Gram Negative Bacteria

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Although multiple studies have been conducted to understand the emergence of multidrug resistant gram negative bacteria, the best nursing practice remains a challenge for the healthcare providers. In fact, no single treatment has been found to prevent or eradicate this phenomenon. One preferred practice would be early prevention and control of the spread of gram negative resistant bacteria in cancer wards. The use of chlorhexidine bath was shown to decrease gram positive bacteria colonization, but it was not as effective with gram negatives. In this case, healthcare providers should use chlorhexidine bath in the cancer units only when the patient is going for a surgery or has an indwelling venous catheter.
In one of the research articles, …show more content…
First, the DHSS advises to maintain standard precautions at all times of blood, body fluids, secretions, excretions (except sweat), non-intact skin, and mucous membranes regardless of the presence or suspicion of an infection (2015, p.8). However, major emphasis is placed on hand hygiene and the appropriate use of gloves. In fact, the DHSS affirms that multidrug resistant organisms are mainly from contaminated hands (2015, p.8). Cleaning the high touch surfaces is as well an effective preventive method (DHSS, 2015, p. 13). Secondly, patients with multidrug resistant bacteria should be assigned with patients with the same multidrug resistant organism or patients with intact skin and patients with no invasive or drainage devices (DHSS, 2015, p. 10). In the contrary, healthcare providers should never cohort patients with multidrug resistant bacteria with neutropenic patients or patients with different multidrug resistant bacteria (DHSS, 2015, p.10). Finally, it is important to implementing contact precautions (gloves and gown) when working with patients with multidrug resistant organisms to avoid contamination (DHSS, 2015, p.13). Each patient in contact isolation must have a set of patient care equipment in his/her room. The staff members must adequately clean the equipment prior to removing it from the room using the hospital’s standard disinfectant (DHSS, 2015, p.
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