![]() The insertion of a VAD involves entering the circulatory system directly, therefore it is essential to apply the principles of asepsis when inserting or manipulating the device (Lavery and Ingram 2006). It has been estimated that 6,000 patients will acquire a catheter-related bloodstream infection each year in the UK (Department of Health (DH) 2007), with these accounting for 80% of all bloodstream infections (Eggimann et al 2004). Catheter-related bloodstream infection is an associated complication. Many patients in the acute sector will have a VAD inserted as part of their clinical management. The National Audit Office (NAO 2001) estimates that hospital-acquired infection costs 1 billion a year and is responsible for causing 5,000 to 15,000 deaths annually in the UK. As well as incurring increased cost because of longer hospitalisation and treatment, they also affect patients' morbidity and mortality rates (Plowman et al 1999). Healthcare-associated infections (HCAIs) remain high on government and patient agendas. This article clarifies best practice and dispels some of the myths relating to aseptic practice in IV therapy. ![]() However, ambiguity about the terms related to aseptic and non-touch aseptic technique can often result in inappropriate management of IV therapy. * Consider how a standardised approach to aseptic technique can improve the quality of patient care.Īppropriate management of vascular access devices (VADs), which includes peripheral cannulae and central venous catheters (CVCs), is an essential element of patient care. * Discuss the nurse's role and responsibilities in relation to aseptic care in IV therapy. * Identify and describe the key components of aseptic non-touch technique in relation to IV therapy. * Describe what surgical aseptic technique and aseptic non-touch technique refer to in practice. * Understand how infection can adversely affect patient care. After reading this article and completing the time out activities you should be able to: The aim of this article is to explain the principles of surgical aseptic technique and aseptic non-touch technique in relation to intravenous (IV) therapy. #Apa style paper on medical and surgical asepsis archiveFor related articles visit our online archive and search using the keywords. For author and research article guidelines visit the Nursing Standard home page at .uk. This article has been subject to double-blind review. These keywords are based on subject headings from the British Nursing Index. This article explains the principles of surgical aseptic technique and aseptic non-touch technique in relation to intravenous therapy, and outlines the nurse's role and responsibilities when carrying out the procedure.Īseptic technique, infection control, intravenous therapy Further research is needed to assess for an association of glove bioburden with nosocomial infection rates and the effects of different infection control practices on the reduction of glove bioburdens.A lack of understanding of aseptic practice can lead to confusion and poor performance of the technique. The average contamination burden was 5.83 CFU per glove pair and was not significantly different among units.Ĭonclusions: Despite differences in infection control practices and the composition of pathologies managed in each ICU, the average bioburden of gloves left exposed in the environment was not significantly different. ![]() The differences in contamination rate among units was statistically significant (p=0.044). Contamination rates of glove samples from the BICU, SICU and MICU were 66.7%, 86.7% and 90.0% respectively. Results: Bacterial contaminants were cultured from 73 of 90 (81.1%) glove pairs sampled across all ICUs. Resulting colony forming units (CFUs) were counted and recorded for each glove pair sample. The surfaces of both gloves were swabbed, plated onto a contact agar plate and incubated for 48 hours. Gloves from opened glove boxes placed in wall-mounted racks for use by healthcare staff were donned by one investigator in a routine, aseptic fashion. Methods: Thirty occupied rooms in each ICU were utilized for collection of glove pair samples. Subjects: Convenience sample of 90 non-sterile vinyl exam glove pairs Setting: A burn, trauma/surgical, and medical ICU in a 412-bed tertiary care hospital. Abstract Objective: To assess the rate and burden of bacterial contamination on unused, nonsterile gloves found in glove boxes in three different specialty intensive care units (ICUs).ĭesign: Descriptive, cross-sectional study ![]()
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