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Nosocomial Infection

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Nosocomial Infection
NOSOCOMIAL INFECTION

Infection control measure, nowadays, are widely implemented in every healthcare facility in the country due to the relationship between the patient’s safety and nosocomial infection. As these facilities are responsible for ensuring the health and well being of individuals, it is essential to effectively control the spread of infection, most especially those that can be acquired within the hospital setting. Nosocomial infections are infections that are acquired in the hospital or acute care setting in relation to the original condition of the patient. Infections are said to be hospital-acquired if they surface within 48 hours after admission to the hospital unit or within 30 days after the patient has been discharged home. These infections are the most common complications experienced by patients admitted to the hospital, with about 10% of hospitalized patients acquiring some form of nosocomial infection. There are several types of nosocomial infections such as ventilator associated pneumonia, urinary tract infection, bloodstream infection and surgical site infection. As modern medical practice becomes more advanced, the use of intravascular catheters have become a generic in the field and especially common in the Intensive Care Units where patients are critically ill (Lorente et al 2005). These catheters serve as a means of access to administer high alert medications that need to be given via a large vein, for administering parenteral alimentation and may also serve as a tool to measure the central venous pressure (Byrnes & Coopersmith 2007) Blood stream infections resulting from a central venous access is not a common form of nosocomial infection although this type of infection is the most highly preventable among the different types of nosocomial infections. As with any other type of infection, central venous catheter infections are associated with increased costs and expenditure in health care as patients acquiring this



References: Byrnes, M & Coopersmith, C. (2007). Prevention of catheter-related blood stream infection. Curr Opin Crit Car; 13:411–415. Chaiyakunapruk N. et al. (2002). Chlorhexidine compared with povidone-iodine solution for vascular catheter-site care: A meta-analysis. Ann Intern Med;136:792-801. Goetz, A.M et al (1998). Risk of infection due to central venous catheters: Effect of site of placement and catheter type. Infect Control Hosp Epidemiol;19:842-5. Lorente, L. et al (2005). Central venous catheter-related infection in a prospective and observational study of 2,595 catheters. Critical Care; 9:R631-R635 O 'Grady, N.P et al. (2002). Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. MMWR Recomm Rep; 51(RR-10):1-29. Robert J. et al (2007). The influence of the composition of the nursing staff on primary bloodstream infection rates in a surgical intensive care unit. Infect Control Hosp Epidemiol; 21:12-7 Timsit, J.F. (2003). What is the best site for central venous catheter insertion in critically ill patients? Critical Care; 7:397-399

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