Introduction to
infection control
Key Definitions
Infection control (IC):
The process by which health care facilities develop and implement
specific policies and procedures to prevent the spread of infections
among health care staff and patients.
Health care-associated infections (HAIs):
Also called nosocomial or hospital acquired infections, are infections
contracted by a patient while in a hospital or other health care facility,
and not present or incubating on admission. They also include
infections acquired by patients in the hospital or facility but appearing
after discharge, and also occupational infections among staff.
Disinfection:
Destruction of most but not necessarily all pathogenic
microbes or their spores.
Sterilization:
Destruction of all microbial forms, including bacterial
spores.
.
Why Infection Control (IC)?
Hospital acquired infections are a common problem.
According to WHO
Health care-associated infections are the most frequent adverse
event in health-care delivery worldwide.
Hundreds of millions of patients are affected by health care-
associated infections worldwide each year.
At any given time, the prevalence of health care-associated
infection varies between:
- 3.5% and 12% in in developed countries .
- 5.7% and 19.1% in low- and middle-income countries.
Health care-associated infections have several
impacts;
HAI can:
• Increase patients’ suffering.
• Lead to long – term disability.
• Cause unnecessary deaths.
• Prolong hospital stay.
• Increase resistance to antimicrobials.
• Increase need for a higher level of care.
• Increase the costs to patients and hospitals.
Most common sites for HAIs
Urinary tract (catheter-related):35% of all HAI
Surgical incisions: about 20% of all HAI
Lower respiratory tract (pneumonia associated with
ventilators): about 15% of HAI
Bloodstream (catheter-related): 15%
Causative organisms of HAIs
HAIs may be caused by ;
viral, bacterial, and fungal pathogens.
Common microorganisms include:
Aerobic Gram-positive cocci:
Staphylococcus aureus [methicillin resistant; MRSA],
Enterococci [vancomycin resistant; VRE].
Aerobic Gram-negative bacilli:
Escherichia coli, Pseudomonas aeruginosa,
Klebsiella pneumoniae and Enterobacter spp..
Root Causes of HAIs
Lack of training in basic IC.
Lack of an IC infrastructure and poor IC practices.
Inadequate facilities and techniques for hand hygiene.
Lack of isolation precautions and procedures.
Inadequate sterilization and disinfection practices, inadequate
cleaning of hospital and inadequate waste disposal.
Root Causes of HAIs
Prolonged and/or inappropriate use of advanced and
complex treatments including:
Invasive devices and procedures
Complex surgical procedures
Interventional obstetric practices
Intravenous catheters, fluids, and medications
Urinary catheters
Mechanical ventilators