alexa Healthcare Associated Infections: Are Medical Staff Always Guilty? What is the Role of Patients? | OMICS International
ISSN: 2332-0877
Journal of Infectious Diseases & Therapy
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Healthcare Associated Infections: Are Medical Staff Always Guilty? What is the Role of Patients?

Habip Gedik*
Department of Infectious Diseases and Clinical Microbiology, Ministry of Health Bakırköy Sadi Konuk Training and Research Hospital, Istanbul, Turkey
Corresponding Author : Habip Gedik
Infectious Diseases and Clinical Microbiology Physician
Department of Infectious Diseases and Clinical Microbiology
Ministry of Health Bakirköy Sadi Konuk Training and Research Hospital, Istanbul, Turkey
Tel: 090-5053362770
E-mail: [email protected]
Received April 25, 2014; Accepted June 18, 2014; Published June 24, 2014
Citation: Gedik H (2014) Healthcare Associated Infections: Are Medical Staff Always Guilty? What is the Role of Patients?. J Infect Dis Ther 2:147 doi: 10.4172/2332-0877.1000147
Copyright: © 2014 Gedik H. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Related article at
DownloadPubmed DownloadScholar Google

Visit for more related articles at Journal of Infectious Diseases & Therapy

Letter to the Editor
Healthcare associated infections (HAIs) which are diagnosed to 5 million cases in acute care hospitals are responsible for 25 million extra days of hospital stay and a burden of 13-24 billion euro, causing to the mortality rate by 1% (50.000 deaths per year) [1]. With those numbers, they are a big challenge worldwide. Enterococcus faecium, S. aureus, Klebsiella pneumoniae, Enterobacter spp., Carbapenem-resistant A. baumannii and P. aeruginosa are main challenging pathogens. Microorganisms are a part of the universe and must sustain their lives during producing resistance mechanisms. The struggle between humans and microbes will continue as long as the continuation of life should not be forgotten. Many reports and articles have been revealed that resistant microorganisms have already invaded not only hospitals, but also the farms, long-term care facility and the community [2]. Many strategies and measures were presented to reduce the rates of resistant bacteria such as automatic stop orders for use of antibiotics, required pharmacy or infectious disease consultations for prescription of certain antibiotics, surveillance of pathogen-specific resistance rates, and the development of local antimicrobial control policies and guidelines [3]. Health care workers, including doctors, nurses and other staff can transmit the resistant microorganisms from infected patients to another patient during patient care. Use of broad-spectrum antibiotics is needed very often in patients with comorbid risk factors. However, comorbidity predisposes to recurrent infection with impairment of immunity and frequent antibiotic use as well as a selection of resistant microorganisms. Immunity is one of the most important factors in preventing resistance. The immune response pressurizes the mutant selection window, contributes to alleviate the negative effects of non-compliance, and influences the optimal dosing strategy [4]. Broader antibiotic use selects resistant microorganisms at individual and hospital, so this selection increases the rates of resistant microorganisms in infections. Owing to the fact that patients are more often colonized at a hospital than community and comorbidity such as urinary system abnormality, COPD, DM predisposes to infections in relation to impairment of immunity, exposure to nosocomial strains, frequent antibiotic use and hospitalization requirement. Colonization of the gut is the most important step for spreading of resistant microorganisms to the community.
Consequently, resistance to antimicrobials and resistant microorganisms will always exist. HAIs are a result of the broad-spectrum antibiotics requirement in those patients, so that impaired patients are succumbing against invading resistant microorganisms that develop under broad-spectrum antibiotics use due to impaired immunity and defence mechanisms. HAIs may be reduced, but may never be vanished. Medical staff are not single reason and guilty of HAIs. But it does not mean medical staff does not implement infection control measures and narrow-spectrum antibiotic use. We, medical staff, are always eager to take care all patients as much as we can with infection control measures and should inform the patients and their relatives in terms of HAIs appropriately and accurately.
References




Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Recommended Conferences

Article Usage

  • Total views: 11671
  • [From(publication date):
    August-2014 - Dec 17, 2017]
  • Breakdown by view type
  • HTML page views : 7882
  • PDF downloads : 3789
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version