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PREVENTION OF VIRAL RESPIRATORY NOSOCOMIAL INFECTIONS Nosocomial infections are one of the biggest problems in post-hospital care But recently the prevention of respiratory viral nosocomial infections such as RSV rhinovirus and influenza have become the focus of many discussions So in what ways can we reduce the frequency of viral respiratory nosocomial infections First we must know the modes of transmission the pathogens use RSV is the most important cause of respiratory infection in young children worldwide infecting virtually every child in the first few years of life One in every one to two hundred infants requires hospitalization usually for bronchiolitis And failure to follow fastidious infection control procedures inevitably leads to nosocomial transmission And the modes of transmission are listed as respiratory secretions inhalation of aerosols indirectly by hands handkerchiefs and eating utensils or other items freshly soiled by respiratory discharges And viral shedding may persist for several weeks after symptoms are no longer present Influenza type A or B viruses cause epidemics of disease almost every winter And is a very substantial threat to hospitalized patients despite the existence of a fairly effective vaccine In the united states approximately twenty percent of people with an average of thirty six thousand deaths and nearly four times that many hospitalizations Influenza type A can be found in many different types of animals and in rare cases can be transferred from animals to humans Chickens ducks pigs horses and whales are the common carriers for Influenza type A Although it is unusual there is also the possibility of the human and animal viruses infecting the same animal or human In this case the virus may mutate mix and create a new virus The Influenza type B viruses only circulate among humans Rhinovirus though not as serious as RSV or influenza can cause substantial problems in pediatric wards and with premature neonates or children with chronic diseases or undeveloped immune systems But the most important
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