The Institutional Environment: Nosocomial Infections

  • Donald Vesley


The last of the microenvironments is that of institutions. An institution is a self-contained property with a defined (and often very susceptible) population. Some primary examples are healthcare facilities, daycare centers, schools and colleges, prisons, military installations, resorts, and migrant labor camps. Clearly, these are very diverse settings with extremely different populations at risk.


Healthcare Facility Nosocomial Infection Institutional Environment Daycare Center Puerperal Fever 
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A very comprehensive book on the subject of nosocomial infections is

  1. Mayhall, G. C., (Ed.) 1996. Hospital Epidemiology and Infection Control. Williams and Wilkins. Baltimore, MD.Google Scholar

Other important guidelines related to intervention practices include

  1. OSHA, 1991. Blood-borne Disease Standard. Federal Register Vol. 56, No. 235, Friday, Dec. 6, 1991, pp. 64175–64182.Google Scholar
  2. CDC1994. Guidelines for preventing the transmission of M. tuberculosis in health-care facilities. MMWR Vol. 43, No. RR-13, Oct. 28, 1994. Google Scholar
  3. AJIC1996. “CDC Guidelines for Isolation Precautions in Hospitals.” Am. J. Inf. Control24: 24–52. Google Scholar

Copyright information

© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Donald Vesley
    • 1
  1. 1.Division of Environmental and Occupational Health, School of Public HealthUniversity of MinnesotaUSA

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