Hospital acquired infections are infections that patients acquire during their hospital stay that were not present upon admission. They can arise from various sources including other patients, healthcare workers, contaminated equipment or environment. Common infections include surgical site infections, urinary tract infections and pneumonia. Universal precautions like hand hygiene, use of personal protective equipment, safe handling of sharps and waste and cleaning and disinfection of equipment are important measures to prevent the spread of hospital acquired infections.
Hospital acquired infections: The different common sources of infection, their routes of spread and the growing antimicrobial resistance. Also includes a discussion on hospital Infection prevention and control guidelines and the universal and standard precautions.
Hospital acquired infections: The different common sources of infection, their routes of spread and the growing antimicrobial resistance. Also includes a discussion on hospital Infection prevention and control guidelines and the universal and standard precautions.
Hospital-acquired infections are caused by viral, bacterial, and fungal pathogens; the most common types are bloodstream infection (BSI), pneumonia (eg, ventilator-associated pneumonia [VAP]), urinary tract infection (UTI), and surgical site infection (SSI).
An infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. This includes infection acquired in hospital but appearing after discharge, and also occupational infection among staff of the facility.
HAI are a significant cause of increased morbidity and mortality in hospitalized patients. In addition, HAI lead to prolonged hospital stay, are inconvenient for the patients, and constitute huge economic burden on health care system. Studies have shown that HAI prevalence varies from 3.8% to 19.6% depending on the population surveyed with a pooled global prevalence of 10.1%.
updated guidelines of hospital infection control, as mentioned in the ppt. its not all the guidelines but yes a brief overview and for further details refer to hospital infection control guidelines pdf.which is available in my uploads.
A short brief on 'Hospital Acquired Infections' (HAI) or 'Nosocomial Infection' (NI) for M Phil, MPH and Advance Course in Hospital Management/ Administration
Hospital Acquired Infections/Health care associated infections/Nosocomial infection .
More useful for MBBS ,PG (MD/MS) Students to get a brief idea about HAI.
Hospital infection control programs can help healthcare organizations monitor and improve practices, identify risks and proactively establish policies to prevent the spread of infections
Hospital-acquired infections are caused by viral, bacterial, and fungal pathogens; the most common types are bloodstream infection (BSI), pneumonia (eg, ventilator-associated pneumonia [VAP]), urinary tract infection (UTI), and surgical site infection (SSI).
An infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. This includes infection acquired in hospital but appearing after discharge, and also occupational infection among staff of the facility.
HAI are a significant cause of increased morbidity and mortality in hospitalized patients. In addition, HAI lead to prolonged hospital stay, are inconvenient for the patients, and constitute huge economic burden on health care system. Studies have shown that HAI prevalence varies from 3.8% to 19.6% depending on the population surveyed with a pooled global prevalence of 10.1%.
updated guidelines of hospital infection control, as mentioned in the ppt. its not all the guidelines but yes a brief overview and for further details refer to hospital infection control guidelines pdf.which is available in my uploads.
A short brief on 'Hospital Acquired Infections' (HAI) or 'Nosocomial Infection' (NI) for M Phil, MPH and Advance Course in Hospital Management/ Administration
Hospital Acquired Infections/Health care associated infections/Nosocomial infection .
More useful for MBBS ,PG (MD/MS) Students to get a brief idea about HAI.
Hospital infection control programs can help healthcare organizations monitor and improve practices, identify risks and proactively establish policies to prevent the spread of infections
Over 1.4 million people each year worldwide suffer from hospital acquired infections. We can follow simple steps and protocols to prevent many of these cases.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
2. WHAT IS HAI ?
• Hospital acquired infection(HAI) is are infections acquired during hospital care
which are not present at admission.
• Infections occurring more than 48 hours after admission are usually
considered nosocomial.
3. DEFINITION
• A hospital acquired infection also known as nosocomial
infection, is an infection that is acquired during hospital care
which are not present at the time of admission.
4. HAI- BURDEN
• HAI occur worldwide and affect both developed and resource-poor countries.
• Over 1.4 million people worldwide suffer from such infections
• Most frequent of these are-
Infections of surgical wounds
Urinary tract infections
Lower respiratory tract infections
5. WHY DO PATIENT IN HOSPITAL
ACQUIRED INFECTION ?
• Patients with infectious disease are frequently admitted to hospital.
• Some of these patients are able to spread their organisms to other patients
and they provide one source of infection in hospital patients admitted for other
causes
6. WHY DO PATIENT IN HOSPITAL
ACQUIRED INFECTION ?
• When such patients require admission to hospital, the risk has to be assessed
for other patients.
• Appropriate measures have to be taken to contain the infection with isolation
procedures of varying degrees of strictness depending on the infection.
7. WHY DO PATIENT IN HOSPITAL
ACQUIRED INFECTION ?
• The commonest forms of HAI are due to invasive procedures carried out on
patients such as :
Surgical operations
Intravenous therapy
Intubation
catheterization
12. • Immunodeficiency of varying degrees is seen in many of the patients admitted
to hospital. These include :
Patients at the extremes of age
Patients with diabetes
Receiving immunosuppressive drugs
Patients with cancer, in particular those undergoing chemotherapy
• These patients are prone to infection with bacteria which have little threat for
healthy persons.
WHY DO PATIENTS IN HOSPITAL
ACQUIRE INFECTION?
13. CHAIN OF INFECTION
• There are six
elements in
the cycle of
infection, and
all six must
be present
before the
transmission
of infection
can take
place.
16. SOURCES OF INFECTION
Exogenous sources
Other patients (cross-infection)
Health care workers
Inanimate objects (fomites) vehicle- such as clothes, utensils, furniture and
book etc.
Inanimate environment of the hospital: which include -- contaminated air,
water, food -- contaminated equipment & instrument -- solid linen -- hospital
waste
17. SOURCES OF INFECTION
Endogenous sources
When normal patient flora change to pathogenic bacteria because of change
of habitat, damage of skin and inappropriate antibiotic use.
About 50% of HAIs are caused by this way.
This happen when normal bacterial flora enter a sterile area of the body such
as the brain or muscle.
Example : when residential bacterium E.coli. Of the GI tract enters the urinary
tract.
20. ANTIMICROBIAL RESISTANCE
• Antimicrobial resistance (AMR) is the ability of a microbe to resist the effects of
medication previously used to treat them
• Resistant microbes are increasingly difficult to treat, requiring alternative
medications or higher doses → which may be more costly or more toxic.
22. INFECTION CONTROL COMMITTEE
• Integral component of the patient safety program of the health care facility, and
is responsible for establishing and maintaining infection prevention and control,
its monitoring, surveillance, reporting, research and education.
23. STRUCTURE
• 1.Chairperson: Head of the Institute (preferably)
• 2.Member Secretary: Senior Microbiologist
• 3.Members: Representation from Management /Administration (Dean/Director of
Hospital, Nursing Services, Medical Services, Operations)
• 4.Relevant Medical Faculties
• 5.Support Services: (OT/CSSD, Housekeeping / Sanitation, Engineering,
Pharmacologist, Store Officer / Materials Department)
• 6.Infection Control Nurse
• 7.Infection Control officer
24. AIM OF STERILIZATION: ASEPSIS
• Asepsis is the practice to reduce or eliminate contaminants (such as bacteria,
viruses, fungi and parasites) from entering the operative field in surgery or
medicine to prevent infection.
25. METHODS IN STERILIZATION
• Physical Methods
• Moist heat in Autoclave
• Dry heat in ovens
• Gamma irradiation
• Filtration
• Plasma sterilization
• Chemical Methods
• Ethylene oxide
• Glutaraldehyde (high
concentration)
27. GENERAL GUIDELINES FOR
DISINFECTION
• Critical instruments/equipment
– (that are those penetrating skin or mucous membrane) should undergo
sterilization before and after use. Ex: surgical instruments.
• Semi-critical instruments / equipment
– (that are those in contact with intact mucous membrane without
penetration) should undergo high level disinfection before use and
intermediate level disinfection after use. Ex: endotracheal tubes
28. GENERAL GUIDELINES FOR
DISINFECTION
• Non-critical instruments /equipment
– (that are those in contact only with intact skin) require only intermediate or
low level disinfection before and after use. Ex: ECG electrodes
29. ROLE OF PHYSICIAN
• Physicians have unique responsibilities for the prevention and control of
hospital infections:
By providing direct patient care using practices which minimize infection
By following appropriate practice of hygiene (e.g. handwashing, isolation)
Protecting their own patients from other infected patients and from hospital
staff who may be infected
30. ROLE OF PHYSICIAN
Complying with the practices approved by the Infection Control Committee
Obtaining appropriate microbiological specimens when an infection is present
or suspected
Notifying cases of hospital-acquired infection to the team, as well as the
admission of infected patients
31. ROLE OF THE HOSPITAL PHARMACIST
• The hospital pharmacist is responsible for:
Obtaining, storing and distributing pharmaceutical preparations using
practices which limit transmission of infectious agents to patients
Maintaining records of antibiotics distributed to the medical departments
32. ROLE OF THE HOSPITAL PHARMACIST
Providing the Antimicrobial Use Committee and Infection Control Committee
with summary reports and trends of antimicrobial use.
Providing summary reports of prevalence of resistance monitoring sterilization,
disinfection and the environment where necessary
Participation in development of guidelines for antiseptics, disinfectants, and
products used
33. ROLE OF THE NURSING STAFF
• Implementation of patient care practices for infection control is the role of the
nursing staff.
• The senior nursing administrator is responsible for:
Participating in the Infection Control Committee
Promoting the development and improvement of nursing techniques
ongoing review of aseptic nursing policies, with approval by the Infection
Control Committee
34. CENTRAL STERILIZATION SERVICE
• As central sterilization department serves all hospital areas, including the
operating suite, an appropriately qualified individual must be responsible for
management of the infection control program.
Oversee the use of different methods - physical, chemical, and bacteriological
to monitor the sterilization process
Ensure technical maintenance of the equipment according to national
standards and manufacturers’ recommendations
35. ROLE OF THE FOOD SERVICE
• The in-charge of food services must be knowledgeable in food safety, staff
training, storage and preparation of foodstuffs, job analysis and use of
equipment.
• The head of catering services is responsible for:
Defining the criteria for the purchase of foodstuffs
Equipment use
Cleaning procedures to maintain a high level of food safety
36. ROLE OF THE LAUNDRY SERVICE
• The laundry is responsible for:
Developing policies for working clothes in each area and group of staff, and
maintaining appropriate supplies
Ensuring that liquid soap and paper towel dispensers are replenished
regularly
37. ROLE OF THE LAUNDRY SERVICE
Distribution of working clothes and, if necessary, managing changing rooms.
Developing policies for the collection and transport of dirty linen.
Defining, where necessary, the method for disinfecting infected linen, either
before it is taken to the laundry or in the laundry itself
38. ROLE OF THE HOUSEKEEPING SERVICE
• The housekeeping service is responsible for the regular and routine cleaning
of all surfaces and maintaining a high level of hygiene in the facility.
Classifying the different hospital areas by varying need for cleaning
Developing policies for appropriate cleaning techniques: procedure,
frequency, agents used, etc., for each type of room, from highly contaminated to
the most clean.
39. ROLE OF THE HOUSEKEEPING SERVICE
Developing policies for collection, transport and disposal of different types of
waste (e.g. containers, frequency)
Ensuring that liquid soap and paper towel dispensers are replenished
regularly
Informing the maintenance service of any building problems requiring repair
40. ROLE OF THE INFECTION CONTROL
TEAM
• The infection control program is responsible for:
Oversight and coordination of all infection control activities to ensure an
effective program.
Organizing an epidemiological surveillance program for nosocomial infections
Participating with pharmacy in developing a program or supervising the use of
anti-infective drugs
Ensuring patient care practices are appropriate to the level of patient risk
41. UNIVERSAL/STANDARD PRECAUTIONS
FOR INFECTION CONTROL
• 1.Hand hygiene
• 2.Personnel protective equipment
• 3.Safe handling and disposal of
sharps
• 4.Follow needle stick injury
protocol
• 5.Safe handling and disposal of
wastes
• 6.Managing blood and body fluids
• 7.Disinfection of equipment
• 8.Environmental disinfection
• 9.Immunization
• 10.Isolation
42.
43.
44. PERSONAL PROTECTIVE EQUIPMENT
• Must be used whenever high risk patient is being handled
Gloves
Disposable plastic Apron
Masks.
Eye protection
45. SAFE HANDLING AND DISPOSAL OF
SHARPS
The main hazards of a sharps injury
are:
• Hepatitis B,
• Hepatitis C,
• HIV.
Ensure that:
• Sharps are not passed from hand to
hand.
• Needles are not broken or bent before
use.
• Sharps are disposed of at the point of
use.
• Sharp containers are not filled more than
two third.
• Staff are aware of inoculation injury
policy.
46. FOLLOW NEEDLE STICK INJURY
PROTOCOL
1. Irrigate mucous membranes by washing under running water
2. Do not suck/ Squeeze the injury site
3. Wash with soap and water
4. Apply antiseptic lotion to the injury site.
5. Contact emergency room-medical officer for management
6. Complete the incident report & inform to ICN
47. SAFE HANDLING AND DISPOSAL OF
WASTE
• Segregate the waste at source.
• Know the policies and protocols of the state.
• Safe disposal.
• Safe handling of spillage.
48. MANAGING BLOOD AND BODILY
FLUIDS
• Handle specimens safely: Collection → Labeling → Transfer
• Dealing with spillage:
Small spill/ spotted Spill
Large Spill
49. MANAGING BLOOD AND BODILY
FLUIDS
• Management of small spill:
Wear gloves and eye protection
Contamination should be wiped up
with paper towels soaked in freshly
prepared Hypochlorite solution (1%)
If broken glasses are present, first
treat the spillage with Hypochlorite, then
carefully remove the glass piece with
disposable forceps and wipe it up
Towel and glasses should be disposed
off in a yellow clinical waste bag for
Incineration
Wash hands
50. MANAGING BLOOD AND BODILY
FLUIDS
• Management of large spill:
Mark that area as large spill
Wear PPE
Liquid spill should be covered up
with Hypochlorite solution and left for
2 min.
Use absorbent to absorb
Wipe that with water and detergent
Allow that to dry
Put all the towels, gloves to yellow
bin for incineration
51. QUESTION
• Define hospital acquired infection. Describe various sources and
preventive measure use in hospital.