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Has it ever happened that you or your loved one got admitted to a hospital for one health issue, but ended up with an acquired infection that was not present at the time of admission? These are hospital-acquired infections that can be fatal sometimes. Also known as Healthcare-Associated Infections (HAIs), these are often caused by viral, bacterial, and fungal pathogens.
According to the Centers for Disease Control and Prevention (CDC), 1 in 31 US patients, and one in 43 residents at nursing homes, has an infection due to inadequate healthcare practices at US healthcare facilities. When a person is admitted to the hospital, his or her immune system is already weakened dur to the illness that he is seeking treatment for. At times, microorganisms in the environment or inadequate hygiene can also lead to hospital acquired infections.
Health Shots got in touch with Internal medicine specialist Dr Suchismitha Rajamanya, to understand why hospital-acquired infections happen and how to protect yourself from these.
Hospitals are bustling environments filled with people seeking care. Hospital-acquired infections are infections that people get while they may be staying in a hospital or when admitted to other healthcare facilities. “It means they didn’t have that infection when they arrived, but they caught it while they were being treated there. They are also known as nosocomial infections,” explains Dr Rajamanya. They can range from mild to life-threatening, adding an unexpected layer of challenge to your recovery journey.
Symptoms of hospital-acquired infections vary depending on the type of infection and the affected area of the body. However, common symptoms may include:
• Urinary Tract Infections (UTI’s)
• Surgical Site Infections
• Gastroenteritis
• Meningitis
• Pneumonia
Here are some of the common causes of hospital-acquired infections:
Bacteria, viruses, fungi, and other pathogens can spread in healthcare settings due to close proximity between patients, contaminated equipment, or healthcare workers.
Patients in hospitals often have weakened immune systems due to illness or medical treatments, making them more susceptible to infections.
Surgeries, insertion of catheters, and other invasive procedures can create opportunities for infection to enter the body.
Misuse or overuse of antibiotics can lead to the emergence of antibiotic-resistant bacteria, making infections harder to treat.
Inadequate hand hygiene among healthcare workers, improper cleaning and disinfection of medical equipment, and insufficient environmental hygiene can contribute to the spread of infections.
Individuals at the highest risk for hospital-acquired infections include:
Such as those undergoing chemotherapy or organ transplant recipients.
A study, published in Indian Journal of Critical Care medicine, states that the bacteria in the blood present in the intravenous catheter can frequently lead to Central venous catheter-related bloodstream infection (CRBSI).
Who may have weaker immune systems and other underlying health conditions.
Patients who are dealing with diseases such as as diabetes or chronic obstructive pulmonary disease (COPD).
Especially those undergoing procedures that involve incisions or the insertion of medical devices are at high risk.
Due to their critical condition and prolonged exposure to invasive procedures and medical equipment.
Top 5 most common hospital-acquired infections and how to safeguard against them are as follows:
Ensure proper catheter care and removal when no longer necessary. Encourage adequate hydration and frequent bathroom breaks.
Maintain strict sterile techniques during surgery, proper wound care post-operation, and timely removal of sutures or staples.
Implement strategies to prevent aspiration, such as elevating the head of the bed, oral hygiene, and early mobilization of patients.
Follow strict aseptic techniques during invasive procedures, use sterile equipment, and adhere to central line bundle protocols.
Promote appropriate antibiotic use, implement strict contact precautions for infected patients, and maintain thorough environmental cleaning and disinfection protocols.
Hospital-acquired infections are diagnosed through various methods including:
Healthcare providers assess symptoms and medical history to determine the likelihood of an infection.
Samples of blood, urine, or other bodily fluids may be collected and analyzed to identify the infectious agent.
X-rays, CT scans, or other imaging tests may be conducted to assess the extent of infection and its effects on the body.
Treatment for hospital-acquired infections depends on what kind of infection it is and how serious it is. “Usually, doctors give antibiotics if the infection is caused by bacteria. They may do tests to see which antibiotics will work best. For infections caused by viruses or fungi, doctors prescribe specific antiviral or antifungal medications. Sometimes, surgery is needed to remove infected tissue or drain pus,” explains Dr Rajamanya.
Patients might also be given supportive care in the form of pain relief, water transferred into the bloodstream with a needle to avoid sepsis caused by dehydration, or other common aids to overcome shock. Infections are also stopped from spreading further by isolating infected patients, improving cleaning standards and closing wards to new patients until they are fully healthy
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