Addressing the Prevalence of Healthcare-Associated Infections in India

Chinmayi Balusu
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Abstract

A principle rooted in the Hippocratic medical tradition is “first, do no harm,” a core value for healthcare providers around the world. This principle is based on the importance of ensuring that no medical harm is incurred by patients before any procedures are performed. However, this principle is often violated through unseen infections that affect patients in the clinical setting. Healthcare-associated infections (HCAIs) are illnesses that originate within hospitals and healthcare facilities where patients receive treatment. The International Nosocomial Infection Control Consortium reports the HCAI prevalence in India as approximately 9.06 infections per 1,000 intensive care unit (ICU) patient days; the HCAI infection rate can vary between 4.4 and 83.09 percent across different hospitals in India, which is considerably higher than other wealthy countries (Iyer et al., 2015). Not only can HCAIs have a negative impact on patients’ health, but they can also pose risks in the long run and present a financial burden. This article will address interactions between factors such as lack of resources for sanitation, knowledge gap in proper hospital hygienic practices, poor accountability procedures, and accuracy of hospital accreditation. Additionally, I explore ways for bridging the cultural gap by integrating Ayurvedic alternative medicine principles to allow for better retention of sanitation practices among communities at the local level. Overall, by working through these detailed factors, the Indian healthcare system can focus on going above and beyond its “do no harm” guideline and enhancing patients’ lives by addressing behavioral and structural challenges related to infections originating in the clinical setting.
解决印度医疗保健相关感染的流行问题
植根于希波克拉底医学传统的一项原则是“首先,不要伤害”,这是世界各地医疗保健提供者的核心价值观。这一原则的基础是确保在进行任何手术之前,患者不会受到任何医疗伤害。然而,在临床环境中影响患者的看不见的感染往往违反了这一原则。医疗相关感染(HCAI)是指起源于患者接受治疗的医院和医疗机构内的疾病。国际医院感染控制联合会报告称,印度的HCAI患病率约为每1000个重症监护室(ICU)患者日9.06例感染;印度不同医院的HCAI感染率可能在4.4%至83.09%之间,远高于其他富裕国家(Iyer等人,2015)。HCAI不仅会对患者的健康产生负面影响,而且从长远来看还会带来风险并带来经济负担。这篇文章将讨论卫生资源缺乏、正确的医院卫生做法方面的知识差距、糟糕的问责程序和医院认证的准确性等因素之间的相互作用。此外,我还探索了通过整合阿育吠陀替代医学原则来弥合文化差距的方法,以更好地在地方一级的社区中保留卫生做法。总的来说,通过研究这些详细因素,印度医疗保健系统可以专注于超越其“不伤害”指南,并通过解决与临床环境中感染相关的行为和结构挑战来改善患者的生活。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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