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Old 03-14-2009, 01:55 PM
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Default Patients' Bath Basins as Potential Sources of Infection

Background: Nosocomial infections are a marked burden on the US health care system and are linked to a high number of patient deaths.
Objective: To identify and quantify bacteria in patients' bath basins and evaluate the basins as a possible reservoir for bacterial colonization and a risk factor for subsequent hospital acquired infection.
Methods: In a prospective study at 3 acute care hospitals, 92 bath basins, including basins from 3 intensive care units, were evaluated. Sterile culture sponges were used to obtain samples from the basins. The culture sponges were sent to an outside laboratory, and qualitative and quantitative microbial tests were conducted and the results reported.
Results: Some form of bacteria grew in 98% of the samples (90 sponges), either by plating or on enrichment (95% confidence interval, 92%-99.7%). The organisms with the highest positive rates of growth on enrichment were enterococci (54%), gram-negative organisms (32%), Staphylococcus aureus (23%),vancomycin-resistant enterococci (13%), methicillin-resistant S aureus (8%), Pseudomonas aeruginosa (5%), Candida albicans(3%), and Escherichia coli (2%). Mean plate counts, in colonyforming units, were 10 187 for gram-negative organisms, 99 for E coli, 30 for P aeruginosa, 86 for S aureus, 207 for enterococci, and 31 for vancomycin-resistant enterococci.
Conclusions: Bath basins are a reservoir for bacteria and maybe a source of transmission of hospital-acquired infections. Increased awareness of bath basins as a possible source of transmission of hospital-acquired infections is needed, particularly for high-risk patients. (American Journal of Critical Care.2009;18:31-40)

http://www.medscape.com/viewarticle/586213_print
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Old 03-14-2009, 04:28 PM
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wow now thats scaryth_1204AE110
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Old 03-14-2009, 05:26 PM
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Ewww - that's gross! I usually wash mine out -

Perhaps that's why hospitals are going to those bath cloths... infection control.
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Old 03-14-2009, 07:20 PM
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Don't you use them once and send them back to the sterilising dept?
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Old 03-14-2009, 07:36 PM
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The ones we use are plastic... I expect that would destroy them.
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Old 03-14-2009, 07:38 PM
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Jay, we have plastic bath pans that are used over each day, by the same pt of course. But still reading this ewwwh!

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Old 03-14-2009, 08:18 PM
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We use them at the VA but at the hospital they did away with them in favor of disposable washcloths and antibacterial soap. When I am giving a bath, I dump the water at least 3 times per bath. When I'm finished I not only rinse it out, but wash it out again and dry it with a towel.

But then, I'm Anal....
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Old 03-14-2009, 09:44 PM
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I did that, too. Everybody else thought I was nuts.
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Old 03-15-2009, 01:23 PM
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I see a new hospital policy coming out of this .... But, hey, if it helps stop the spread, I'd be for a change, as long as it makes sense. We used the packaged cloths in one hospital but had to stop because patients' families were flushing them and clogging the plumbing. In another hospital, a patient survey showed they preferred the old-fashioned bed bath with water and wash cloths.



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Old 03-15-2009, 01:46 PM
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Ewww! I tossed them after each use. The plastic ones that is. I figured if they are already immune compromised they should have a clean and new basin each day. Now I did rinse out and dry after each use and used the same one each day for morning and night. Of course we are all taught to change the water at least once during each bath.( at least that was taught at the hospital I used to work for )
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