Sally Sheard
Search for other papers by Sally Sheard in
Current site
Google Scholar
PubMed
Close
Cleanliness costs
The evolving relationship between infection and length of stay in antibiotic-era hospitals
Abstract only
Log-in for full text

Hospital acquired infection (HAI] - referred to as ‘nosocomial’ infection in US terminology - emerged as a specific policy concern in the mid-twentieth century, although it has a much longer lineage. This chapter uses a comparative Anglo-American perspective to repositions the debate on the history of HAIs, which has to date been focused on scientific understanding of infection through the use of evolutionary paradigms, the development of new approaches such as clinical epidemiology and the enduring fascination with the discovery, use and abuse of antibiotics and associated rise of antimicrobial resistance (AMR). Some of this historical research has marginalised or ignored (by choice or ignorance) the key issue that health care is an economic, as well as a scientific-clinical activity. These lacunae are particularly evident when historians discuss how responses to HAIs resulted in the formation of protocols and teams, which they invariably articulate as comprised of clinical/technical staff (surgeons, physicians, nurses, microbiologists and epidemiologists). There has been minimal recognition that hospital administrators and managers could (and did) play key roles in these developments because of the significant and increasing impact of HAIs on hospital costs, arising in part through concerns about length of patient stay, and through the roles of insurance companies in the Unites States and economists at national policymaking levels in the UK.

  • Collapse
  • Expand

All of MUP's digital content including Open Access books and journals is now available on manchesterhive.

 

Germs and governance

The past, present and future of hospital infection, prevention and control

Metrics

All Time Past Year Past 30 Days
Abstract Views 468 179 23
Full Text Views 44 33 0
PDF Downloads 40 21 0