Infection prevention and control is an enormous challenge within the hospital environment, but with the changing face of the NHS meaning that more complex care is being provided in the community and within patients' homes, the goal of zero tolerance of preventable healthcare-associated infections (HCAIs) is even more of a challenge. So-called 'super-bugs' put a tremendous strain on NHS resources, as well as compromising patients' recovery, quality of life and wellbeing, and are increasingly being seen in the community. This article looks at the provision of infection control in the community and how nurses need to organise services that involve patients in their own care. It also investigates the use of a range of infection control products, including a wash cap (octenisan® wash cap [schülke]), specifically designed for use in immobile patients.
Lynfa Edwards gives a brief overview of the use of silver and iodine to reduce bacteria in wounds.
Lynfa M. Edwards, MSc, RGN, NDN, Cert Ed, is a Senior Lecturer/Practitioner, Centre for Research and Implementation of Clinical Practice, Wolfson Institute of Health Sciences, Thames Valley University, London.
Article accepted for publication February 2001.