1️⃣

Round 1: Health Care

Associated Infection
What is Nosocomial Infection (HCAI)
Infection Aquired From Hospitalization Around 10% of Hospital Admission have
(HCAI).

When the Infection is (HCAI)

1. If Complication Occurs After 48h or more During Hospitalization

2. If patient is Work at Health care center

Role of (HCAI)

1. Increase Morbidity and Mortality (3 -8) days Stay

2. Spreed of Infection

3. Economic Role:

a. Prolonged Hospitalization

b. Cost of training Persons

Causative Organisms of (HCAI)

Bacterial

Commensal (Immunocombrimized)

Pathogenic

Virous

Parasitic

Resirvoir of (HCAI)

From inside

Patient (Case - Carrier)

Health Care Providers

Round 1: Health Care Associated Infection 1

 Case - Carrier

Third Person role (Contaminated hands)

Unknown Reservoir: Enviroment —> Unstralized Equepment

From outside

Visitors

Case - Carrier - Third Person role

Unknown: Vectors

Most Popular Nosocomial Infection

UTI 40%

Prention and Controle of (HCAI)

1. Infection controle Committe

2. Surveillance: early case Finding

3. Health Care providers (Education- Investigation- exposures Management-

Vaccination)

4. Administration manage: Time of Hospital Vists

5. Chemoprophylaxis to Patients

6. Enviromental saditation

7. Equipments Stralization

Requirements of Infection controle committee

Inpatients

More than 30 beds

Standerd Precautions
Hand Washing

Respiratory hygiene
safe Injection

Safe Handling of Equipments

Personal Protective Equipments

Management of needle stick injury

Round 1: Health Care Associated Infection 2

 Immediate wound cleaning

Immediate Prophylaxis If Found

Immediate Reporting

Blood Teasting of Reservoir

Follow up

PEP for HIV

Take medications If:

With high risk

+ve source

Unknown source

within 72h

not take If:

Negative source

PEP for HBV

Vaccinated :

Titre Less than 100 IU/ L : Ab administration (Seroprophylaxis)

Titre More than 100 IU/L: (No PEP)

Not Vaccinated:

Vaccine administration

Ab adminstration

PEP for HCV

Immediate Blood Test

Blood test after 6 Monthes

Round 1: Health Care Associated Infection 3