Surgery pp 273-286 | Cite as

Nosocomial Infections

  • Pamela A. Lipsett


Anosocomial infection (NI) is defined as an infection that is not present or incubating when the patient is admitted to a hospital or other health care facility.1 Generally, an infection that is discovered 48–72 h after admission is indicative of nosocomial, rather than community-acquired, infection. Although usually associated with hospital admission (hence the term hospital-acquired infection), Ms can arise after admission to any health care facility, and the term health care-associated infection is now preferred. Nosocomial infections are increasingly considered as a measure of quality of care and are the focus of safety and quality improvements efforts in many hospitals today.2, 3, 4, 5, 6, 7, 8 To date, the extent these NIs are avoidable under real-life hospital conditions and what represents the irreducible minimum remain unclear.9, 10, 11 A number of observational studies implementing multimodality strategies and standardized policies and practices have demonst rated a 10% to 70% reduction in infection rates depending on the setting, study design, type of infection, and baseline infection rates.9, 10, 11, 12, 13, 14, 15


Nosocomial Infection Respir Crit Urinary Catheter Nosocomial Pneumonia National Nosocomial Infection Surveillance 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Pamela A. Lipsett
    • 1
  1. 1.Department of Surgery, Anesthesiology/Critical Care MedicineJohns Hopkins University Schools of Medicine and NursingBaltimoreUSA

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