Bold Voices - December 2017 - 9

AT THE BEDSIDE

Disinfectant
Use Associated
With COPD in
Nurses
The findings cannot show
a causal relationship, only
an association between
some disinfectants and
COPD development.

W

eekly use of disinfectants is
associated with an increase
in chronic obstructive
pulmonary disease (COPD) in nurses.
Study results, which were adjusted
for factors that might affect the
outcome, such as smoking, age,

body mass index and ethnicity, were
presented at the European Respiratory
Society (ERS) International Congress
in Italy. "Certain tasks involving
frequent exposure to disinfectants,
such as cleaning surfaces, and specific
chemicals in disinfectants, were associated with a 22% to 32% increased
risk of developing COPD," explains
"Nurses Regular Use of Disinfectants Is
Associated With Developing COPD,"
an ERS news release. About 37 percent
of nurses in the study report weekly
use of disinfectants to clean surfaces.
Data were examined for 55,185
employed female RNs (mean age 54)
in the Nurses' Health Study II who
had no history of COPD in 2009.
Exposure to disinfectants was evaluated with a questionnaire and a
matrix that distinguishes exposure by
job or task. The nurses were followed
for about eight years, and during that
time 663 were diagnosed with COPD.
Nurses who cleaned surfaces
with disinfectants at least once a

week had a 22 percent higher risk
of COPD, with weekly cleaning of
instruments showing a statistically
insignificant effect. The observational
study also looked at the effect of
specific disinfectants such as glutaraldehyde, bleach, hydrogen peroxide,
alcohol and quaternary ammonium
compounds. "All of these were associated with an increased risk of COPD
of between 24% to 32%," the release
adds.
"We do tell people who work with
these chemicals to use them properly
and particularly not to mix them, but
you can't completely eliminate their
use because there is a need to keep
things clean with these agents," says
ERS president-elect Mina Gaga in a
related article in MedPage Today.
The release adds that the findings
are preliminary, and more research
needs to be done. In addition, some of
these disinfectants are used in homes,
so that setting needs to be studied.

The Joint Commission Revises NPSG 7 Requirements
The changes are based
on 2014 updates to
'Compendium of
Strategies to Prevent
Healthcare-Associated
Infections in Acute
Care Hospitals.'

T

he Joint Commission announces revisions in National Patient Safety Goal (NPSG) 7,
which will take effect Jan. 1, 2018.
As noted in "Changes for National Patient Safety Goal 7 on Health Care-Associated
Infections," on www.jointcommission.org, the changes are based on 2014 updates to
"Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care
Hospitals."
Revisions include the following for hospitals and critical access hospitals:
* NPSG.07.03.01 (multidrug-resistant organisms - MDROs) now includes carbapenem-resistant enterobacteriaceae.
- Element of performance (EP) 2 was revised to let organizations choose the appropriate
time frame for educating staff and licensed independent practitioners. "Currently, the
NPSG requires annual education on MDROs and prevention strategies," the notice
adds.

* NPSG.07.04.01 (central line-associated bloodstream infections), similar to the change above, lets organizations
determine the best time frame to educate staff and licensed independent practitioners.
- EP 11, which covers the use of an antiseptic for skin preparation, now specifies the use of chlorhexidine.
- Some of the EPs were reordered.
- In addition, while an EP was considered to address "the use of ultrasound guidance for jugular central
venous catheter insertion, that requirement was not included in the revisions based on feasibility concerns
from the field and an evaluation of the scientific literature."
Email Maureen Carr (mcarr@jointcommission.org), Joint Commission project director, if you have any questions
on these modifications.

AACN BOLD VOICES DECEMBER 2017

9


http://www.erscongress.org/component/content/article/121-congress-2017/media-centre/press-releases/530-dumas-copd-disinfectants.html http://www.erscongress.org/component/content/article/121-congress-2017/media-centre/press-releases/530-dumas-copd-disinfectants.html https://www.medpagetoday.com/mastery-of-medicine/pulmonology-mastery-in-copd/67810 https://www.jointcommission.org/changes_npsg_7_health_care%e2%80%93associated_infections/ https://www.jointcommission.org/changes_npsg_7_health_care%e2%80%93associated_infections/ http://www.jointcommission.org

Table of Contents for the Digital Edition of Bold Voices - December 2017

Another Angle
Pres Note Front Teaser
Masthead
AACN Updates Scope and Standards for Acute Care Nurse Practitioners
NTI 2018: Make Your Case for Attending and Register by December
Certification Holiday Reflections
Certified Nurses Day 2018
The Spirit of Giving: One Certified Nurse’s Contributions
Improving Joy in Work
Invest in Yourself With an AACN Scholarship
Disinfectant Use Associated With COPD in Nurses
The Joint Commission Revises NPSG 7 Requirements
Guidelines: Noninvasive Ventilation for Acute Respiratory Failure
High-Risk Vascular Surgeries and Postoperative Myocardial Infarction
FDA Clears MRI System for Premature Babies
New Assay Can Distinguish Bacterial From Viral Infections
Missions of Mercy
How Hospitals Can Save Without Sacrificing Care
DNA Cancer Screening Shows Potential
Smartphone App May Help Screen for Pancreatic Cancer
Cardiologist-Intensivist Model Improves Outcomes
Social Media: Legal and Ethical Issues
Unused Opioids May Pose Health Hazard
AACN’s Facebook Community Weighs In
Conscientious ‘Nudges’ Can Help Patients and Families
Helping ICU Patients With Spiritual Needs
In Our Journals
Transitions
President’s Note
Bold Voices - December 2017 - Cover1
Bold Voices - December 2017 - Cover2
Bold Voices - December 2017 - Pres Note Front Teaser
Bold Voices - December 2017 - Masthead
Bold Voices - December 2017 - NTI 2018: Make Your Case for Attending and Register by December
Bold Voices - December 2017 - Certified Nurses Day 2018
Bold Voices - December 2017 - The Spirit of Giving: One Certified Nurse’s Contributions
Bold Voices - December 2017 - Invest in Yourself With an AACN Scholarship
Bold Voices - December 2017 - The Joint Commission Revises NPSG 7 Requirements
Bold Voices - December 2017 - High-Risk Vascular Surgeries and Postoperative Myocardial Infarction
Bold Voices - December 2017 - New Assay Can Distinguish Bacterial From Viral Infections
Bold Voices - December 2017 - 12
Bold Voices - December 2017 - 13
Bold Voices - December 2017 - How Hospitals Can Save Without Sacrificing Care
Bold Voices - December 2017 - Smartphone App May Help Screen for Pancreatic Cancer
Bold Voices - December 2017 - Social Media: Legal and Ethical Issues
Bold Voices - December 2017 - Unused Opioids May Pose Health Hazard
Bold Voices - December 2017 - 18
Bold Voices - December 2017 - 19
Bold Voices - December 2017 - Transitions
Bold Voices - December 2017 - 21
Bold Voices - December 2017 - President’s Note
Bold Voices - December 2017 - Cover3
Bold Voices - December 2017 - Cover4
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