RT Book, Section A1 Kasper, Dennis L. A1 Fauci, Anthony S. A1 Hauser, Stephen L. A1 Longo, Dan L. A1 Jameson, J. Larry A1 Loscalzo, Joseph SR Print(0) ID 1128783752 T1 Infections Acquired in Health Care Facilities T2 Harrison's Manual of Medicine, 19e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071828529 LK accessmedicine.mhmedical.com/content.aspx?aid=1128783752 RD 2023/05/29 AB Hospital-acquired or nosocomial infections (defined as those not present or incubating at the time of admission to the hospital) and other health care–associated infections affect an estimated 1.7 million pts, cost $28–33 billion, and contribute to 99,000 deaths in U.S. hospitals each year. Although efforts to lower infection risks have been challenged by the growing numbers of immunocompromised pts, antibiotic-resistant bacteria, fungal and viral superinfections, and invasive procedures and devices, the “zero-tolerance” viewpoint of consumer advocates holds that nearly all health care–associated infections should be avoidable. Accordingly, federal legislation now exists to prevent U.S. hospitals from upgrading Medicare charges to pay hospital costs resulting from at least 14 specific nosocomial events.