Infection control link nurse program: An interdisciplinary approach in targeting health care-acquired infection

Madhuri M. Sopirala, Lisa Yahle-Dunbar, Justin Smyer, Linda Wellington, Jeanne Dickman, Nancy Zikri, Jennifer Martin, Pat Kulich, David Taylor, Hagop Mekhjian, Mary Nash, Jerry Mansfield, Preeti Pancholi, Mary Howard, Linda Chase, Susan Brown, Kristopher Kipp, Kristen Lefeld, Amber Myers, Xueliang PanJulie E. Mangino

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background We describe a successful interdisciplinary liaison program that effectively reduced health care-acquired (HCA), methicillin-resistant Staphylococcus aureus (MRSA) in a university hospital setting. Methods Baseline was from January 2006 to March 2008, and intervention period was April 2008 to September 2009. Staff nurses were trained to be liaisons (link nurses) to infection prevention (IP) personnel with clearly defined goals assigned and with ongoing monthly education. HCA-MRSA incidence per 1,000 patient-days (PD) was compared between baseline and intervention period along with total and non-HCA-MRSA, HCA and non-HCA-MRSA bacteremia, and hand soap/sanitizer usage. Hand hygiene compliance was assessed. Results A reduction in MRSA rates was as follows in intervention period compared with baseline: HCA-MRSA decreased by 28% from 0.92 to 0.67 cases per 1,000 PD (incidence rate ratio, 0.72; 95% confidence interval: 0.62-0.83, P <.001), and HCA-MRSA bacteremia rate was reduced by 41% from 0.18 to 0.10 per 1,000 PD (incidence rate ratio, 0.59; 95% confidence interval: 0.42-0.84, P =.003). Total MRSA rate and MRSA bacteremia rate also showed significant reduction with nonsignificant reductions in overall non-HCA-MRSA and non-HCA-MRSA bacteremia. Hand soap/sanitizer usage and compliance with hand hygiene also increased significantly during IP. Conclusion Link nurse program effectively reduced HCA-MRSA. Goal-defined metrics with ongoing re-education for the nurses by IP personnel helped drive these results.

Original languageEnglish (US)
Pages (from-to)353-359
Number of pages7
JournalAmerican Journal of Infection Control
Volume42
Issue number4
DOIs
StatePublished - Apr 2014
Externally publishedYes

Fingerprint

Methicillin-Resistant Staphylococcus aureus
Infection Control
Nurses
Delivery of Health Care
Infection
Bacteremia
Hand Sanitizers
Hand Hygiene
Soaps
Incidence
Confidence Intervals
Education

Keywords

  • Hand hygiene
  • Handwashing
  • Infection prevention
  • Liaison
  • MRSA
  • Multi-disciplinary
  • Nosocomial
  • Patient safety

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Infection control link nurse program : An interdisciplinary approach in targeting health care-acquired infection. / Sopirala, Madhuri M.; Yahle-Dunbar, Lisa; Smyer, Justin; Wellington, Linda; Dickman, Jeanne; Zikri, Nancy; Martin, Jennifer; Kulich, Pat; Taylor, David; Mekhjian, Hagop; Nash, Mary; Mansfield, Jerry; Pancholi, Preeti; Howard, Mary; Chase, Linda; Brown, Susan; Kipp, Kristopher; Lefeld, Kristen; Myers, Amber; Pan, Xueliang; Mangino, Julie E.

In: American Journal of Infection Control, Vol. 42, No. 4, 04.2014, p. 353-359.

Research output: Contribution to journalArticle

Sopirala, MM, Yahle-Dunbar, L, Smyer, J, Wellington, L, Dickman, J, Zikri, N, Martin, J, Kulich, P, Taylor, D, Mekhjian, H, Nash, M, Mansfield, J, Pancholi, P, Howard, M, Chase, L, Brown, S, Kipp, K, Lefeld, K, Myers, A, Pan, X & Mangino, JE 2014, 'Infection control link nurse program: An interdisciplinary approach in targeting health care-acquired infection', American Journal of Infection Control, vol. 42, no. 4, pp. 353-359. https://doi.org/10.1016/j.ajic.2013.10.007
Sopirala, Madhuri M. ; Yahle-Dunbar, Lisa ; Smyer, Justin ; Wellington, Linda ; Dickman, Jeanne ; Zikri, Nancy ; Martin, Jennifer ; Kulich, Pat ; Taylor, David ; Mekhjian, Hagop ; Nash, Mary ; Mansfield, Jerry ; Pancholi, Preeti ; Howard, Mary ; Chase, Linda ; Brown, Susan ; Kipp, Kristopher ; Lefeld, Kristen ; Myers, Amber ; Pan, Xueliang ; Mangino, Julie E. / Infection control link nurse program : An interdisciplinary approach in targeting health care-acquired infection. In: American Journal of Infection Control. 2014 ; Vol. 42, No. 4. pp. 353-359.
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abstract = "Background We describe a successful interdisciplinary liaison program that effectively reduced health care-acquired (HCA), methicillin-resistant Staphylococcus aureus (MRSA) in a university hospital setting. Methods Baseline was from January 2006 to March 2008, and intervention period was April 2008 to September 2009. Staff nurses were trained to be liaisons (link nurses) to infection prevention (IP) personnel with clearly defined goals assigned and with ongoing monthly education. HCA-MRSA incidence per 1,000 patient-days (PD) was compared between baseline and intervention period along with total and non-HCA-MRSA, HCA and non-HCA-MRSA bacteremia, and hand soap/sanitizer usage. Hand hygiene compliance was assessed. Results A reduction in MRSA rates was as follows in intervention period compared with baseline: HCA-MRSA decreased by 28{\%} from 0.92 to 0.67 cases per 1,000 PD (incidence rate ratio, 0.72; 95{\%} confidence interval: 0.62-0.83, P <.001), and HCA-MRSA bacteremia rate was reduced by 41{\%} from 0.18 to 0.10 per 1,000 PD (incidence rate ratio, 0.59; 95{\%} confidence interval: 0.42-0.84, P =.003). Total MRSA rate and MRSA bacteremia rate also showed significant reduction with nonsignificant reductions in overall non-HCA-MRSA and non-HCA-MRSA bacteremia. Hand soap/sanitizer usage and compliance with hand hygiene also increased significantly during IP. Conclusion Link nurse program effectively reduced HCA-MRSA. Goal-defined metrics with ongoing re-education for the nurses by IP personnel helped drive these results.",
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AU - Wellington, Linda

AU - Dickman, Jeanne

AU - Zikri, Nancy

AU - Martin, Jennifer

AU - Kulich, Pat

AU - Taylor, David

AU - Mekhjian, Hagop

AU - Nash, Mary

AU - Mansfield, Jerry

AU - Pancholi, Preeti

AU - Howard, Mary

AU - Chase, Linda

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N2 - Background We describe a successful interdisciplinary liaison program that effectively reduced health care-acquired (HCA), methicillin-resistant Staphylococcus aureus (MRSA) in a university hospital setting. Methods Baseline was from January 2006 to March 2008, and intervention period was April 2008 to September 2009. Staff nurses were trained to be liaisons (link nurses) to infection prevention (IP) personnel with clearly defined goals assigned and with ongoing monthly education. HCA-MRSA incidence per 1,000 patient-days (PD) was compared between baseline and intervention period along with total and non-HCA-MRSA, HCA and non-HCA-MRSA bacteremia, and hand soap/sanitizer usage. Hand hygiene compliance was assessed. Results A reduction in MRSA rates was as follows in intervention period compared with baseline: HCA-MRSA decreased by 28% from 0.92 to 0.67 cases per 1,000 PD (incidence rate ratio, 0.72; 95% confidence interval: 0.62-0.83, P <.001), and HCA-MRSA bacteremia rate was reduced by 41% from 0.18 to 0.10 per 1,000 PD (incidence rate ratio, 0.59; 95% confidence interval: 0.42-0.84, P =.003). Total MRSA rate and MRSA bacteremia rate also showed significant reduction with nonsignificant reductions in overall non-HCA-MRSA and non-HCA-MRSA bacteremia. Hand soap/sanitizer usage and compliance with hand hygiene also increased significantly during IP. Conclusion Link nurse program effectively reduced HCA-MRSA. Goal-defined metrics with ongoing re-education for the nurses by IP personnel helped drive these results.

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