282–88
system/uploads/attachment_data/
file/244058/20130902_UK_5_year_AMR_
strategy.pdf (accessed 14 October 2014)
Dettenkofer M, Wilson C, Gratwohl A, et al
(2010)
Clin Microbial Infect
16(6):
600–6
Downie F , Egdell S, Bielby A, Searle R
(2010)
Br J Nurs
19(20 tissue viability
supplement):
S42–6
Gould DJ (2005)
J Res Nurs
10:
495–51
Gould D (2009)
Practice Nurs
20(1):
37–40
Harbarth S, Sax H, Gastmeier P (2003)
J
Hosp Infect
54(4):
258–66
Harrington P (2014)
Nurs Standard
28(48):
50–8
Health Protection Agency (2007)
HPA:
South-West ommunity Infection Control
Guidelines for Community Settings
. HPA,
London
Health Protection Agency (2012)
English
National Point Prevalence Survey on
Healthcare Associated Infections and
Antimicrobial Use, 2011
. Available at:
http://webarchive.nationalarchives.
gov.uk/20140714084352/http://
www.hpa.org.uk/webc/HPAwebFile/
HPAweb_C/1317134304594 (accessed 14
October 2014)
Higginson R (2010)
Br J Community Nurs
15(7):
318, 320, 322, 324
Lawrence J, May D (2003)
Infection control
in the community
. Churchill Livingstone,
London
National Institute of Health and Care
Excellence (2008)
Clinical guidelines
— Surgical site infection: prevention and
treatment of surgical site infection
. NICE,
London. Available at: www.nice.org.uk/
guidance/cg74
National Institute for Health and Care
Excellence (2012)
Infection: preventon and
control of healthcare-associated
infections
in primary and community care
. NICE,
London
Nazarko L (2014a)
Br J Healthcare Assistants
8(5):
226–33
Nazarko L (2014b)
Br J Healthcare Assistants
2(3):
119–24
Plowman R, Graves N, Griffin MAS, et al
(2001)
J Hosp Infect
47(3):
198–209
Royal College of Nursing (2012)
Going
Upstream: nursing’s contribution to public
health: prevent, promote and protect
. RCN,
London
Johnson A,Young D, Reilly J (2006)
J Hosp
Infect
64:
30–5
Key points
Infection can have a devastating
impact on patients’health and
wellbeing and can even be
potentially life-threatening.
Healthcare professionals have
a duty to reduce the risk of
infection regardless of cause
and/or setting.
The rise of antibacterial resistant
organisms — so-called‘super-
bugs’— put a strain on NHS
resources as well as negatively
affecting patients’ quality of life
and wellbeing.
The increase in the older
population means that there are
more patients with chronic, long-
term conditions, which make
them more vulnerable
to infection
Ensuring that infection
prevention and control
measures in the community
are effective poses a significant
challenge.
It has been shown that around
20% of all HCAIs could be
avoided if correct infection
prevention and control
principles were followed.
It is crucial that community
nurses educate patients about
steps they can take to halt the
spread of infection.
MRSA is no longer the sole
preserve of hospital patients and
is more common in patients’
own homes or nursing homes.
Community nurses need to
be vigilant in preventing and
controlling such outbreaks,
known as community-
associated MRSA or CA-MRSA.
JCN supplement
2014,Vol 28, No 5
27
1...,17,18,19,20,21,22,23,24,25,26 27
Powered by FlippingBook