Hospitalism Surgical

Surgical hospitalism is a condition in which an intrahospital infection caused by pathogenic microflora (especially staphylococci) causes serious complications in patients in a surgical hospital. This phenomenon can lead to serious consequences, including the development of sepsis, multiple organ failure and even death. In this article we will look at the causes of surgical hospitalism and methods of preventing it.

Causes of surgical hospitalism

There are several causes of hospitalism:

  1. Contamination of a surgical hospital. Surgical departments are an ideal place for the proliferation of pathogenic microflora, since they constantly house patients with open wounds or other skin lesions. If you do not carry out regular disinfection and do not monitor the cleanliness of the department, this can lead to contamination of the operating room and the emergence of hospitalism.

  2. Low level of hygiene. Patients on the surgical ward may be at risk of hospitalization infection if hygiene levels are poor. This may be due to insufficient staff to maintain cleanliness or insufficient use of disinfectants.

  3. Antibiotic resistance of staphylococci. In recent years, cases of hospitalization caused by antibiotic-resistant forms of staphylococcus have become increasingly common. This strain can cause infection and lead to serious complications.

Methods to prevent hospitalization

To prevent surgical hospitalism, the following measures must be taken:

  1. Regular disinfection of the surgical department. Thorough cleaning and disinfection of the operating room, including surfaces, equipment and instruments, is necessary to prevent the spread of pathogenic microflora.

  2. Maintaining hygiene rules. Surgical staff must practice good hygiene, including wearing sterile clothing, using disinfectants and changing linens regularly.

  3. Use of antibiotics. If there is a risk of hospitalization infection, antibiotics should be used, which can prevent the development of infection.

  4. Training.



Hospitalization and opening of abscesses, lengthy preoperative preparation and intensive care of victims often lead to wound infection. Infection of purulent wounds leads to the formation of bruises and new ulcers. During the treatment process, even in the absence of pus in the surgical wound, the operated patients experience a violation of microcirculation, as a result of which autointoxication occurs in the tissues and membranes, erythema, and perifocal necrosis occur. Against the background of general toxicosis, patients complain of headache, vomiting, lethargy, poor appetite, sleep disturbance, and periodically, increased body temperature. Some patients experience signs of severe intoxication in the form of hectic temperature. The clinical picture of hospitalism depends on the nature and phase of the disease. The degree of intoxication syndrome determines the symptoms and degree