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INTRAVENOUS THERAPY INFECTION CONTROL AND ANTT. INTRAVENOUS THERAPY n IV Devices are indispensable n Over 60% of patients receive therapy via an IV device.

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Presentation on theme: "INTRAVENOUS THERAPY INFECTION CONTROL AND ANTT. INTRAVENOUS THERAPY n IV Devices are indispensable n Over 60% of patients receive therapy via an IV device."— Presentation transcript:

1 INTRAVENOUS THERAPY INFECTION CONTROL AND ANTT

2 INTRAVENOUS THERAPY n IV Devices are indispensable n Over 60% of patients receive therapy via an IV device n IV Devices are used to administer fluids, blood products, medication and nutritional support. Also used to monitor critically ill patients and to obtain blood specimens

3 What are the infection risks associated with IV devices? n Any breach in integrity of the skin allows access of pathogens n Poor site decontamination prior to line insertion n Duration of insertion process n Repeated catheterisation n Experience of personnel inserting device n Duration of IV device n Type of dressing n Poor hygiene during line handling n Hub cap contamination n Age and medical condition (ITU etc)

4 What type of infections do IV catheters cause? What type of infections do IV catheters cause? Infection at the insertion site (phlebitis) Associated more with peripheral IV catheters Associated more with peripheral IV catheters Can lead to BSI Can lead to BSI Caused by mechanical or chemical irritation of the vein Caused by mechanical or chemical irritation of the vein Increased risk with poor skin prep, poor insertion technique, and large device Increased risk with poor skin prep, poor insertion technique, and large device Bloodstream infection (BSI)/ Bacteraemia: IV catheters are the source of around 48% of all BSI IV catheters are the source of around 48% of all BSI Associated with central venous catheters but can be caused by peripheral catheters Associated with central venous catheters but can be caused by peripheral catheters Increased risk with increased morbidity Increased risk with increased morbidity BSI associated with a case fatality rate of 20% (in the critically ill this rises to 35%) BSI associated with a case fatality rate of 20% (in the critically ill this rises to 35%) Bacteria introduced by IV catheters may lodge into other tissues and cause secondary endocarditis or osteomyelitis Bacteria introduced by IV catheters may lodge into other tissues and cause secondary endocarditis or osteomyelitis

5 Common Organisms responsible for IV device- related infection: n Staphylococcus epidermidis n Staphylococcus aureus n Enterococcus n Klebsiella n Pseudomonas n Escherichia coli n Candida

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8 How do you reduce the risk of Infection? n ANTT n Appropriate dressing n Appropriate line care n Appropriate hand decontamination - decontaminate hands before & after palpating, inserting, replacing or dressing any IV device (HICPAC 1996: CATEGORY 1A) - decontaminate hands before & after palpating, inserting, replacing or dressing any IV device (HICPAC 1996: CATEGORY 1A) - five moments for hand hygiene

9 Your 5 moments for hand hygiene at the point of care* *Adapted from the WHO Alliance for Patient Safety 2006

10 Aseptic Non Touch Technique ANNT

11 ANTT is two things: 1.A set of clinical guidelines aimed at improving and standardising aseptic practice for common clinical procedures. 2.A method of implementing an aseptic standard which establishes clinical compliance in large staff groups. NB : ANTT complies with ICNA (Infection Control Nurses Association), RCN (Royal College of Nursing), and EPIC2 and DOH guidance. It is the recommended aseptic technique of EPIC 2. What is ANTT?

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13 Dont leave key-parts unprotected and exposed Key-parts should always be protected

14 References/further info.. n ANTT http://www.antt.co.uk http://www.antt.co.uk n Saving Lives DOH 2007 n ORH intranet (Local IC policies) http://orhnet.orh.nhs.uk/infectioncontrol/ http://orhnet.orh.nhs.uk/infectioncontrol/ n EPIC2 Guidelines http://www.epic.tvu.ac.uk/PDF%20Files/epic2/epic2- final.pdf http://www.epic.tvu.ac.uk/PDF%20Files/epic2/epic2- final.pdf http://www.epic.tvu.ac.uk/PDF%20Files/epic2/epic2- final.pdf n Health Protection Agency website http://www.hpa.org.uk/ http://www.hpa.org.uk/ n Department of Health website http://www.dh.gov.uk/Home/fs/en http://www.dh.gov.uk/Home/fs/en


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