Category Archives: Infection Control

Julio C. Guerra MD, FAAP Is Welcomed As a Member Of the C Diff Foundation’s Medical Advisory Board

We are honored to have
Julio C. Guerra, MD, FAAP join the C Diff  Foundation’s Medical Advisory Board as we continue to grow and promote the prevention, treatments, and environmental safety for C. difficile infections
and healthcare-associated infections worldwide.

 

Dr. Guerra is a seasoned healthcare professional with the ability to fuse clinical expertise and his passion for medical innovation. He is the founder and CEO of Itus Healthcare, a New Jersey Medical Device company and through a series of important research, product development and commercialization milestones, has led the Itus Healthcare team with the development of innovative products that address the prevention and control of Healthcare Associated Infections.

Dr. Guerra is the Founder and CEO, Itus Healthcare, LLC. Medical device company focused on innovative products for the prevention of Healthcare Associated Infections and
Present (1992 – present): Medical Director and Owner, College Plaza Pediatrics, PC, medium size pediatric ambulatory centers located in both Randolph and Hackettstown, New Jersey.

Education:
1987-1988: Albert Einstein College of Medicine, New York, New York. Fifth Pathway Clinical Clerkship Program
1983-1987: Universidad Autonoma de Guadalajara, Guadalajara, Mexico, Medical Degree
1977-1983: St. Mary’s University, San Antonio, Texas, Bachelor of Science in Biology / Minor in Chemistry.

Clinical Training:
1991-1992: Chief Resident, Overlook Hospital, Summit, New Jersey, Internal Medicine / Pediatrics Combined Residency Program
1988-1991: Internal Medicine / Pediatrics Combined Residency Program, Overlook Hospital, Summit, New Jersey

Academic Experience:
1993-1996: Director of Ambulatory Pediatrics, Overlook Hospital. Summit, New Jersey. Directed pediatric education program for both medical students and residents from Columbia University, New York City.

With a long line of innovative applications and designs, Dr. Guerra has accomplished developing the following:
2015 – Co-Inventor of StethGuard™ Disposable Stethoscope Covers
2014 – My Medical Inventory™ – Designed and developed a medical SAAS (Software As A Service) web based software program for inventory and tracking of inventory and medical practice optimization.
2012 – Smart Phone (iPhone / Android) Application. “Kids Weight” application. Medical application for converting pediatric weights from gms. / kgs. to pounds/ ounces.
2011 – Smart Phone (iPhone / Android) Application. “The Baby Scale” application. Application for calculating percentage of body weight loss during the newborn period to assist pediatric healthcare professionals with newborn nutrition management.
2011 – Smart Phone (iPhone / Android) Application. “The Kids Fever MD” application. Application for calculating correct dosing of acetaminophen and ibuprofen for professional pediatric healthcare providers and consumers.
1997 – “Survanta®” NICU Palm Pilot Dosing Calculator for neonatologists. Mathematical calculator that provides accurate dosing in aliquots and positions for preterm / term infants with RDS based on infants weight.
1992 – Newborn Visual Stimulation Designs. Award winning visual stimulation designs for newborn infants. Developed visual stimulation designs used all over the world to enhance visual tracking in preterm and newborn infants. Designs licensed by Ross Labs® makers of Similac® from 1992-1995.

Volunteering is part of community team work that is no stranger to Dr. Guerra and we appreciate his time and support of the C Diff Foundation with the contributions he has made over the years with the following organizations:
2007: New York Marathon runner for the “Team for Kids”
2005: Foundation for Peace. Assisted this organization in providing formula and medical equipment for their programs in San Domingo
2004: Pediatrics AIDS work in Ethiopia, Africa
2001, September 11-13: 9/11 “First Responder” Physician at Ground Zero (World Trade Towers), New York, New York
1992-1994: Pediatric AIDS of Newark, New Jersey. Worked with children afflicted with AIDS and assisted with providing them physical exams for attending summer camps
1994-present: Developed fund drives for assisting various children with different life threatening diseases

Awards:
2017 – Randolph Township Business Achievement Award – Itus Healthcare
New Jersey Top Docs – 2010, 2011, 2012, 2013 Patient’s Choice Award – 2009, 2010, 2011,2012, 2013 Compassionate Doctor Award 2009, 2010, 2011,2012, 2013
New Jersey Favorite Kids Doc Award – 2009 – 2017
Best Doctors in America, 2005 – present

Medical Boards:
1994- Present: Diplomate of the American Board of Pediatrics
1994-Present: Fellow of the American Academy of Pediatrics
Medical License:
New Jersey
New York

Hand-Washing aka Hand Hygiene Patient Education Proves Successful To Reduce C.diff. Infections

HandHygiene #1 Prevention

Hand-Washing aka hand hygiene Remains #1 In Infection Prevention In Every Setting.

“Despite evidence to suggest that [hand hygiene] is important in preventing infection, hospitalized patients are often not provided the opportunity to clean their hands,” due to mobility and cognitive obstacles as well as lack of education, investigators wrote.

Education on patient hand hygiene significantly reduced the incidence of Clostridium difficile infection at University of Pittsburgh Medical Center Mercy Hospital.

First, they conducted baseline surveys to assess patient hand hygiene, which showed patients needed more opportunities to wash their hands. Then nurse educators provided staff with an educational presentation on the importance of patient hand hygiene for preventing infection, which included specific times they should encourage and assist patients with hand hygiene. Staff then provided education and assistance to newly admitted patients, and researchers conducted additional surveys after implementation of this intervention.

During the first phase of the study involving just four medical-surgical nursing units, patient hand hygiene education increased significantly after the intervention (P < .0001). Overall, 97 follow-up surveys showed the proportion of those who received hand hygiene education increased from 34% to 64%, the opportunities provided for hand hygiene increased from 60% to 86%, and the average number of times hand hygiene was performed daily increased from 2.7 to 3.75.

After expanding the intervention to the whole hospital in the second phase of the study, 189 follow-up surveys showed that patient hand hygiene education increased from 48% to 53%. Meanwhile, overall opportunities for hand hygiene remained unchanged from 68%, and daily frequency of patient hand hygiene did not change significantly (mean, 2.4 vs. 2.6 times per day).

Notably, CDI rates dropped significantly during the 6 months following hospital-wide implementation.

“[Standardized infection ratio] P values for Q2 and W3 (0.0157 and 0.0103, respectively) were significantly lower than expected (P .05),” investigators wrote. “The Q4 SIR, however, showed an increase to 0.3844 over the 2 preceding quarters.”

They concluded that these findings showed patient hand hygiene “should be considered a potential addition to CDI prevention measures in hospitalized patients.” – by Adam Leitenberger

Source:  https://www.healio.com/gastroenterology/infection/news/online/%7B0ea95c50-ddec-4259-a229-5979fde9d8af%7D/patient-handwashing-cuts-c-difficile-rate-in-hospital

C. diff. Spores and More, Join Us and Celebrate

www.cdiffradio.com

C. diff. Spores and More

Sponsored by Clorox Healthcare

Join us and Celebrate

with our 81,453 listeners – so far –  in Season III.

We thank our listeners joining us every

Tuesday at 10:00 a.m. PT / 1:00 p.m. ET

across the U.S. A. and to our listeners in

  • Australia
  • Brazil
  • Canada
  • China
  • France
  • Germany
  • India
  • Ireland
  • Israel
  • Japan
  • Malaysia
  • Peru
  • Russia
  • Spain
  • Switzerland
  • Taiwan
  • Trinidad
  • Ukraine
  • UK    and Across the Globe

We also extend our sincere gratitude to the guests who take time out of their busy

schedules to join us on each live broadcast.  Though their words of wisdom and

by sharing the most up-to-date information with us raises awareness in so

many important areas of healthcare.

 

Season III concludes on October 31, 2017

and we will be gearing up for

the 5th Annual International C. diff. Awareness Conference & Health EXPO taking

place on November 9th and 10th at the University of Nevada – Las Vegas.

For conference information please click on the link below.

https://cdifffoundation.org/2017cdiffconference/about-nov-2017-annual-conference/

 

Join us in Season IV when we return on January 9th, 2018

as we continue bringing you updates that are focused on, but not limited to,

C. difficile infection prevention, treatments, clinical trials, environmental safety

and much more.

Thank you again for listening and we wish you and your families improved health,

continued healing, and the best day — which you all deserve!

 

Medical Mattresses; Healthcare-acquired Infections and How Hospital Bedding Is Involved

Our guests Dr. Edmond Hooker, MD with Bruce Rippe, CEO of Trinity Guardion and  J. Darrel Hicks, BA, Master REH, CHESP joined us on C. diff. Spores and More Global Broadcasting Network live broadcast –August 1st  to  discuss Healthcare – associated Infections (HAIs ) and how they lead to more than 720,000 illnesses and 75,000 deaths a year. In fact, more people die from HAIs each year than from automobile accidents. Furthermore, HAIs are a huge financial burden, adding $30 billion to annual healthcare costs. The American-made Trinity Patient Protection System gives hospitals the solution they need to reduce and eliminate HAIs.

Launderable, reusable, cost-effective and eco-friendly, the Trinity System’s fluid-proof covers fit around beds, pillows, stretchers and physical therapy tables. Unlike typical disinfectant agents designed for hard surfaces, the Trinity System keeps bacteria off the porous surface of the mattress, as well as, the bed deck. When laundered to CDC standards, the Trinity System removes 99.99% of bacteria and has been proven to reduce C. diff infection rates by about 50%.

 

www.trinityguardion.com

 

To learn more, from these leading topic-experts, about Medical Mattress Contamination and how bedding is involved in healthcare-associated infections.

Listen to the podcast available and part of the C.diff. Spores and More living library.

https://www.voiceamerica.com/episode/100501/healthcare-acquired-infections-and-how-hospital-bedding-is-involved

Changing the Bed Linens In Sickness and In Health

According to Microbiologist, Phillip Tierno of New York University

our bed linens can “quickly blossom into a botanical park of bacteria and fungus.”

If left for too long, the microscopic life within the wrinkles and folds of our bed sheets can even make us sick,

> We can recall – years ago – the bed linens in any acute care facility (e.g., hospital) the bed linens were changed daily.   Food for thought <<

 

Humans naturally produce roughly 26 gallons of sweat in bed every year. When it’s hot and humid outside, this moisture becomes what scientists call an “ideal fungal culture medium.”

In a recent study that assessed the level of fungal contamination in bedding, researchers found that a test sample of feather and synthetic pillows that were 1 1/2 to 20 years old contained as many as 16 species of fungus each.

And it’s not just your own microbial life you’re sleeping with. In addition to the fungi and bacteria that come from your sweat, sputum, skin cells, and vaginal and anal excretions, you also share your bed with foreign microbes.

These include animal dander, pollen, soil, lint, dust mite debris and feces, and finishing agents from whatever your sheets are made from, to name a few.

Tierno says all that gunk becomes “significant” in as little as a week. And unclean bedding still exposes you to materials that can trigger the sniffing and sneezing, since the microbes are so close to your mouth and nose that you’re almost forced to breathe them in.

“Even if you don’t have allergies per se, you can have an allergic response,” Tierno said.

Another reason your sheets get dirty quickly has little to do with your behavior or sweat patterns — the issue is simply gravity.

“Just like Rome over time was buried with the debris that falls from gravity, gravity is what brings all that material into your mattress,” Tierno said.

One to two weeks of this buildup is enough to leave anyone with a scratchy throat — especially those with significant allergies or asthma. (One in six Americans has allergies.)

“If you touched dog poo in the street, you’d want to wash your hands,” Tierno said.

“Consider that analogous to your bedding. If you saw what was there — but of course you don’t see it — after a while you have to say to yourself, ‘Do I want to sleep in that?’

So what does Dr. Tierno suggest?

To stem the invisible tide, he said, sheets should be washed once a week — >> More Often when bed linens are visibly soiled and an infection is being treated <<


Proper ways to handle soiled linens:

There is now a common understanding that linens, once in use, are usually contaminated and could be harboring microorganisms such as MRSA and VRE.

Further, the Centers for Disease Control and Prevention (CDC) cautions that healthcare professionals should “handle contaminated textiles and fabrics with a minimum agitation to avoid contamination of air, surfaces, and persons.” Even one of the leading nursing textbooks, Fundamentals of Nursing, states, “Soiled linen is never shaken in the air because shaking can disseminate secretions and excretions and the micro organisms they contain.” This text also states, “…linens that have been soiled with excretions and secretions harbor microorganisms … can be transmitted to others.”

According to Fundamentals of Nursing, when handling linens in any acute care and healthcare facility:

1. You should always wash your hands after handling a patient’s bed linens.

2. You should hold soiled linen away from your uniform.

3. Soiled linen is never shaken in the air because shaking can disseminate the micro-organisms they contain.

4. Linen from one patient’s bed is never (even momentarily) placed on another patient’s bed.

5. Soiled linens should be placed directly into a portable linen hamper or tucked into a pillowcase and the end of the bed before it is gathered up for disposal in the linen hamper or linen chute.

 

To read this article in its entirety – please click on the following link:

http://www.businessinsider.com/how-often-to-wash-bed-sheets-2017-6

 

WHO’s World Hand Hygiene Day In Conjunction With Fight Antibiotic Resistance – It’s In Your Hands

SAVE LIVES: Clean Your Hands

WHO’s global annual call to action for health workers


SAVE LIVES: Clean Your Hands 5 May 2017 – Fight antibiotic resistance – it’s in your hands

The WHO’s calls to action are:

  • Health workers: “Clean your hands at the right times and stop the spread of antibiotic resistance.”
  • Hospital Chief Executive Officers and Administrators: “Lead a year-round infection prevention and control programme to protect your patients from resistant infections.”
  • Policy makers: “Stop antibiotic resistance spread by making infection prevention and hand hygiene a national policy priority.”
  • IPC leaders: “Implement WHO’s Core Components for infection prevention, including hand hygiene, to combat antibiotic resistance.”

Every 5 May, WHO urges all health workers and leaders to maintain the profile of hand hygiene action to save patient lives. Being part of the WHO SAVE LIVES: Clean Your Hands campaign means that people can access important information to help in their practice. This year Pr Pittet and three leading surgeons explain why hand hygiene at the right times in surgical care is life saving.

 

 

Le 5 mai de chaque année, l’OMS exhorte tous les travailleurs et responsables de santé à maintenir haut le profil de la promotion des bonnes pratiques d’hygiène des mains afin de sauver la vie de patients. Faire partie de la campagne Pour Sauver des Vies: l’Hygiène des Mains signifie que soignants et collaborateurs de santé peuvent accéder à des informations importantes pour améliorer leurs pratiques. Cette année, le Pr Pittet et trois chirurgiens de renommée internationale expliquent pourquoi l’hygiène des mains au bon moment au cours des soins chirurgicaux sauve des vies.

 

5 Moments for Hand Hygiene

The My 5 Moments for Hand Hygiene approach defines the key moments when health-care workers should perform hand hygiene.

This evidence-based, field-tested, user-centred approach is designed to be easy to learn, logical and applicable in a wide range of settings.

This approach recommends health-care workers to clean their hands

  • before touching a patient,
  • before clean/aseptic procedures,
  • after body fluid exposure/risk,
  • after touching a patient, and
  • after touching patient surroundings.

 

 

 

 

 

 

For further Information on WHO My 5 Moments for Hand
Hygiene visit:
To download hand hygiene reminder tools for the workplace visit:
To access WHO hand hygiene improvement tools and resources for use
all year round visit:
To see the latest number of hospitals and health care facilities which
have signed up to support the campaign visit:

 

UV-C Disinfecting Takes Its Place At Thompson Hospital and the M.M. Ewing Continuing Care Center in New York State

 

UV Disinfecting

Accomplished by using  short-wave
ultraviolet-C (UV-C) light as a germicidal to destroy viruses, bacteria and other pathogens that can linger on surfaces and hide in shadows.

One piece of equipmnet can disinfect an average-sized patient room in about 8 minutes and is deployed after a room is sanitized with standard techniques and cleaning products.

In  Canandaigua, New York  a nearly 6 foot tall and wielding 20 vertical fluorescent bulbs, the R-D Rapid Disinfector robot is a formidable fighter in the war against germs.

This UV disinfecting robot is The R-D Rapid Disinfector — developed by a Rochester, New York  firm, Steriliz LLC, and is manufactured locally.

Thompson Hospital and the M.M. Ewing Continuing Care Center have begun using this automated disinfecting machine throughout the institutions to help reduce the risks of illness and infections for patients, residents, visitors and staff.

The Disinfector uses short-wave ultraviolet-C (UV-C) light as a germicidal to destroy viruses, bacteria and other pathogens that can linger on surfaces and hide in shadows. This machine can disinfect an average-sized patient room in about 8 minutes and is deployed after a room is sanitized with standard techniques. It is remotely controlled by an associate from Environmental Services.

The UV-C light fills the entire room, reaching and disinfecting areas that human hands might miss. No one is allowed inside the room when the lights are working. This no-touch cleaning system gets rid of some of the most dangerous and difficult-to-destroy bacteria, including Clostridium difficile (C. diff). Disinfectants work on the surface of non-living objects by destroying the cell wall of harmful microbes or interfering with their metabolism.

“This technology, added on to normal, regular, manual environmental cleaning, gives me a sense of ease that we are doing all we can to keep our environment clean and our patients safe,” said Thompson Health Director of Infection Prevention Michelle Vignari. “We are just now starting to see published literature supporting that the addition of UV-C technology in hospitals actually does correlate with a reduction of healthcare-acquired infections.”

This state-of-the-art robot monitors the entire disinfection process. Wireless sensors measure, record and report on UV-C light dosages delivered to specific areas in real time. The machine can be paused and repositioned to maximize efficiency, including targeting shadowed areas. The Disinfector shuts off automatically once the sensors indicate that enough UV-C light has been emitted to kill the germs.

“In a day of delivering high-reliability care, I felt very strongly that we needed a technology that we could measure and evaluate its performance,” Vignari said.

Hospital staff like the Disinfector too.

“It is pretty simple to use and seems to be working great,” said Stephanie Fowler of Environmental Services, who activates the robot after a room is cleaned with traditional methods.

The R-D Rapid Disinfector was developed by a Rochester firm, Steriliz LLC, and is manufactured locally. The Disinfector uniquely provides FDA-patented wireless sensors to measure the amount of UV-C light delivered to an area and real-time online data access and reports. Since being tried in four Rochester hospitals in 2011, several hundred of these Disinfectors are now being used in hospitals, care homes, disaster centers and government installations worldwide.

Steriliz is recognized as a world leader in UV-C disinfection.

“Improving the health and safety of patients is a blessed opportunity,” said CEO and President Sam Trapani. “The potential market for the company’s product is large and we are experiencing a high growth curve.”

To read the article in its entirety please click on the link below:

http://www.mpnnow.com/news/20170318/robot-destroys-germs-with-power-of-light