A8. Infection and infection control on the ICU

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Although intensive care units (ICUs) account for fewer than 10% of total beds in most hospitals, more than 20% of all nosocomial infections are acquired in ICUs. ICU-acquired infections account for substantial morbidity, mortality, and expense. Most bacterial infections that occur on the ICU have some sort of anti-microbial resistance.

Most common infections:

Most problematic pathogens:

Risk factors:

  • Patients in poor condition
  • Invasive interventions and devices
  • Older age
  • Comorbidities
  • Long duration of hospitalization
  • Antibiotic use

Prevention:

  • Proper hygienic measures
  • Ensure sterility during procedures
  • Avoid invasive procedures when possible
  • Discontinue indwelling sources of infection when possible
  • Education of staff
  • Etc.