Nosocomial infection control in healthcare settings: Protection against emerging infectious diseases

Chuanxi Fu1, Shengyong Wang2

  • 1Guangzhou Center for Disease Control and Prevention, Guangzhou, 510440, China.

Insights

The 2015 Middle East respiratory syndrome (MERS) outbreak in Korea highlights the critical need for robust hospital infection control. Strengthening these measures is essential for preventing the spread of emerging infectious diseases like MERS-CoV.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Public Health

Background:

  • The 2015 Middle East respiratory syndrome (MERS) outbreak in South Korea was potentially linked to inadequate nosocomial infection control.
  • Emerging infectious diseases, including MERS, Ebola virus disease, and severe acute respiratory syndrome (SARS), pose significant challenges to healthcare infection control.
  • Clusters of emerging or unknown infectious diseases often manifest in healthcare settings before definitive identification or community transmission.

Discussion:

  • Healthcare-associated infections (HAIs) are a persistent concern, particularly with novel pathogens.
  • The effectiveness of infection control protocols is paramount in preventing secondary transmission within hospitals.
  • Lessons from past outbreaks underscore the need for continuous evaluation and improvement of infection control strategies.

Key Insights:

  • The MERS outbreak in Korea suggests that lapses in hospital infection control can facilitate disease spread.
  • Strict adherence to infection control measures, as demonstrated in a southern China hospital, can effectively prevent MERS-CoV transmission among healthcare workers.
  • Proactive and rigorous infection control is crucial for managing imported cases of highly contagious diseases.

Outlook:

  • Enhanced surveillance and rapid response systems are necessary to mitigate the impact of future emerging infectious disease outbreaks.
  • Investment in training healthcare workers on infection control protocols for novel pathogens is vital.
  • Further research into optimal infection control strategies for MERS and other emerging respiratory viruses is warranted.

Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.8K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
6.5K
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
3.4K
Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
2.2K
Asepsis01:28

Asepsis

The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
3.8K
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.4K