1. Nosocomial infections

2. Definition Nosocomial or hospital infection  is an infection contracted in a health institution.  was not present at the patient's admission to hospital  development: at least 48 hours after admission less than one month after surgery less than 1 year after the fitting of a prosthesis

3. Data for France What kinds of infections?

4. Data for France Which bacteria responsible?

5. Some statistics In europe  4.1 million victims of a nosocomial infection each year  1-2 out of 20 patients contract a nosocomial infection  37,000 deaths per year due to nosocomial infections  5.48 billion euros : the cost of nosocomial infections

6. Worldwide  1.4 million people suffer at any time of a nosocomial infection  In some developing countries, the number of patients affected can exceed 25%  80,000 deaths each year in the USA  In the USA, the cost is estimated each year between 4.5 and 5.7 billion USD From OMS Some statistics

7. The bacteria responsible for these infections come from:  patient (self-infection)  another patient or health care workers  external people (visitors)  bad decontamination of medical devices What is the source of these infections?

8. The main means of control  Hygiene of health workers, patients and visitors  Hygiene of premises and equipment  Monitoring the use of antibiotics in the hospital to limit bacterial resistance  Regular microbiological monitoring of the patient's environment How to fight?