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    Clin.in.A1SCRBD

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    3 views5 pages

    Clin.in.A1SCRBD

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    ksgreen16

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    © All Rights Reserved
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    of 5

    1

    Clinical Infections: Infection Prevention and Control (IPAC) Challenges Related to

    Specific Infectious Agents


    2

    Clinical Infections: Infection Prevention and Control (IPAC) Challenges Related to

    Specific Infectious Agents

    Article 1

    “Identification of Candida auris in a foreign patient to Ontario, Canada, Osbourne, and

    infection control strategies to prevent transmission” is an article by Joan Osborne Townsend and

    another group of researchers from Humber River Hospital in Canada that looks at the

    identification and management of the fungus, Candida auris, among patients. In their research,

    Osbourne Townsend et al. (2021) use a repatriated patient to explore effective infection control

    to prevent its spread within the 600-unit facility. The main research question of the study was:

    what infection control measures can effectively contain and prevent the transmission of Candida

    auris in healthcare facilities?

    The topic is important and relevant to the current IPAC practice because of the threat

    posed by Candida auris to the global health system. According to Osbourne Townsend et al.

    (2021), Candida auris has a mortality rate of between 30 to 59% globally. Understanding

    effective infection control measures to prevent outbreaks and contain spreads is essential

    in IPAC practices. As a result, the findings from the study can help inform protocols and enhance

    readiness for outbreaks of such emerging pathogens.

    The main findings from the study were that additional resources, including dedicated

    equipment, environmental cleaning and disinfection, microbial environment testing, and patient

    screening, are necessary to prevent and control the transmission of Candida auris. The findings

    highlight the impact that specialized protocols could have on IPAC practices when managing

    multidrug-resistant pathogens.
    3

    One of the main limitations of the study was in the generalizability of its findings to other

    pathogens and facilities. Humber River Hospital is a large institution with many resources and

    experienced personnel. There is no clear indication that the same methods and practices can be

    successfully applied in another smaller facility. In addition, there is no clear indication that the

    measures adopted in containing Candida auris can successfully contain other non-fungal

    pathogens.

    Article 2

    “Determinants of hand hygiene compliance among nurses in US hospitals: A formative

    research study” is an article by Madeline Sands and Robert Aunger that looks at the factors

    influencing hygiene compliance among nurses in the US. The authors pay special attention to the

    specific barriers and motivators that influence the adherence of nurses to hand hygiene protocols.

    Therefore, the main research question of the study was: What are the determinants that affect

    hand hygiene behavior among nurses operating in hospital settings?

    The topic is important and relevant to current IPAC practice because of its impact on

    Healthcare-Associated Infections (HAIs). According to Sands and Aunger (2020), hand hygiene

    remains one of the most effective ways of preventing HAIs. Noncompliance among caregivers

    tends to increase the risk of HAI and, therefore, poses significant risks to the patients and the

    facility. IPAC practitioners can create targeted interventions through their knowledge and

    understanding of motivators and barriers behind hand hygiene.

    The study’s main findings were that hand hygiene compliance among nurses was mostly

    a function of communication openness, cognitive load associated with role performance,

    perceived performance by peers, busyness, increased interactions with patients and other staff,
    4

    and reduction in stress (Sands & Aunger, 2020). Addressing such factors can have a positive

    impact on compliance rates. The research findings can impact IPAC practices by targeting such

    determinants of health, hence reducing healthcare-associated infections.

    The main limitation of the study is the reliance on self-reported data, which creates a

    possibility for bias. In addition, the application of findings may be limited to specific hospital

    settings, cultural differences, and behavioral factors that may affect compliance.
    5

    References

    Osbourne Townsend, J., Morillo, A., Braithwaite, L. K., Boodoosingh, S., Neil, A., Widla, J., &

    Farshait, N. (2021). Identification of Candida auris in a foreign repatriated patient to

    Ontario, Canada, and infection control strategies to prevent transmission. Canadian

    Journal of Infection Control, 36(4). https://www.cjic.ca/winter-2021/315-identification-

    of-candida-auris-in-a-foreign-repatriated-patient-to-ontario-canada-and-infection-control-

    strategies-to-prevent-transmission

    Sands, M., & Aunger, R. (2020). Determinants of hand hygiene compliance among nurses in US

    hospitals: A formative research study. PLoS One, 15(4): e0230573. DOI:

    10.1371/journal.pone.0230573.

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