Dr. Muller Interview Notes
What are the common infections they deal with 95% of the time in the hospital due to?
- Infections that can occur to any patient in the hospital, not only caused by spread of
infection, but also due to damage of the host (damage either related to the illness or
related the procedure they just underwent) ex. urinary tract infection due to a urinary
catheter (tube to collect released bladder fluids), pneumonia due to use of respiratory
Does Dr. Muller promote treating every new patient differently or the same? Why?
- To prevent infection control we need to treat every patient the same. You can’t always
tell who might have an infectious organism either harmful to them or non-harmful to
them but harmful to others. Ex. Perform hand hygiene whenever you contact a patient
(both before and after), designing of patient rooms to have just one patient per room. Of
course, specific situations require additional strategies required
Who is screened as being high risk for infection with pathogens that St. Michael’s Hospital is
trying to control?
- Anybody who has recently been hospitalized in another hospital either in the city or in
another country. Basically you take note of patient’s travel history and any presenting
symptoms so that you can decide what to rule out on what they may have that would have
come from elsewhere.
How are incoming patients screened for MRSA?
- Get a nasal swab of both nostrils and a perianal specimen – takes about several days to
get a result (positive results come in earlier and negative takes longer to rule out). Isolate
patient in the meantime before result gets back.
How many outbreaks per year?
- 2-3 cases of specific infections in a specific ward within a month. It is usually
unpredictable. Dr. Muller considers an outbreak an unusual increase in cases. What was the probable source of conjunctivitis?
- A change in equipment in the cleaning process that might have changed how things were
What design changes are being impleme