Hospital acquired infections (HAIs) are infections patients get while receiving medical treatment for other conditions in a hospital. The document discusses factors that promote HAIs like decreased immunity and invasive medical procedures. It also outlines common types of HAIs like surgical site infections and UTIs. The impacts of HAIs include increased hospital stays, additional costs, and transmission of organisms to the community. Preventing the spread requires proper hand hygiene, environmental cleaning, and disinfection of medical equipment. Hospitals should have infection control committees and programs to conduct surveillance and promote prevention practices.
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%.
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.
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%.
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/Health care associated infections/Nosocomial infection .
More useful for MBBS ,PG (MD/MS) Students to get a brief idea about HAI.
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.
Hospital Acquired Infections/Health care associated infections/Nosocomial infection .
More useful for MBBS ,PG (MD/MS) Students to get a brief idea about HAI.
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.
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.
Infection is one of the leading causes of preventable death in hospitals every year.
The centre of Disease Control and Prevention estimated that there are approximately 2 million preventable infections in hospital every year, leading to 90,0000 unnecessary death.Primary Infection
Secondary Infection
Local Infection
Systemic Infection
Acute Infection
Chronic Infection
Iatrogenic InfectionPrimary Infection- Initial infection with an organism to host constitutes primary infection.
Secondary Infection- When in a host whose resistance is lowered by pre-existing infection , a new organism may set up a new infection.
Local Infection- Infection that is limited to a defined area or single organ with symptoms that resemble inflammation (redness, tenderness and swelling)
Systemic Infection- Infection that spreads to whole body resulting in a septicemia.
Acute Infection- It appears suddenly or lasts for a short time.
For eg,.- URChronic Infection- May occur slowly over a long period and may last months to years.
Latrogenic Infection- Infection resulting due to therapeutic and diagnostic procedures. Chronic Infection- May occur slowly over a long period and may last months to years.
Latrogenic Infection- Infection resulting due to therapeutic and diagnostic procedures.
Measures practiced by health care personnel to prevent spread, transmission acquisition of infection between clients, from health care providers to clients & from clients to health care provider.
Infection control in a health care facility is the prevention of the spread of microorganisms from-
Patient to patients
Patients to staff members
Staff member to patient
Staff member to staff member.
The Role of Microorganism in Hospital Acquired Infection.pptxManitaPaneri
Hospital Acquired infections, also called nosocomial infections can be defined as the infections acquired by the patients in the hospital by a patient -
1. who was admitted for a reason other than that infection.
2. In whom infection was not present or incubated at the time of admission.
3. Symptoms should appear at least after 48 hours of admission.
In these slides, microbes responsible for hospital acquired infections and preventive strategies are shared.
Measures practiced by health care personnel to prevent spread, transmission and acquisition of infection between clients, from health care providers to client and from client to health care providers.
-definition
-why is infection control important in health care facilities
-nosocomial infection
-standard precaution
-additional precaution
-role of infection control nurse
- donning of Ppe kit
- doffing of ppe kit
All these are explained in details with images
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
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2. WHAT IS HAI??
• An infection acquired in the hospital by a patient who was admitted
for a reason other than that infection
• In whom the infection was not present or incubating at the time of
admission.
• Symptoms should appear atleast 48-72 hrs after admission
• Also includes infection acquired in the hospital but appearing after
discharge
• Occupational infection among staff of hospital care facility.
3. FACTORS THAT PROMOTES INFECTION:-
1. Decrased immunity
2. Increase in the variety of medical procedure and other invasive
techniques
3. Drug resistant bacteria transmission’
4. Transfusion’
5. Poor administration
4. FREQUENCY OF INFECTION :-
• Appears worldwide – both developed and resource
poor countries
• Most frequent are
1. Surgical site wound infection
2. Uti
3. Lrti
• More prevalent in
1. Icu
2. Surgical ward and orthopaedic ward
3. Burn wards
• Infection rates are higher in
1. Old aged
2. Underlying disease
3. Chemotherapy
4. Organ transplants
5. SOURCES OF INFECTION:-
• Endogenous source – mostly all HAI are endogenous
• Exogenous –
1. Hospital environment
2. Hospital staff
3. Patients
6. IMPACT ON NOSOCOMIAL INFECTION:-
• Adds up functional disability and emotional stress
• Leads to disabling condition that reduces quality of life.
• Increases hospital stay
• Usage of drugs
• Need of isolation
• Additional lab and other diagnostic tests.
• Transmission of organisms to the community after discharge.
16. PREVENTION OF HAI:-
REQUIRES INTEGRATED MONITORED PROGRAMME THAT INCLUDES
–
1. adequate hand washing , glove use, aseptic practice , isolation
strategies , laundary , sterilisation and disinfection practice
2. Controlling environmental risk for infection
3. Appropiate use of prophyllactic antimicrobials , nutrition and vaccination.
4. Minimising invasive procedure
5. Survillance , identifying and controlling outbreaks
6. Prevention of infection among staffs
7. Enhancing staff – patient care practices and educating staffs about
HAI’s
17.
18.
19. RISK STRATIFICATION
• Acquisition determined by both patient factor such as degree of
immunocompromise and interventions perfomed which increases the risk.
• Risk assesment will be helpful to categorise the patient
• Risk of diff patient group :-
Risk of infection Type of patient Type of procedure
Minimal Non compromised , no significant underlying disease Non invasive. No exposure to
biological fluid
Medium Infected patients / patient with some risk factors Exposure to biological fluid/
invasive non surgical procedure like
catheterisation etc.
High Infectious patients /multiple trauma / severe burn
/organ transplant
Surgery / high risk procedure
/invasive procedure
20. Aseptic measures applied for different level of risk
of infection:-
Risk of infection Asepsis Antiseptics Hands Clothes Dresses
Minimal Clean None Simple hand
washing /hand rub
Street clothes Clean /
disinfected at
informed or low
level
Medium Asepsis Standard
antiseptic
procedure
Hyeginic hand
washing /hand
disinfectant
Protection
against blood or
body fluid
Disinfected at
sterile or higher
level
High Surgical
sepsis
Specific products Surgical hand
washing
/disinfectant by
rubbing
Dress mask cap
gloves
Disinfected at
sterile or higher
level
22. 1.Hand decontamination
•Wash hands properly after contact with infective material.
•Use no touch technique wherever posssible.
Optimal hand hyegine requirenments:-
• For hand washing
1. Running water
2. Product
3. Facilities for drying without contamination.
• For hand disinfection
1. Specific hand disinfectant
23. Procedure of Hand washing
• Jewelleary to be removed before washing.
• Simple hygiene – hand and wrist.
• Surgical procedure – hand and forearm.
•TYPES OF HAND WASH:-
1. For routeine care
2. Antiseptic hand cleaning
3. Surgical scrub
26. 2. PERSONAL HYGIENE
• A good personal hygiene
is mandatory
• Nails
• Hair
• Beard and moustaches
3. CLOTHING
• Working clothes
• Shoes
• Caps
4. MASKS :-
• Patient protection
• Staff protection
• Prevent transmission
5. GLOVES :-
•Sterile gloves – patient
protection
•Non sterile gloves –
1.staff protection.
2. procedures like
bronchoscopy6. Safe injection practices
• Eliminate unnecessary injections
• Use sterile needle and syringe
• Use disposable needle and syringes, if
possible
• Prevent contamination of medications
• Follow safe sharps disposal practices
27. PREVENTING TRANSMISSION FROM
ENVIRONMENT:-
1. Cleaning of the hospital environment
• Routine cleaning is necessary to ensure a hospital
environment which is visibly clean, and free from dust and soil.
• Ninety per cent of microorganisms are present within “visible
dirt”, and the purpose of routine cleaning is to eliminate this
dirt.
• Cleaning agents used for walls,floors, windows, beds, curtains,
screens, fixtures, furniture, baths and toilets, and all reused
medical devices.
• Methods must be appropriate for the likelihood of
contamination, and necessary level of asepsis.
28. Cont.
• This may be achieved by classifying areas into one of four hospital zones :
1. Zone A: no patient contact. Normal domestic cleaning (e.g. administration, library).
2. Zone B: patients not infected,and not highly susceptible - use of a detergent solution
improves the quality of cleaning. Disinfect any areas with visible contamination with
blood or body fluids prior to cleaning.
3. Zone C: infected patients (isolation wards).- Clean with a detergent/disinfectant
solution,separate cleaning equipment for each room.
4. Zone D: highly-susceptible patients (protective isolation) or protected areas such as
operating suites, delivery rooms, intensive care units , premature baby units,
casualty departments and haemodialysis units. Clean using a detergent/disinfectant
solution and separate cleaning equipment.
29. 2. Use of hot/superheated water :-
1. Sanitary equipment 80 °C 45–60 seconds
2. Cooking utensils 80 °C 1 minute
3. Linen 70 °C 25 minutes
95 °C 10 minutes
3. Disinfection of patient equipment :-
A disinfectant must –
1. meet criteria for killing of organisms
2. have a detergent effect
3. act independently of the number of bacteria
present, the degree of hardness of the water, or
the presence of soap and proteins
4. easy to use
5. non-volatile
6. not harmful to equipment, staff or patients
7.free from unpleasant smells
8. effective within a relatively short time.
30. 4. STERILISATION :-
• The process by which all the living microorganism including viable
spores are either destroyed or removed from an article , body
surface or medium.
• Reduces the microbial load to 10-6
• Can be achived by
1. Physical method
2. Chemical method
31. Infection control programmes :-
1. National or regional programmes :-
The responsible health authority should develop a national programme to support
hospitals in reducing the risk of nosocomial infections. They must :-
• set relevant national objectives consistent with other national health care objectives
• develop and continually update guidelines for recommended health care surveillance,
prevention, and practice.
• develop a national system to monitor selected infections and assess the effectiveness of
interventions.
• harmonize initial and continuing training programmes for health care professionals
• facilitate access to materials and products essential for hygiene and safety
• encourage health care establishments to monitor nosocomial infections, with feedback to
the professionalsconcerned.
32. Cont..
2. Hospital programmes :-
• Risk prevention for patients and staff is a concern of everyone in the
facility, and must be supported at the level of senior administration.
• A yearly work plan to assess and promote good health care, appropriate
isolation, sterilization, and other practices.
• staff training and epidemiological surveillance should be developed.
• Hospitals must provide sufficient resources to support this programme.
33. INFECTION CONTROL COMMITTEE :-
TASKS :-
• to review and approve a yearly programme of
activity for surveillance and prevention
• to review epidemiological surveillance data and
identify areas for intervention
• to assess and promote improved practice at all
levels of the health facility
• to ensure appropriate staff training in infection
control and safety.
• to review risks associated with new technologies,
and monitor infectious risks of new devices and
products, prior to their approval for use.
• to review and provide input into investigation of
Epidemics
• to communicate and cooperate with other
committees of the hospital with common
interests such as Pharmacy and Therapeutics
or Antimicrobial
Use Committee, Biosafety or Health and Safety
Committees, and Blood Transfusion Committee.
34. Infection control professionals (infection
control team)
ROLE :-
• organizing an epidemiological surveillance programme for nosocomial infections
• participating with pharmacy in developing a programme for supervising the use of anti-
infective drugs
• ensuring patient care practices are appropriate to the level of patient risk
• checking the efficacy of the methods of disinfection and sterilization and the efficacy of
systems developed to improve hospital cleanliness
• participating in development and provision of teaching programmes for the medical,
nursing, and allied health personnel, as well as all other categories of staff
• providing expert advice, analysis, and leadership in outbreak .
• investigation and control participating in the development and operation of regional and
national infection control.
35. HICC PROFESSIONALS
1. Chair person – usually medical superintendant
2. Secretary – usually head of department of microbiology
3. Hospital infection control officer – a representative from
department of microbiology
4. Hospital infection control nurse
5. Head of all clinical departments
6. Nursing superintendant
7. Head of staff clinic
8. Ot superviser
9. Incharge of central sterile supplies department
10. Incharge of pharmacy
11. Incharge of hospital lenin
12. Incharge of hospital laundary
13. Incharge of hospital kitchen
14. Epidemiologist
15. Incharge of engineering department of the
hospital
36. DEALING WITH OUTBREAK:-
1. Identifying an outbreak – Early identification of an outbreak is important to limit transmission
among patients by health care workers or through contaminated material.
2. Investigating an outbreak – Systematic planning and implementation of an outbreak
investigation is necessary.
Planning the investigation –
• Notify the appropriate individuals and departments in the institution of the problem; establish terms of
reference for the investigation.
• Infection control staff to be informed
• Confirm whether there is an outbreak by reviewing preliminary information on the number of potential
cases, available microbiology, severity of the problem, and demographic data of person(s), place and
time.
37. Cont..
Case definition should be developed – it must include a unit of time and place and
specific biological and/or clinical criteria. The inclusion and exclusion criteria for cases must be
precisely identified.
Describing the outbreak – The detailed description includes person(s), place, and time.
Cases are also described by other characteristics such as gender, age, date of admission, transfer
from another unit, etc.
Suggesting and testing a hypothesis – This includes identifying a potential exposure
(type and route) for the outbreak and testing this hypothesis using statistical methods. A case-
control study is the most common approach to hypothesis testing.
Control measures and follow-up - to control the current outbreak by interrupting the
chain of transmission to prevent future occurrence of similar outbreaks.
Communication - timely uptodate information must be communicated to the hospital
administration, public health authorities, and, in some cases, to the public.
Information may be provided to the public and to the media with agreement of the
outbreak team, administration and local authorities.