Hospital Acquired Infections ( Hai ) Are Never Good

Some germs that commonly live on the skin and in the nose are called staphylococcus or "staph" bacteria. Usually staph bacteria don't cause any harm. However, sometimes they get inside the body through a break in the skin and cause an infection. These infections are usually treated with antibiotics. When common antibiotics don't kill the staph bacteria, it means the bacteria have become resistant to those antibiotics. This type of staph is called MRSA (Methicillin-Resistant Staphylococcus Aureus).

Staphylococcus aureus is the leading cause of skin and soft tissue infections, it can cause serious infections such as bloodstream infection, pneumonia or bone infections. Though it can cause infections it is part of the normal human flora it is mostly found on the skin or in nasal cavities. It is a facultative anaerobic gram positive cocci, it is usually in pairs or clusters. The bacterium is also catalase positive, oxidase

Methicillin-resistant Staphylococcus aureus, or more commonly, MRSA can be transmitted in two separate ways, therefore giving it two different names. One way it is spread is by way of hospitals, giving it the name health care-associated MRSA (HA-MRSA). Another way it is spread is through busy areas with a lot of crowding, therefore naming it community-associated MRSA (CA-MRSA). MRSA is considered an emerging disease because the prevalence of the disease has increased over the past few decades.

The Staphylococcus aureus bacteria belongs to the Staphylococcaceae family. It is small, round shaped, and non-motile. Staphylococcus aureus stains gram positive and can often be found in small clusters (Mandal, 2010). It often forms chains and is a large contributor of soft tissue infections. It is of a yellow color, hence the name ?aureus? which comes from the Latin term ?aurum? for gold (Orenstein, n.d.). Staphylococcus aureus is found in a few spots on the human body, such as the nasal passage, the skin, the oral cavity, and even the gastrointestinal tract. Staphylococci and Streptococci are two different strands of the bacteria and are very hard to distinguish from one another. In order to tell the difference between them, without a microscope, a catalase test needs to be performed. The test is undergone by adding 3% hydrogen peroxide to both samples. Since Staphylococci are catalase positive, meaning they produce catalase, they will produce O? while the Streptococci will not because Streptococci are catalase negative (Todar, n.d.).

Methicillin Staphylococcus aureus is defined as strains of bacteria that are resistant to beta-lactam agents, including the synthetic penicillins (eg, methicillin, oxacillin) and the cephalosporins. MRSA can resist the effects of many common antibiotics, so it is difficult to treat. If the infection spreads to the blood stream and becomes systemic may increases risk for life threatening complications. First sign of MRSA are small red bumps that resemble pimples, boils or spider bites. Next they may mature into deep and painful abscesses that require surgical draining. If the bacteria is not confined to the skin and infect the blood stream, causing potentially fatal infections in bones, joints, surgical wounds, the bloodstream, heart valves and lungs.

Staphylococcus aureus is a gram positive bacterium. It is accountable for numerous conditions when it crosses the threshold into the human body. The bacterium may also be referred to as a ‘Staph infection’. There are more than 28 different types of staphylococcus aureus that are responsible for cellulitis, blood poisoning, and various others. Methicillin resistant Staphylococcus aureus is also a type of staphylococcus aureus. Staph infections are curable with different antibiotics.

Healthcare is an ever-growing, booming industry and as medical technology advances so should our standards of care. Once known as hospital acquired “nosocomial” infections, Healthcare Associated Infections (HAIs) are still afflicting the very patients we are to be treating. These patients could be our loved ones, friends, and family so to say that, “1 in 25 hospital patients have at least one HAI in a U.S. acute care hospital” (CDC, 2015), is still one too many.

Hospital acquired infections (HAI) will begin to display signs and symptoms within 48 hours. In order to treat the infections, physicians need to diagnostic tools quickly. The manufacturer of new diagnostic test makers, Kalorama Information stated last year that the world demand for testing and treatment of HAI will be over 10 billion dollars by the year 2015, increasing from 9 billion dollars in 2010. Kalorama also stated that HAI has a 5% infection rate of 40 million hospital visits a year, causing 100,000 deaths in the U.S. annually (Kalorama Information, July 14, 2011). Early diagnosis will improve the patient's outcome and decrease the chance of death. According to Kalorama, 20-30% of the HAI can be prevented by the simple use of better hand washing and cross contamination avoidance although the others need more intensive changes such as hospital ventilation systems and using more disposable supplies (Kalorama Information, p. 113) .

The occurrence and undesirable complications from hospital acquired infections (HAIs) have been well recognized for the last several decades. The occurrence of HAIs continues to escalate at an alarming rate. HAIs originally referred to those infections associated with admission in an acute-care hospital (formerly called a nosocomial infection). These unanticipated infections develop during the course of health care treatment and result in significant patient illnesses and deaths (morbidity and mortality); prolong the duration of hospital stays; and necessitate additional diagnostic and therapeutic

Hospital-acquired infections (HAIs), specifically those involving multi-drug resistant organisms such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) are associated with increased morbidity and mortality, as well as higher cost of healthcare and longer length of hospital stays for patients. Each year, millions of people acquire infections while receiving care, treatment, and services in hospitals and other health care organizations.

Healthcare-associated infections (HAIs) are infections patients can acquire in a healthcare facility while being given medical care. The Centers for Disease Control and Prevention’s (CDC) website notes six major sites of infection that patients are at risk of acquiring while receiving care in acute care hospitals in the United States: pneumonia, gastrointestinal illness, urinary tract infections, primary bloodstream infections, surgical site infections from any inpatient surgery, and other types of infections. Their website recounts that as early as 1847 evidence is documented of persons acquiring infections while receiving care in a hospital. The website for the U.S. Department of Health and Human Service’s Agency for Healthcare Research

Hospital acquired infection is also known as nosocomial infections, which can be caused by viruses, bacteria or fungal pathogen. It is an infection that a patient can acquire while they are in hospital or another health care facility for a reason other than the infection. So most of the time, when a patient get nosocomial infection, Centers for Medicare and Medicaid Services (CMS) does not cover that treatment, and it will be the hospital charge, because the infection is caused by a poor conditions at the hospital or the health care facility, or perhaps because hospital staff did not following proper procedures. One infection that a patient can develop in hospital or health care facility is kin ulcer, which is also known as skin pressure injury.

After microorganisms enter the patient’s body they can go to the lungs and cause pneumonia. Central line-bloodstream infections occur when microorganism enter the bloodstream by the intravenous line. Microorganisms are transfer into the blood stream by inadequate hand hygiene or improper intravenous fluid, tubing, and site care practice. Multidrug-resistant organisms can cause infections of the blood, skin, or organ systems. These infections can arise due to the overuse or misuse of antibiotics, which can result in the microorganisms becoming more resistant to antibiotic therapy. Methicillin-resistant Staphyloccocus aureus and Clostridium difficile are examples of this kind of infection. Health care employees need to know the different types of hospital acquired infections and how they are spread to be able to effectively prevent them.

Studies shows that, HAP causes 15% of hospital acquired infection. And it is the main cause of nosocomial death (Schleder 2004). This high death rate is not what the hospital bargain for. Hospitals are equipped with improved equipment’s and qualified medical personnel. Patient are still dying of acquired infection from the

The release of two exotoxins from certain strains of S. aureus can lead to Staphylococcal scaled skin syndrome (SSSS), which is characterized by blistering skin. Invasion into the body can lead to more serious health problems including pneumonia (a frequent complication of influenza), mastitis, phlebitis (inflammation of the veins), meningitis, and urinary tract infections. If the bacterium is allowed to colonize even deeper tissues more serious conditions such as osteomyelitis and endocarditis may result. The most serious consequences of these deeper tissue infections occur when the bacterium invades the bloodstream leading to septic shock and possibly death.