DOWNSIDE OF HOSPITAL ADMISSIONS

Having discussed the metabolic requirments of surgical patients we pass on to
the downside of hospital admissions.

HOSPITAL INFECTIONS

1. Hospitals and Nursing Homes being the location for disease
care become hazardous location for Hospital infections.
The principal sources of bacterial transmission are:
a) The patients and relatives coming to hospitals
b) The hospital staff/doctors Nurses and Orderlies harboring bacteria
c) The hospital wards furniture, bedding, and air, lead to transmission in the ward.
d) Instrument, dressing, and equipment, if not decontaminated and sterilized can lead to infection.

Nosocomial (Hospital) infections also occur in hospitals
because of :
a) Debilitated state of surgical patients and
b) Because of physical entry into the body for invasive procedures ie,
-Entry to veins for iv feeding,
-Endotracheal intubation,
-Urethral catherisation and
-Implantation of devices

2. MEASURES TO PREVENT NOSOCOMIAL (Hospital) INFECTION
In case of out break of hospital infection the following are the
sources that need attention regular surveillance and infection
prevention rules need to be out lined and observed by the
hospital staff.
2.1 PATIENTS

The patients harbour bacteria in their nasal passages and
throats.
Wound infection discharges from sinuses and fistulae can also be a sources of infection.
These patients must be identified and isolated and treated to
prevent cross infection to other patients and hospital staff.

2.2 DOCTORS, NURSES AND ORDERLIES
In cases where hospital infection rate exceeds 2-5%, the source
must be looked for.
Hospital staff may also harbour bacteria in
nasal passages and throat or in minor skin infections and the
causative bacteria may be resistant forms since antibiotic are
freely available and used in patient care in the hospitals.
These staff must be withdrawn from ward and OT duties till
treated
Any questions be sent to drmmkapur@gmail.com
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