Infectious Disease Book

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Health Care Associated Infection

Aka: Health Care Associated Infection, Health Care-Associated Infection, Iatrogenic Infection
  1. See Also
    1. Antibiotic Resistant Infection
    2. Central Line-Associated Bloodstream Infection
    3. Catheter Related Bloodstream Infection
    4. Intravascular Catheter-Related Infection
    5. CRBI
    6. Bloodstream Infections in Hemodialysis
    7. Infection in the Nursing Home Resident
    8. MRSA Infection
    9. Prosthetic Joint Infection
    10. Skin and Soft Tissue Infection
    11. Surgical Site Infection Prevention
    12. Urinary Catheter associated Urinary Tract Infection
  2. Epidemiology: Incidence of Health Care Associated Infection
    1. Summary (in United States)
      1. Total: 700,000 cases/year
      2. Responsible for 75,000 deaths/year (equivalent to the seventh leading cause of death in U.S. )
    2. By Cause (in United States)
      1. Surgical Site Infection: 157,500 cases/year
      2. Urinary Catheter associated Urinary Tract Infection: 93,300 cases/year
      3. Clostridium difficile: 80,400 cases/year
      4. Central Line-Associated Bloodstream Infection: 71,900 cases/year
      5. Ventilator-Associated Pneumonia: 49,900 cases/year
  3. Types
    1. Device-Associated Infections
      1. Urinary Catheter associated Urinary Tract Infection
      2. Central Line-Associated Bloodstream Infection
      3. Ventilator-Associated Pneumonia
    2. Procedure-Associated Infections
      1. Surgical Site Infection
    3. Antibiotic-Associated Infections
      1. Clostridium difficile
      2. Antibiotic Resistant Infection (Multi-Drug Resistant Bacteria)
  4. Prevention
    1. See specific types of Health Care Associated Infection
    2. Hand hygiene before and after procedures
    3. Insert devices only while using sterile technique, only when absolutely indicated and for no longer than absolutely necessary
  5. References
    1. Hsu (2014) Am Fam Physician 90(6): 377-82 [PubMed]

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