Nosocomial Infections


Nosocomial infections, otherwise known as HAI's are those which a person did not enter the health care system with, but acquire within the hospital or a health care setting.



Also referred to as health care associated (acquired) infections,they are costly in many ways and every health care facility, every health care worker must do their part in prevention.


Causes of nosocomial infections

  • cross contamination
  • inadequate sterilization
  • Poor hand and equipment hygiene of health care workers

  • These may seem obvious, and so prevention should also be obvious. Why then do these infections continue to plague our patients?


    Types of infection

    MRSA
    Methicillin-resistant Staphylococcus aureus (also known as staph)antibiotic resistant bacterial infection



    Clostridium difficile
    also known as c. diff
    a bacterium causing diarrhea, colitis or even life threatening inflammation of the colon



    VRE (Vancomycin-resistant enterococcus)



    Ventilator-Associated Pneumonia (VAP)
    Includes pediatric, medical and trauma ICU's



    Surgical site infections
    Due to cross contamination, instrument contamination, contamination by skin flora (poor aseptic and sterile technique)



    Central-line associated bloodstream infections



    Catheter-associated urinary tract infections


    Let's not forget the many other viruses and bacteria that can be floating about in any health care setting at any moment in time

  • HIV/AIDS
  • SARS
  • Norovirus
  • Rubella
  • Hepatitis
  • ...and many more.


    The costs?

    Keeping the patient in hospital longer
    Increase in the cost of care by thousands of dollars
    Loss of life



    Resources


    Prevention education for nosocomial infections


    www.webmd.com
    www.cdc.gov
    www.mayoclinic.com
    www.nes.scot.nhs.uk




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