Infection Control Health Article

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Definition

Infection control refers to policies and procedures used to minimize the risk of spreading infections, especially in hospitals and health care facilities.

Purpose

The purpose of infection control is to reduce the occurrence of infectious diseases. These diseases are usually caused by bacteria or viruses and can be spread by human-to-human contact, animal-to-human contact, human contact with an infected surface, airborne transmission through tiny droplets of infectious agents suspended in the air, and, finally, by a common vehicle such as food or water.

Infection control in hospitals

Infections obtained in hospitals are also called nosocomial infections. They occur in approximately 5% of all hospital patients. This results in increased time spent in the hospital and, in some cases, death. There are many

Selected Infectious Diseases And Corresponding Treatments
Disease Symptoms Transmittal Treatment
Chicken pox Rash, low-grade fever Person to person None
Common cold/Influenza Runny nose, sore throat, cough, fever, headache, muscle aches Person to person None
Hepatitis Jaundice, flu-like symptoms Sexual contact with an infected person, contaminated blood, food, or water None
Legionnaire's Disease Flu-like symptoms, pneumonia, diarrhea, vomiting, kidney failure, respiratory failure Air conditioning or water systems Antibiotics
Measles Skin rash, runny nose and eyes, Person to person fever, cough None
Meningitis Neck pain, headache, pain caused by exposure to light, fever, nausea, drowsiness Person to person Antibiotics for bacterial meningitis, hospital care for viral meningitis
Mumps Swelling of salivary glands Person to person Anti-inflammatory drugs
Ringworm Skin rash Contact with infected animal or person Antifungal drugs applied topically
Tetanus Lockjaw, other spasms Soil infection of wounds Antibiotics, antitoxins, muscle relaxers

reasons nosocomial infections are common, one of which is that many hospital patients have a weakened immune system which makes them more susceptible to infections. This weakened immune system can be caused either by the patient's diseases or by treatments given to the patient. Second, many medical procedures can increase the risk of infection by introducing infectious agents into the patient. Thirdly, many patients are admitted to hospitals because of infectious disease. These infectious agents can then be transferred from patient to patient by hospital workers or visitors.

Infection control has become a formal discipline in the United States since the 1950s, due to the spread of staphylococcal infections in hospitals. Because there is both the risk of health care providers acquiring infections themselves, and of their passing infections on to patients, the Centers for Disease Control and Prevention have established guidelines for infection control procedures. In addition to hospitals, infection control is important in nursing homes, clinics, child care centers, and restaurants, as well as in the home.

Threat of emerging infectious diseases

Due to constant changes in our lifestyles and environments, there are constantly new diseases that people are susceptible to, making protection from the threat of infectious disease urgent. Many new contagious diseases have been identified in the past 30 years, such as AIDS, Ebola, and hantavirus. Increased travel between continents makes the worldwide spread of disease a bigger concern than it once was. Additionally, many common infectious diseases have become resistant to known treatments.

Problems of antibiotic resistance

Because of the overuse of antibiotics, many bacteria have developed a resistance to common antibiotics. This means that newer antibiotics must continually be developed in order to treat an infection. However, further resistance seems to come about almost simultaneously. This indicates to many scientists that it might become more and more difficult to treat infectious diseases. The use of antibiotics outside of medicine also contributes to increased antibiotic resistance. One example of this is the use of antibiotics in animal husbandry. These negative trends can only be reversed by establishing a more rational use of antibiotics through treatment guidelines.

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Author Info: Cindy L. A. Jones PhD, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Medicine, 2002
 
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