How is the risk for nosocomial infections reduced during the treatment of botulism?

Updated: Feb 15, 2019
  • Author: Kirk M Chan-Tack, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Measures to reduce the risk of nosocomial infections include the following:

  • Close observation for hospital-acquired infections, especially pneumonia (particularly aspiration pneumonia), is necessary, as is precaution to prevent aspiration. Aggressive pulmonary toilet with clearance of secretions, ventilatory support, and incentive spirometry are typically used.

  • Close observation for urinary tract infection is essential. Foley catheters should be changed on a regular basis.

  • Meticulous skin care is required to prevent decubital ulcers and skin breakdown.

  • Careful attention to peripheral and central intravenous catheters with regular site rotation to reduce the risks of thrombophlebitis, cellulitis, and line infections should be part of the supportive care.

  • Deep venous thrombosis (DVT) prophylaxis is also a standard component of intensive care management.

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