Nosocomial Infections in ICU
COMMON NOSOCOMIAL INFECTIONS
COMMON NOSOCOMIAL ORGANISMS
- MRSA
- Coag negative Staph
- Enterococcus (faecalis, faecium) -> produces VRE
- Pseudomonas aeruginosa
- Acinetobacter baumanii
- Stenotrophomonas maltophilia
- Enterobacter spp.
- Klebsiella spp.
- E. coli
- Serratia marcescens
- Proteus spp.
- Candida spp. (albicans, glabrate, krusei)
RISK FACTORS
Patient
- severity of illness
- underlying disease
- nutritional state
- immunosuppression
- open wounds
- invasive devices
- multiple procedures
- prolonged stay
- ventilation
- multiple or prolonged antibiotics
Environment
- changes in procedures or protocols
- multiple changes in staff
- poor aseptic practice
- patient to patient (busy, crowded unit, staff shortages)
Organism
- resistance
- resilience
- formation of slime
- ability to adhere
- pathogenicity
- prevalence
References and Links
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC
