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Nosocomial Infections

Cheryl Durand, PharmD and Edward L. Yourtee, MD, FACP Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Health care–associated infections (HAIs)

  • Infection must not have been present or incubating on admission to a health care facility.

  • CDC categories:

    • Catheter-associated urinary tract i...

DIAGNOSIS

Consistent with nature of infection 

HISTORY

  • Exposure to health care facility

  • Recent surgery/open wounds

  • History of invasive procedure

    • Urinary catheter placement

    • Indwelling vascular catheter

  • Rece...

TREATMENT

GENERAL MEASURES

  • Treat with appropriate antibiotics.

  • Order bundles improve adherence to sepsis guidelines and improves survival.

  • UTI: Remove urinary catheters.

  • CLABSI: Remove IV catheter.

  • C. diff...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Risk for recurrence is generally low in immuno-competent patients. Manage underlying comorbidities (risk factors). 

PROGNOSIS

  • Bloodstream infectio...

REFERENCES

1
Yokoe D, Anderson D, Berenholtz S, et al. A compendium of strategies to prevent healthcare-associated infections in acute care hospitals: 2014 updates. Infect Control Hosp Epidemiol.  ...

CODES

ICD10

  • T83.51XA Infect/inflm reaction due to indwell urinary catheter, init

  • T81.4XXA Infection following a procedure, initial encounter

  • J95.851 Ventilator associated pneumonia

  • T82.7XXA Infect/inflm r...

CLINICAL PEARLS

  • Nosocomial infections increase mortality, length of hospital stay, and cost of hospitalization.

  • Proper hand hygiene using an alcohol-based hand product or soap and water should be carri...

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