It is said that one of every ten patients hospitalized in USA get affected by a hospital acquired disease. In the patients perspective, it certainly prolong the hospital stay of the patient. If you look at the big picture, it is a great financial burden on the country's economy. For example in USA, annual economic burden estimated due to hospital acquired infections is 6.7 billion us dollars.
Following are some of the causes of hospital acquired infections.
- Among 6,290 pediatric ICU patients surveyed between 1992 and 1997, the incidence of nosocomial invasive bacterial and fungal infections were as follows.
- Bloodstream infections - 28%
- Ventilator-associated pneumonia - 21%
- Urinary tract infection (UTI) - 15%
- Lower respiratory infection - 12%
- Gastrointestinal, skin, soft tissue, and cardiovascular infections - 10%
- Surgical-site infections - 7%
- Ear, nose, and throat infections - 7%
- Nosocomial etiologies in bloodstream infections
- Coagulase-negative staphylococci - 40%
- Enterococci - 11.2%
- Fungi - 9.65%
- Staphylococcus aureus - 9.3%
- Enterobacter species - 6.2%
- Pseudomonads - 4.9%
- Acinetobacter baumannii with substantial antimicrobial resistance - Reported with increasing frequency
- Nosocomial etiologies in UTI
- Gram-negative enterics - 50%
- Fungi - 25%
- Enterococci - 10%
- Nosocomial etiologies in surgical-site infections
- S aureus - 20%
- Pseudomonads - 16%
- Coagulase-negative staphylococci - 15%
- Enterococci, fungi, Enterobacter species, and Escherichia coli - Less than 10% each
- Nosocomial etiologies in fever
- Viral infections are most common causes of nosocomial fevers.
- Phlebitis is the second most common cause of nosocomial fevers in the hospitalized child.
- Clostridium difficile colitis is also a cause of nonsocomial fevers.
Hospital setup is a different environment than a house hold environment. People with different kind of diseases come to this environment every day. As a result many infective agents accumulate with in this environment. It can be spread within the hospital through hospital staff, air or maybe water supply.

There are strict instructions given to hospital staff in order to prevent spread of infections within the hospital. But some staff members tend to neglect these instructions undermining the consequences of such action.
I can remember one episode of House MD showed how bad this can be in terms of the perspective of the patients. In that particular episode, the formite or the inanimate object acting as the disease carrier was the tie of one of the doctors. Fortunately the hospital administration was able to find the cause, so the spreading was prevented.
I think there should be more concern over this aspect of the spreading of illness. If we can put a stop to hostpital acquired disease or at least minimize the effect, it could make a big difference to the country's economy as well as patient's health
Labels: health, medicine, Science