Infecciones relacionadas con cuidados sanitarios

  1. Íñigo Pestaña, M. 1
  2. Pérez García, A. 1
  3. Falcón Abad, R. 1
  1. 1 Servicio de Microbiología Clínica y Parasitología, Clínica Universidad de Navarra, Madrid, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2022

Título del ejemplar: Enfermedades infecciosas (VIII)

Serie: 13

Número: 56

Páginas: 3267-3276

Tipo: Artículo

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

Healthcare-associated infections (HAI) are a public health problem worldwide and the main cause of preventable death and disability among patients who receive medical care. They can be caused by a large number of microorganisms, among which multidrug-resistant microorganisms are becoming more and more frequently involved, with the limitation of therapeutic options this entails. The most common HAI are catheter-related bacteremias, mechanical ventilator-associated pneumonia, catheter-associated urinary tract infection, surgical site infection, Clostridium difficile infection, and healthcare-associated neonatal sepsis. Proper training of healthcare personnel and patients is essential to preventing HAI. Proper hand hygiene is the main prevention measure.

Referencias bibliográficas

  • Zimlichman E, Henderson D, Tamir O, Franz C, Song P, Yamin CK. Health care-associated infections: A meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med. 2013;173(22): 2039-46.
  • Barbato D, Castellani F, Angelozzi A, Isonne C, Baccolini V, Migliara G. Prevalence survey of healthcare-associated infections in a large teaching hospital. Ann Ig. 2019;31(5):423-35.
  • Suetens C, Latour K, Kärki T, Ricchizzi E, Kinross P, Moro ML. Prevalence of healthcare-associated infections, estimated inci- dence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Euro Surveill 2018;23(46).
  • Tabatabaei SM, Pour FB, Osmani S. Epidemiology of hospital-acquired infections and related anti-microbial resistance patterns in a tertiary-care teaching hospital in Zahedan, Southeast Iran. Int J Infect. 2015;2:e29079.
  • Sydnor ERM, Perl TM. Hospital epidemiology and infection control in acute-care settings. Clin Microbiol Rev. 2011; 24(1):141-73.
  • Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol. 1985; 121(2):182-205.
  • Harbarth S, Sax H, Gastmeier P. The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect. 2003;54(4):258-66; quiz 321.
  • Schreiber P, Sax H, Wolfensberger A, Clack L, Kuster SP; Swissnoso. The preventable proportion of healthcare-assoiated infections 2005-2016: Systematic review and meta-analysis. Infect Control Hosp Epidemiol. 2018;39(11):1277-95.
  • Mirande C, Bizine I, Giannetti A, Picot N, van Belkum A. Epidemiological aspects of healthcare-associated infections and microbial genomics. Eur J Clin Microbiol Infect Dis. 2018;37(5):823-31.
  • Allegranzi B, Nejad SB, Combercure C, Graffmans W, Attar H, Donaldson L. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet. 2011; 377(9761):228-41.
  • Vincent JL, Bihari DJ, Suter PM, Bruinning HA, White J, Nicolas Chanoin MH. The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee. JAMA. 1995;274(8):639-44.
  • Vincent JL, Rello J, Marshall J, Silva E, Anzueto A, Martin CD. International study of the prevalence and outcomes of infection in intensive care units. JAMA. 2009;302(21):2323-9.
  • Vincent JL, Sakr Y, Singer M, Martin Loeches I, Machado FR, Marshall JC. Prevalence and outcomes of infection among pa- tients in intensive care units in 2017. JAMA. 2020;323(15):1478-87.
  • Goto M, Al-Hasan MN. Overall burden of bloodstream infection and nosocomial bloodstream infection in North America and Europe. Clin Microbiol Infect. 2013;19(6):501-9.
  • Carry Lites K, Nguyen K, Rowe T, Johnston PA, Brassil K. Symptom word documentation. A novel approach to identifying and managing hospital-acquired infections. Am J Infect Control. 2016;44(11):1424-6.
  • Sikora A, Zahra F. Nosocomial Infections. StatPearls. 2021.
  • Boev C, Kiss E. Hospital-acquired infections: Current trends and prevention. Crit Care Nurs Clin North Am. 2017;29(1):51-65.
  • Leone M, Bouadma L, Bouhemad B, Brissaud O, Dauger S, Gibot S. Hospital-acquired pneumonia in ICU. Anaesth Crit Care Pain Med. 2018;37(1):83-98.
  • Owens CD, Stoessel K. Surgical site infections: epidemiology, microbiology and prevention. J Hosp Infect. 2008;70Suppl2:3-10.
  • Kollef MH, Torres A, Shorr AF, Martin Loeches I, Micek ST. Nosocomial infection. Crit Care Med. 2021;49(2):169-87.
  • Khan HA, Baig FK, Mehboob R. Nosocomial infections: Epidemiology, prevention, control and surveillance. Asian Pac J Trop. 2017;7(5): 478-82.
  • Facciolà A, Pellicanò GF, Visalli G, Paolucci IA, Venanzi Rullo E, Ceccarelli M. The role of the hospital environment in the healthcare-associated infections: a general review of the literature. Eur Rev Med Pharmacol Sci. 2019;23(3):1266-78.
  • Smith PW, Watkins K, Hewlett A. Infection control through the ages. Am J Infect Control. 2012;40(1):35-42.
  • Protano C, Cammalleri V, Romano Spica V, Valer iani F, Vitali M. Hospital environment as a reservoir for cross transmission: cleaning and disinfection procedures. Ann Ig. 2019;31(5):436-48.
  • Murphy P, Kang L, Fleming M, Atkinson C, Pryor R, Cooper K. Effect of ultraviolet-C light disinfection at terminal patient discharge on hospital-acquired infections in bone marrow transplant and oncology units. Am J Infect Control. 2020;48(6):705-7.
  • Sickbert Bennett EE, DiBiase LM, Schade Willis TMS, Wolak ES, Weber DJ, Rutala WA. Reduction of healthcare-associated infections by exceeding high compliance with hand hygiene practices. Emerg Infect Dis. 2016;22(9):1628-30.
  • Bruno Murtha LA, Osgood RA, Alexandre CE. A successful strategy to decrease hospital-onset Clostridium difficile. Infect Control Hosp Epidemiol. 2018;39(2):234-6.
  • Kekeredjian Ding I. Challenges for clinical development of vaccines for prevention of hospital-acquired bacterial infections. Front Immunol. 2020;11:1755.
  • Krut O, Bekeredjan-Ding I. Contribution of the immune response to phage therapy. J Immunol. 2018;200(9):3037-44
  • Trivic I, Hjsak I. Use of probiotics in the prevention of nosocomial infections. J Clin Gastroenterol. 2018;52Suppl1, Proceedings from the 9 th Probiotics, Prebiotics and New Foods, Nutraceuticals and Botanicals for Nutrition & Human and Microbiota Health Meeting, held in Rome, Italy from September 10 to 12, 2017:S62-S65.