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 contaminationinadequate sterilizationPoor 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/AIDSSARSNorovirusRubellaHepatitis...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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