NOSOCOMIAL INFECTIONS

Nosocomial Infections in Post Surgery Patients

Nosocomial Infections in Post Surgery Patients

Nosocomial infections are recognized as an important cause of increased patient morbidity and mortality. The reported occurrence rate for nosocomial infections most routinely ranges from 5 to 20%, but can be significantly larger among patients needing intensive care. The most common sites of hospital-acquired disease encompass the urinary tract, the lung, surgical wounds, and the blood stream. Patients undergoing cardiac surgery appear to be at increased risk for the development of nosocomial infections due to the presence of multiple surgical wounds (chest and lower extremity incisions), frequent postoperative utilization of invasive devices (e.g., intraaortic balloon counterpulsation, pulmonary artery catheter), and the common use of prophylactic or empiric antibiotics in the perioperative period.911 Additionally, current antibiotic administration practices may help to explain the emergence of nosocomial infections due to antibiotic-resistant pathogens in this and other groups of critically ill patients.1011 The development of such antibiotic-resistant infections has been associated with significantly greater hospital mortality rates compared to similar infections caused by antibiotic sensitive pathogens. This observation has led, in part, to a recent call for health-care providers to develop strategies aimed at reducing the emergence of antibiotic-resistant infections through more effective antimicrobial prescribing practices.

As part of hospital's ongoing quality improvement program, we performed a prospective cohort study examining patients undergoing cardiac surgery. The main goals of our study were as follows:

to determine the incidence of nosocomial infections in this specific group of hospitalized patients;

to evaluate the relationship between hospital-acquired infections and patient outcomes, including hospital mortality; and

To identify clinical strategies for future evaluation aimed at reducing the occurrence of nosocomial infections following cardiac surgery.

In selecting these goals, we hoped to gain a better understanding of the increasingly complex problem of nosocomial infections among cardiac surgery patients to develop more effective infection control strategies.

The patient was accepted to clinic for surgery that requires the use of a catheter. During the intervention did not display any problem. However, between 48-72 hours after the person was discomfort related to pollution not endured previously.

The story is one of numerous that happen in the clinics from all over the world, a phenomenon renowned as nosocomial infection that happens for various reasons. One of the most common is when micro-organisms discovered naturally in the skin of the persevering beyond the protective barrier of the epidermis throughout a surgical procedure.

When the wound is finished during the procedure, although minimal, may cause inflammation in the vein, which is renowned as phlebitis. At present the phenomenon or prime bacteremia, when pathogens are present in body-fluid, appear the premier determinants of nosocomial infections associated to intravenous treatment in the homeland, according to the clinic mesh for Epidemiological Surveillance (RHOVE).

Globally, it has been noted between 10 to 15 million nosocomial diseases, which are associated to killings of about one century thousand persons each year.

It is thus essential to seek the “safe surgeries and wellbeing in the hands of doctors, “said Dr. Guillermo Domínguez Cherit nationwide Institute of Medical Sciences and Nutrition Salvador ...