Changing Medical ICU Environment and the Impact on Nosocomial Infection

Nosocomial infections (NIs) are one of the most common complications that occur in ICU patients and confer an increased relative risk of 3.5 for mortality. These types of infections may affect from 5 to 35% of patients who are admitted to ICU’s. Guidelines for Environmental Infection Control in Health-Care Facilities by the CDC, and the Healthcare Infection Control Practices Advisory Committee [HICPAC] guidelines have become standard. These recommendations have been tested in clinical trials of routine infection control surveillance. Also, a revised policy for antimicrobial therapy has proved a reduction in ICU acquired infections and mortality. An extensive review of the principles of infection control in the ICU has been published elsewhere.