, Nosocomial Infection
A land mark report on Medical Error was published in
2000 by Institute of Medicine
Approximately 90,000 deaths per year in US hospitals are a
result of injuries sustained during the delivery of health-care
Every year, a large number of patients admitted to hospitals
may acquire an infection
•that was neither present, nor
•in the prodromal stage when they entered the hospital
These infections are called Nosocomial or hospital acquired
infections
,The term `nosocomial` derives from two Greek words –
“nosos” meaning disease and
“komion” meaning to take care of
Which means disease contracted by a patient while under
medical care
Generally, a patient who has been in the hospital for
•Less than 48 hour and
•Develops an infection
Considered to have been
incubating the infection before hospital admission
So, infections that become manifest after 48 hour are
considered to be nosocomial
, Where do the microbes come from?
• patient's own flora
• cross infection from medical personnel
• cross infection from patient to patient
• hospital environment- inanimate objects
- air
- dust
- IV fluids & catheters
- washbowls
- bedpans
- endoscopes
- ventilators & respiratory equipment
- water, disinfectants etc