Hospital Infection Chain

Healthcare acquired infections (HAI) not only contribute to exorbitant amounts of financial burden on the healthcare system but also attribute to staggering numbers of

Implementation of patient care practices for infection control is the role of the nursing staff. Nurses are responsible for maintaining hygiene, consistent with hospital policies and good nursing practice on the ward and monitoring aseptic techniques, including hand-washing and use of isolation. It is also in their scope of practice to promptly report to the attending physician any evidence of infection in patients under the nurse’s care and initiating patient isolation and ordering culture specimens from any patient showing signs of a communicable disease, when the physician is not immediately available. Limiting patient exposure to infections from visitors, hospital staff, other patients, or equipment used for diagnosis or treatment and maintaining

Germs and many other diseases spread primarily through airborne particles, skin to skin contact, and or touching objects such as door handles, hospital buttons, or by sharing patient possessions. Nurses and other health care clinicians are constantly in physical contact with many different patients, who all have varying illness’ and diseases themselves. Many may also carry a

Burke J.P. (2003). Infection control- a problem for patient safety. New England Journal Medicine, 348(7):651-656.

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) .

Checking in to the hospital comes with a heavy price tag, and sometimes you get more than what you bargained for. As highly trained doctors, nurses, and staff make their way through the hospital, they carry with them microbial agents of disease. Although regarded as centers for treatment and prevention, hospitals are also known to harbor nosocomial, healthcare-associated, bacterial infections. These infections can be a result of overused or inappropriately used antibiotics and the breaching of infection containment policies by patients and staff. Though health-care-associated infections have been decreasing, one infection inciting nosocomial bacterial, Clostridium difficile has been rampant. It is important that inefficiencies in health-care be met with stringent efforts for prevention as they may lead to distressing financial, emotional, and medical repercussions.

Infection control and prevention extends beyond treating the patient. It encompasses all who work and visit the facility including medical staff, administrative staff, volunteers, vendors, and

Patients have varying susceptibility to develop an infection after exposure to a pathogenic organism. Some people have innate protective mechanisms and will never develop symptomatic disease and others exposed to the same microorganism may establish a commensal relationship and retain the organisms as an asymptomatic carrier (colonization) or develop an active disease process. Intrinsic risk factors predispose patients to HAIs. The higher likelihood of infection is reflected in vulnerable patients who are immunocompromised, underlying diseases, severity of illness, immunosuppressive medications, or medical/surgical treatments (Bauman, 2011). Extrinsic risk factors include surgical or other invasive procedures, diagnostic or therapeutic interventions (e.g., invasive devices, implanted foreign bodies, organ transplantations, immunosuppressive medications), and personnel exposures. In addition to providing a portal of entry for microbial colonization or infection, they also facilitate transfer of pathogens from one part of the patient’s body to another, from health care worker to patient, or from patient to health care

Weston, D., & Ebrary. (2008). Infection prevention and control: Theory and clinical practice for healthcare professionals. Hoboken, NJ;Chichester, England;: John Wiley & Sons.

The hospital is compliant with infection control protocol according to the CDC standard guidelines. “Hand hygiene, contact precautions, as well as cleaning and disinfecting patient care equipment and the patient’s environment are essential strategies for preventing the spread of health care–associated infections. Hand hygiene is addressed in NPSG.07.01.01. Contact precautions for patients with

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.

Hospital acquired infections (HAI) are never good. Moreover, according to the Centers for Disease Control and Prevention, one in 25 patients will develop an infection which was procured during their stay in a hospital (Centers for Disease Control and Prevention, 2015). Twenty percent of these HAI are due to staphylococcus aureus, better known as simply Staph (Statisticbrain.com, 2015).

Being immune compromised, or immunosuppressed, these patients are at risk of acquiring further infections in the hospital environment. Such hospital acquired infections are called nosocomial infections. The greater need for medical attention of a patient, the higher the risk of acquiring a nosocomial infection. Some pathogens which cause infection use the opportunity of an immune compromised patient, to grow and reproduce where in normal circumstances it could not do this. In diagnostic medical sonography, the sonographer is very close to the patient physically which provides a gateway for infection to spread from the sonographer to the patient and vice versa. It is thus important not to go to work sick for the patient and their own health. The hospital is home to many pathogens due to the amount of patients suffering from infection, and because these patients are immunosuppressed, healthcare workers need to be vigilant about controlling the spread of infection to provide quality care to the

The priority nursing diagnosis of hospital acquired infection is risk for any kind of infection. One of the main goals for each patient in the hospital is the patient will remain free of infection as evidence by absence of heat, pain, redness, or swelling in any area of the patient’s body during each nurse’s shift. (care plan book). Frequently hand washing is the best intervention for preventing infection. Hand washing reduces the risk of transmission of pathogens by inhibiting the growth of or killing the microorganisms. (cb)Proper sterile technique during urinary