Some Essential Points About Nosocomial Infections | 71877
Journal of Infectious Diseases & Therapy
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Statement of the problem: Hospital infections or nosocomial infections (NIs) play an important role in prolong the hospital
stay; increase the cost of additional treatment with high mortality and morbidity. Nosocomial infections (NI) an infection
occurring in patient in hospital or other healthcare facility in whom the infection was not present or incubating at the time of
admission. The purpose of this study is to describing of some essential points about Nosocomial infections such as transfer,
most frequent of Nosocomial infections ,Most group microorganism causes of nosocomial infections, Risk factors for the
development of Nosocomial infection , and Prevention. Methodology & Theoretical Orientation: Nosocomial infections
transferring by cross-infection, endogenous infection, spread by environmental transfer by inhalation of aerosols, or from a
substance. The frequent Nosocomial infections includes lower respiratory tract surgical wounds, urinary tract infections and
sepsis. Most group of microorganisms that causes Nosocomial infections includes anaerobic bacteria Clostridium diffcile,
facultative anaerobic such as Staphylococcus aureus, coagulase-negative staphylococci, Escherichia coli, Enterococcus spp,
Klebesiella spp, and Pseudomonas aeruginosa, and the obligate aerobic Acinetobacter baumannii. The Risk factors for the
development of Nosocomial infection includes, age more than 70 years, Shock, Major trauma, Coma, Acute renal failure,
Prior antibiotics, Mechanical ventilation Drugs affecting the immune system (steroids, chemotherapy), Prolonged ICU stay
(>3 days).Controlling on Nosocomial infections, occurring by limiting transmission of organisms between patients, through
adequate hand washing and glove use, and appropriate aseptic practice , isolation strategies, sterilization and disinfection
practices, and laundry, controlling environmental risks for infection, protecting patients with appropriate use of prophylactic
antimicrobials, nutrition, and vaccinations, limiting the risk of endogenous infections by minimizing invasive procedures
and prevention of infection in staff members. Appropriate use of prophylactic antibiotics is one of the important elements
of effective prevention programs. Finding: Controlling on Nosocomial infection is very important step for public health.
Conclusion & Significance: NI are major source of morbidity, motility of patient, Continuing staff education is very important
step for control on Nosocomial infections, and Intensive care units and in acute surgical and orthopedic wards is common
source for these infections should be controlled. Recommendations: Hand washing and glove use, and appropriate aseptic
practice, isolation strategies, sterilization and disinfection practices, and laundry is important for limitation transmission of
organisms between patients in direct patient care.
Samer M. Al-Hulu, Assistant Professor of Microbiology, has completed his PhD from Babylon University/College of Science-Iraq. He has published more than 14 papers in microbiology field. Al-Hulu, has training at Ministry of Health at Laboratory of Babylon Maternity and Children Hospital. Now working at Al-Qasim Green University/College of Food Science-Iraq.
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