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[Hygienic problems in intensive care units (author's transl)].

H Rüden, P Fischer, E Thofern

    Praktische Anasthesie, Wiederbelebung Und Intensivtherapie
    |December 1, 1977
    PubMed
    Summary

    Intensive care units (ICUs) are reservoirs for hospital infections, spreading through contact, smear, and air. Improved ward design and organization are crucial to prevent pathogenic microorganism spread and reduce nosocomial infections.

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    An outbreak of hospital-acquired Pseudomonas aeruginosa infection caused by contaminated bottled water in intensive care units.

    Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases·2008

    Area of Science:

    • Microbiology
    • Hospital Epidemiology
    • Infection Control

    Context:

    • Intensive care units (ICUs) are recognized as significant reservoirs for the transmission of hospital-acquired infections (nosocomial infections).
    • The spread of infections within ICUs is a critical concern, impacting patient outcomes and healthcare costs.
    • Existing ICU designs and organizational practices may inadvertently facilitate infection transmission.

    Purpose:

    • To review the modes of spread for hospital infections originating in intensive care units.
    • To identify factors contributing to the increased incidence of nosocomial infections in ICUs, including antisepsis, asepsis, and ward planning.
    • To propose improved designs for intensive care wards aimed at reducing infection transmission risks.

    Summary:

    • Microbiological studies confirm ICUs as reservoirs for hospital infections, detailing their transmission routes.
    • Deficiencies in antisepsis, asepsis, and inadequate ward planning contribute to the high incidence of nosocomial infections in ICUs.
    • The study presents two proposed ICU ward plans designed to minimize contact, smear, and airborne infection transmission.

    Impact:

    • Implementing improved ICU designs can significantly reduce the incidence of nosocomial infections.
    • Enhanced attention to preventing pathogenic microorganism spread in ICU planning is essential for patient safety.
    • This research provides a foundation for optimizing healthcare environments to combat infectious disease transmission.

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