Skip to Main Content


The costs of hospital-acquired (nosocomial) and other health care–associated infections are great. It is estimated that these infections affect 1.7 million patients, cost ∼$28–33 billion, and contribute to 99,000 deaths in U.S. hospitals annually. Although efforts to lower infection risks have been challenged by the growing numbers of immunocompromised patients, antibiotic-resistant bacteria, fungal and viral superinfections, and invasive devices and procedures, the viewpoint of consumer advocates—often termed “zero tolerance”—is that almost all health care–associated infections should be avoidable with strict application of evidence-based guidelines for prevention and control (Table 131-1). This chapter reviews health care–acquired and device-related infections as well as basic surveillance, prevention, control, and treatment activities.

Table Graphic Jump Location
Table 131-1 Sources of Infection Control Guidelines and Oversight

The standards of the Joint Commission require all accredited hospitals to have an active program for surveillance, prevention, and control of nosocomial infections. Education of physicians in infection control and health care epidemiology is required in infectious disease fellowship programs and is available by ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.


About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessMedicine Full Site: One-Year Subscription

Connect to the full suite of AccessMedicine content and resources including more than 250 examination and procedural videos, patient safety modules, an extensive drug database, Q&A, Case Files, and more.

$995 USD
Buy Now

Pay Per View: Timed Access to all of AccessMedicine

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.