Hospital Acquired Infection Research Paper

Improved Essays
Hospital Acquired Infection

Hospital acquired infections (nosocomial infection) are infections that develop within a hospital or are produced by microorganism acquired during hospitalization. HAI’s are common in intensive care units (ICU’s). The incidence and prevalence of nosocomial infection in ICUs is much greater than in the general in-patient population of hospital. The rates and types of hospital acquired infection, the distribution of microorganism that cause the infection and the pattern of antimicrobial resistance vary across geographic regions in different hospitals also in different ICUs of the same hospital. Nosocomial infections affect patient morbidity and mortality. Health care works especially those with poor hand hygiene
…show more content…
aureus), Acinetobacter calcoaceticus-baumannii complex, Pseudomonas aeruginosa, klebsiella pneumonia , Escherichia coli ( E.coli), Enterococcus, Burkholderia, Enterobacter, Proteus, coagulase negative staphylococci ( S.epidermidis, S. saprophytic). Although most of gram–ve bacilli can’t remain in dry surfaces and sensitive to common disinfectant, Acinetobacter calcoaceticus-baumannii complex, Pseudomonas aeruginosa and Klebsiella pneumonia considered as the most common bacterial pathogens of hospital acquired infection.
The most common types of nosocomial infections are pneumonia (ventilator associated pneumonia), bloodstream infection, urinary tract infection and surgical site infection. The ventilator associated pneumonia and bloodstream infections are commonly caused by Acinetobacter calcoaceticus-baumannii complex while urinary tract infection commonly caused by Pseudomonas aeruginosa and surgical site infection commonly due to
…show more content…
diabetes mellitus, malignancy, chronic kidney disease), tracheostomy, pre-ICU antibiotic administration, but they found that prolonged mechanical ventilation, central venous catheter and pre-antibiotic administration are more scientifically associated with ICU-acquired infection. In addition, there are other factors affect the infections rate includes types of ICU, quality of care, severity of illness, poor infection control, patient selection and discharge criteria of the ICU. In general, we can say patients in ICUs are at highest risk for hospital acquired infection because of the invasive medical procedures during their hospitalization.
More than 90% of patients in the ICU received antibiotics. The most common antimicrobial used were β lactam- β lactamase inhibitor, aminoglycoside, fluoroquinolones and carbapenems. Staphylococci were methicillin-resistant (MRSA), Enterococcus strains were vancomycin-resistant, Acinetobacter calcoaceticus-baumannii complex, Pseudomonas aeruginosa and Klebsiella pneumonia were

Related Documents

  • Great Essays

    related to age and co morbidities than the presence of the multiresistant organism per se. So the panel unanimously decided not include HCAP in the HAP/VAP guideline update this year. Use of antibiogram: The guideline also urges that every hospital and ICU has their own antibiogram tailored to their HAP/VAP population if possible. This was based on their evaluation of some observational studies one of them was done with 229 patients at 4 different institutions which showed the variation in pathogens, their frequency and their resistance patterns .Another study found that the resistance pattern found in general hospital antibiogram reflected in the ICU acquired infections as well.…

    • 1393 Words
    • 6 Pages
    Great Essays
  • Decent Essays

    Contamination levels would vary with hospital location, medical rehabilitation ward has higher levels than other wards. Finally, simple hand washing before patient care, without hand antisepsis, is also associated with higher colony counts another important issue for medical personnel is also…

    • 42 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    CAUTI Problem

    • 865 Words
    • 4 Pages

    9). Possible complications of a CAUTI are prolonged hospital stays, unnecessary costs to both the patient and the healthcare organizations and poor health outcomes for patients. In addition to poor health outcomes and unnecessary costs to both patients and healthcare organizations, CAUTI’s place the patient at risk for bacteremia (the presence of bacteria in the blood stream) which can easily result in the patient becoming septic, which can often result in the death of a patient. Therefore, the prevention of CAUTI’s is crucial and significant to patient care.…

    • 865 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    A. (2016), a combination of disinfection protocols are the key to not only decreasing Central Line Associated Bloodstream Infections (CLASBI) but eliminating them. At the Hospital Practice Council the subject of decreasing central line infections throughout the hospital was agreed to be addressed. At present, our hospital wide central lines infection rate is 21%. An analysis of the critical care units central lines and their infection/no infections would be address next meeting. Decreasing central line infections became a unanimous vote during the Hospital Practice council…

    • 2192 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    Gram Staining Lab

    • 801 Words
    • 4 Pages

    It is transferred through contaminated equipment or healthcare providers (“Pseudomonas aeuroginosa in Healthcare Settings” para. 4-5). When infections from the bacteria occur, they can generally be treated with forms of antibiotics. However, there are certain types of this bacteria that have developed a resistance to antibiotics, similar to the ever popular bacteria MRSA (“Pseudomonas aeuroginosa in Healthcare Settings” para. 7-8).…

    • 801 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Mario F Pedero Case Study

    • 1119 Words
    • 4 Pages

    One recent study shows 50% of HIV/AIDS patients had severe sepsis at ICU admission or during the ICU stay. An astounding 90% of nosocomial infections were the source of sepsis and the microbiology of infections was mostly gram-negative rods Serratia marcescens (three) made up 7% (Japiassú…

    • 1119 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Risk of infection Infections have now become of the major cause of degrading health conditions, mostly in the hospitals and clinics. This is because the risk of infection is quite high in these places and the level of exposure is also broader. Being a professional nurse, I am well aware of the possible cause, level of threat and the way of reducing infections. The current discussion will help in identifying the reasons that ignites the risk of infection along with some possible ways and methods by which the level of those risks could be reduced and managed. NANDA International is a professional organization of nurses that helps in defining, categorizing, standardizing and refining various medical and health conditions so as to provide adequate healthcare facility.…

    • 565 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    These illnesses include Pneumonia; bloodstream infections; wound infections; surgical site infections; Meningitis; and urinary tract infections (UTI) (CITE CDC). Bacterial Transmission…

    • 431 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Explanation of a microbiological algorithm for Hospital-acquired and Ventilator associated pneumonia. This algorithm is intended to deal with the microbiological aspects of hospital-acquired and ventilator-associated pneumonia. The severity of the illness is important in determining when to collect the diagnostic samples and which antimicrobials to administer due to which organisms are present. There are many prognostic scoring systems used to suggest the severity of the disease in patients e.g., The Therapeutic Intervention Scoring System and the Mortality Predictor Model.…

    • 1114 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    In the meeting, the author observed that the members of this committee consist of the hospital administrator, hospital microbiologist as the chairperson, infection control nurse (ICN), infectious diseases physician, and the Chief Nursing Officer (CNO). Then, there was an occupational health physician, risk management personnel, quality assurance personnel as well as representatives from other major departments such as pharmacy, central sterilization, surgery, and environmental services. This multidisciplinary committee meets monthly to report to the hospital administrator and is responsible for supervising program policies implementation and propose corrective actions. Furthermore, it sets up standards for patient care, analyzes and evaluates infection control (IC) reports, and determines the area of interventions. However, each member of the committee has a particular role.…

    • 738 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    (2016, April 28). Hand hygiene in healthcare settings. Retrieved October 15, 2016, from Centers for Disease Control and Prevention, http://www.cdc.gov/handhygiene/index.html Cherry, B., Jacob, S. R., RN, S. K. B., & Barbara Cherry DNSc MBA RN NEA-BC (2013). Contemporary nursing: Issues, trends, & management, 6e (6th ed.). Philadelphia, PA, United States: Elsevier Health Sciences.…

    • 1511 Words
    • 7 Pages
    Great Essays
  • Superior Essays

    Critical Care Outcomes and Nurse Work Environment: An Article Critique Meghan B. den Hartog Missouri State University Critical Care Outcomes and Nurse Work Environment: An Article Critique “The Critical Care Work Environment and Nurse-Reported Health Care-Associated Infections” is an article on a retrospective, cross-sectional study. The four authors associated with this article are highly credentialed and work in either a critical care or educational setting or both. The study herein addresses a possible relationship between nurse-perceived critical care work environment and the nurse-perceived incidence of healthcare-associated infections (HAIs).…

    • 843 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    A CLABSI is know as a primary laboratory confirmed infection in the bloodstream, in patients with a central line catheter at the time of (or within 48-hours prior to) the onset of symptoms and the infection is not related to an infection from another site (CDC, n.d.) Of the approximately 249,000 bloodstream infections that occur in hospital each year, 32.2% occur in intensive care units (ICU). Since catheters are more frequently used in intensive care units, and the predictor of developing a CLABSI is the presence of a central line, the epidemiology of CLABSIs has traditionally focused on the critically ill in these setting (Chopra V, Krein SL, Olmsted RN, et al., 2013), and the use of prevention bundles and checklist has been extensively reviewed, but few studies have addressed CLABSI’s in long-term care hospitals. Long-term acute care hospitals (LTACH) treat patients that have chronic critical illnesses and usually arrive with a central-line already in place. Since placement decisions are typically not made at these locations, CLABSI prevention practices are more focused on line maintenance and removal (Grigonis et.…

    • 819 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    As a student nurse I require second development in infection control, so I can contribute to safe practice and decrease the spread of infections in nursing care. Patients in the health care settings have an increased risk of acquiring infections due to nosocomial infections which is also known as health care-associated infection. This infection occurs after admission to a health care facility due to transmission of microorganisms (Potter & Perry, 2014, p. 624). “Clients are becoming more difficult to treat. Health care- associated infections results in significant morbidity, mortality, and cost” (Sydnor & Perl, 2011).…

    • 1169 Words
    • 5 Pages
    Superior Essays
  • Great Essays

    Pseudomonas Research Paper

    • 1104 Words
    • 5 Pages

    Since P.aeruginosa is frequently found in the hospital environment and in the normal stool flora, it is difficult to trace the source of infection and/or colonization unless a complete study is undertaken.(Teplitz et al., 1964). The epidemiology of hospital infections due to Pseudomonas aeruginosa was investigated by pyocin typing. The typing method, which determined the pyocin activity of clinical isolates of P. aeruginosa on 27 indicator strains, was 43.7% reproducible, but elimination of 9 indicator strains doubled the reproducibility and yielded more readable pyocin inhibition zones. Seventy-eight of 1,084 isolates (7.2%) were untypable. In the second part of the study, P. aeruginosa was isolated from 110 patients (5.4% of all admissions) in a 3-month period and typed with the revised method.…

    • 1104 Words
    • 5 Pages
    Great Essays