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Which of the following is NOT a reason for nosocomial infections in ICU patient?

Which of the following is NOT a reason for nosocomial infections in ICU patient? Correct Answer Decreased length of stay in ICU 

Concept:

  • Nosocomial infection or Hospital acquired infection is an infection originating in a patient while in a hospital or other health care facility. 
  • It denotes a new disorder which is unrelated to the patient's primary condition and associated with being in a hospital.
  • It was not present or incubating at the time of admission or the residual of an infection acquired during a previous admission. Example: Infection of surgical wounds, Hepatitis B and Urinary tract infections.
  • The sources are patients, hospital staff and hospital environment.
  • The reasons for getting nosocomial infections are direct contact with other patients and hospital staff who are ill and not maintating proper hygenic measures, immunocompromized patients, frequently undergoing various invasive procedures, excessive or improper use of antibiotics, not following infection control and prevention procedures by hospital staff, incresaed length of stay of patient in ICU and hospital, elderly patients, release of dust into hospital environment.
  • So, decreased length of stay in hospital and ICU will minimize the risk of nosocomial infection because length of exposure to other infected patients and staff, antibiotics use, invasive procedures gets decreased. 
  • Prevention: a) Infectious patients should be isolated, b) Hospital staff shold follow hygenic measures and those who are suffering from infections should kept away from the work until completely vcured, c) Hand hygiene d) Dust control, e) Disinfection, f) Control of droplet infection, g) Nursing techniques, h) Adinistrative measures to provide all the facilities for isolation and disinfection etc.

Additional Information

  • Direct contact with other patients will increase risk of cross infection through transmission of microorganisms.
  • Immunocompromised patients are very prone to get infections as their immune response to fight against microorganisms gets decreased.
  • Frequently subjecting to invasive procedures increases the infections rate through cross contamination with germs. The reasons can be no proper skin preparation, poor sterile techniques, traffic in operation theatre.

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