Inexpensive infection control measures could save thousands of lives, billions of dollars

The article by Bradford D. Harris, M.D., et al. appears in the September 2011 issue of Health Affairs. Credit: Health Affairs, http://www.healthaffairs.org/.

At any given time, one of every 20 hospital patients has a hospital-acquired infection, according to the U.S. Department of Health and Human Services.

This leads to an estimated 99,000 deaths in the U.S. each year and up to $33 billion in preventable health care costs.

Now a new study by University of North Carolina at Chapel Hill researchers finds that adopting an inexpensive set of infection control measures could potentially save many thousands of lives and billions of dollars. The study appears in the September 2011 issue of Health Affairs.

"These two initiatives, targeting ventilator associated pneumonias and central line associated , involved simple steps that lead to dramatic reductions in not only the targeted infections, but also mortality and costs," said Bradford D. Harris, MD, who led the study while serving as an associate professor of anesthesiology and pediatrics in the UNC School of Medicine. He is now a medical officer at the U.S. in Washington.

The study was conducted in the Unit at North Carolina Children's Hospital, which is one of the five University of North Carolina Hospitals. The study tested three interventions aimed at preventing and reducing .

The first intervention was strict enforcement of standard practices on the unit. All are expected to wash their hands with soap and running water or an alcohol-based rub on entering and leaving a patient's room, before putting on and after removing gloves, and before and after any task that involves touching potentially contaminated surfaces or body fluids.

The second intervention was implementing a bundle of measures aimed at preventing ventilator-associated pneumonia. Examples included elevating the head of the patient's bed while the patient is receiving breathing assistance from a ventilator, giving the patient daily breaks from sedation and then -- while the patient was unsedated -- assessing whether or not the patient is ready to come off the ventilator, and providing daily oral care (teeth brushing, mouth washes, etc.) with a long-lasting antiseptic.

The final intervention was ensuring compliance with guidelines for the use and maintenance of central-line catheters. Examples included using sponges impregnated with an antiseptic, using catheters impregnated with antibiotics whenever possible, and performing two assessments per day of whether patients with central-line catheters still needed them.

Results of the study showed that patients admitted after these interventions were fully implemented got out of the hospital an average of two days earlier, their hospital stay cost about $12,000 less and the number of patient deaths were reduced by two percentage points.

The costs for implementing these measures were modest. Examples include roughly $21 a day for oral care kits and about 60 cents a day for antiseptic patches and hand sanitizers. But adoption of the three interventions collectively could save this single hospital unit an estimated $12 million a year, the study found. If replicated nationwide, these measures potentially could save thousands of lives and billions of dollars each year.

The study concluded that measures such as these have the potential to save both lives and money and will improve the care of all patients.

add to favorites email to friend print save as pdf

Related Stories

Checklist cuts lethal ventilator-associated lung infections

Feb 17, 2011

the most lethal and among the most common of all hospital-associated infections — dropped by more than 70 percent in Michigan hospitals where medical staff used a simple checklist designed by Johns Hopkins researchers. ...

Many healthcare-acquired infections can be prevented

Feb 18, 2011

As many as 70% of certain cases of healthcare-acquired infections may be preventable with current evidence-based strategies according to a new study by Craig A. Umscheid, MD, MSCE, Assistant Professor of Medicine and Epidemiology ...

Recommended for you

Ebola: Keeping patients alive as body fights back

4 hours ago

People who shared an apartment with the first U.S. Ebola patient are emerging from quarantine healthy. And while Thomas Eric Duncan died and two U.S. nurses were infected caring for him, there are successes, ...

Study suggests altering gut bacteria might mitigate lupus

4 hours ago

Lactobacillus species, commonly seen in yogurt cultures, correlate, in the guts of mouse models, with mitigation of lupus symptoms, while Lachnospiraceae, a type of Clostridia, correlate with worsening, according to researc ...

User comments