Doctors believe the deceased patient and another who has been released acquired Legionella outside the hospital. But the state Department of Health stepped in after learning two other patients developed symptoms after already being hospitalized, making it possible they contracted Legionnaire’s in the hospital.
The study’s researchers examined medical insurance data from 2014 to look at infection rates after colonoscopy and osophagogastroduodenoscopies procedures done at selected outpatient facilities in six states.
Peltan and his research team studied 8,239 adult ED sepsis patients at two tertiary hospitals and two community hospitals in Utah. The researchers found that 1,607 of the patients—19.5% of the total—were discharged rather than admitted to the hospital.
The results of the APIC MegaSurvey were released during a session at last week’s 45th annual APIC Conference in Minneapolis. Conducted in 2015, the survey was completed by 4,078 active APIC members, or about 31% of the organization’s membership.
Public health officials reviewed infection prevention and control (IPC) practices at 36 Nebraska CAHs using the CDC’s IPC Assessment Tool. They found the largest gaps existed in the areas of injection safety, central line-associated bloodstream infection prevention, and catheter-associated urinary tract infection prevention, but problems were discovered in all IPC areas.
The study reports responses to a 20-question survey from 211 inpatient providers at Vanderbilt University Hospital in various specialties. The survey covered demographic questions, preferred feedback methods, barriers, and comparison metrics, and a hypothetical patient hospitalization scenario assigning provider responsibility for antibiotic use.
The researchers analyzed medical records of 350,183 patients with sepsis at 60 hospitals. One of five of those patients was classified as being immunocompromised based on being HIV-positive or having an intrinsic immune disorder, having a blood cancer or being prescribed an immunosuppressive drug for certain medical conditions while hospitalized.
Using an all-payer claims database, the researchers examined 2014 data from six states — California, Florida, Georgia, Nebraska, New York and Vermont — to track infection-related emergency room visits and unplanned inpatient admissions within seven and 30 days after a colonoscopy or EGD.
AOHP, which calls itself “the only national professional organization with the exclusive mission of addressing the needs and concerns of occupational health professionals in healthcare settings,” recently released a position statement that recommends annual flu shots along with other mandatory vaccinations, including hepatitis B and MMR, for healthcare workers.
The study authors say their findings suggest that “current initiatives to improve the use of antibiotics in outpatient settings may not be enough to change clinicians’ prescribing practices.” And they feel clinicians must be better equipped “with the tools and knowledge to know when antibiotics are needed.”