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Health Care Associated Infections and Infection Control. Resources. Lecture – nosocomial infections Lots of stuff about bacteria Infection control in health care facilities – chapter 13 Long Really quite good
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Resources • Lecture – nosocomial infections • Lots of stuff about bacteria • Infection control in health care facilities – chapter 13 • Long • Really quite good • Australian Guidelines for the Prevention and Control of Infection in Healthcare • I read the executive summary which is still really long. • Really terribly boring. I can’t imagine an exam question really related to the stuff in this document. • Summary on blackboard • Along with the lecture probably sufficient
Terminology • Health Care Associated Infections – HCAIs • Hospital Acquired Infections – HAIs • Throughout history drastic decreases in mortality and morbidity have been made through advances in hygiene. • There still an awful lot of work to do.
It is quite a problem. • HAIs are the most common hospital complication. • Costs and issues: • Morbidity and mortality • Increase in hospital stay • Cost of antimicrobial therapy • Reduced productivity • Insurance claims • Additional reservoir for the infection
Statistics • 200,000 HAIs leading to 7000 deaths (2003). • $268 million per year for surgical site infection (2003). • $686 million per year for blood stream infections (2003). • 2 million bed days per anum (2003). • You’ll notice these are widely different to those in the summary. We’ve improved. • Most common HAIs • UTIs, surgical wounds, lower respiratory tract, skin, blood
Causes • What bacteria have been responsible for HAIs have changed over the years. • Many infections are now due to resistant bacteria. • MRSA, VREF, ESBL, CDAD, VRSA, VISA etc • Viruses – norovirus, rotavirus, cytomegalovirus, herpes simplex, RSV • Fungi – candida, aspergillusfunigaus