Nosocomial- Hospital

Question 1

HAI (healthcare-associated infections)

Answer 1

5-10% hospitalized pt
~30% mortality
~77,000 case/year
1-2 billion/year

Question 2

Common HAI

Answer 2

1. Urinary tract infection 30%
2. Others 21%
3. Blood stream infection 18%
4. Surgical Site Infection (SSI) 16%
   5, pneumonia 15%

Question 3

old Infection Control

Answer 3

Focus on surveillance
Reactive
Crisis management
Based on education and good will

Question 4

What changed from old infec control

Answer 4

Evidence base for many intervention

Standardized definitions

National benchmark *기준

Center stage in quality arena:

• public disclosure
• pay for performance
• public expectations

reactive to proactive

Question 5

the new infection control model

Answer 5

evidence based
intervention
performance based
process and outcome
safety culture

Question 6

SCIP stands for

Answer 6

surgical care improvement project

Question 7

Surgical care improvement project

Answer 7

standard of care

Strong evidence for
- prophylactic (preventive) antibiotics within an hour of incision

• choice of antibiotics
• stopping within 24 hrs and 48 hours for cardiac surgery)

Question 8

MDROs stand for

Answer 8

multi-drug resistant organisms

Question 9

ex of MDROs

Answer 9

MRSA, VRSA, VISA
MDR gram negatives such as:
CRE
ESBLs
pseudomona
acinetobacter

C. difficile incections

Question 10

2 never changing factors

Answer 10

hand hygiene

and cleansing

Question 11

new cleaning tech

Answer 11

hydrogen peroxide vapor (HPV)

reduce the number of micr-organisms in a hospital room

Question 12

Bioquell process

Answer 12

patient admit

patient discharge

EVS cleans room

Vent/door sealed

BIOQUELL machine runs

Room scanned for any lingering HPV

Vents/door reopen

patient admitted