Management of Skin and Soft Tissue Infections in a County Correctional Center: A Quality Improvement Project

2.50
Hdl Handle:
http://hdl.handle.net/10755/308329
Category:
Abstract
Type:
Presentation
Title:
Management of Skin and Soft Tissue Infections in a County Correctional Center: A Quality Improvement Project
Author(s):
Mullen, Lisa A.
Lead Author STTI Affiliation:
N/A
Author Details:
Lisa A. Mullen, MSN, APRN, FNP-BC, lisamullen1988@gmail.com
Abstract:

Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013

Nearly 11,406 people died from methicillin-resistant Staphylococcus aureus (MRSA) infection in the U.S. in 2005. The number of antibiotic resistant infections has continued to grow since the onset of antibiotic resistance dating back to the 1950’s. Additionally, since 1980 the rate of incarceration in the U.S. has increased by 300%. Individuals who enter prison have an increased risk for MRSA infection and colonization and the risk for MRSA infection is proportional to the length of stay. The increased incidence of Skin and Soft Tissue Infections (SSTIs) due to MRSA in correctional facilities in the past several years has caused concern for correctional staff and the communities the inmates return to upon release. Correctional institutions have a vested interest in improving the screening and treatment of MRSA SSTIs as it is a costly and potentially preventable problem.

The purpose of this Quality Improvement project was to examine the current incidence rate of MRSA SSTIs among inmates of the Douglas County Department of Corrections (DCDC) and develop a formal, facility-specific policy for the screening and treatment of MRSA SSTIs based on current best clinical practices and existing guidelines. The sample for the project included current and former inmates of the DCDC who were prescribed Clindamycin and/or Trimethoprim-Sulfamethoxazole on the same date between March and December 2012. Ninety days after the institution of the policy an outcome study was conducted to determine the effectiveness of the newly implemented measures including the rates of resolution of suspected MRSA SSTIs and infection recurrence. A continuous process outcome monitoring program was also instituted to promote sustainability as well as ensure that the most recent guidelines were being implemented. Future research is needed to examine the effectiveness of uniform guidelines and sustainable policies in all correctional facilities.

Keywords:
Best Practices; Policy; Sustainability
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleManagement of Skin and Soft Tissue Infections in a County Correctional Center: A Quality Improvement Projecten_GB
dc.contributor.authorMullen, Lisa A.en_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsLisa A. Mullen, MSN, APRN, FNP-BC, lisamullen1988@gmail.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308329-
dc.description.abstract<p>Poster presented on: Saturday, November 16, 2013, Sunday, November 17, 2013</p>Nearly 11,406 people died from methicillin-resistant Staphylococcus aureus (MRSA) infection in the U.S. in 2005. The number of antibiotic resistant infections has continued to grow since the onset of antibiotic resistance dating back to the 1950’s. Additionally, since 1980 the rate of incarceration in the U.S. has increased by 300%. Individuals who enter prison have an increased risk for MRSA infection and colonization and the risk for MRSA infection is proportional to the length of stay. The increased incidence of Skin and Soft Tissue Infections (SSTIs) due to MRSA in correctional facilities in the past several years has caused concern for correctional staff and the communities the inmates return to upon release. Correctional institutions have a vested interest in improving the screening and treatment of MRSA SSTIs as it is a costly and potentially preventable problem. <p>The purpose of this Quality Improvement project was to examine the current incidence rate of MRSA SSTIs among inmates of the Douglas County Department of Corrections (DCDC) and develop a formal, facility-specific policy for the screening and treatment of MRSA SSTIs based on current best clinical practices and existing guidelines. The sample for the project included current and former inmates of the DCDC who were prescribed Clindamycin and/or Trimethoprim-Sulfamethoxazole on the same date between March and December 2012. Ninety days after the institution of the policy an outcome study was conducted to determine the effectiveness of the newly implemented measures including the rates of resolution of suspected MRSA SSTIs and infection recurrence. A continuous process outcome monitoring program was also instituted to promote sustainability as well as ensure that the most recent guidelines were being implemented. Future research is needed to examine the effectiveness of uniform guidelines and sustainable policies in all correctional facilities.en_GB
dc.subjectBest Practicesen_GB
dc.subjectPolicyen_GB
dc.subjectSustainabilityen_GB
dc.date.available2013-12-19T17:29:54Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:54Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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