Understanding the risks

Healthcare-associated infections

Healthcare-associated infections are infections acquired in hospital, meaning that they were not present before admission. In intensive care, they affect around one patient in five on average. They are therefore a common complication and cannot always be prevented.

Why?

  • An intensive care stay means that the patient is in a very vulnerable condition. Their immune defences are weakened, so the body is less able to protect itself against bacteria and viruses than when it is healthy and is therefore more susceptible to infection.
  • Patients do not all face the same level of risk. Length of hospital stay, older age, multiple medical conditions and chronic illness are risk factors that may combine.
  • The acute illness that led to admission to intensive care also reduces the body’s natural ability to resist infection.
  • Finally, although they are necessary, some devices such as ventilators, catheters and tubes also carry risks. Every day, the benefits and risks of each device and treatment are reassessed.

Please note

Visits, including visits from children, do not expose visitors to a risk of acquiring a healthcare-associated infection, provided that the recommended precautions are followed.

Treatment-related complications

Treatment-related, or iatrogenic, complications are complications caused by the therapies being used. Although every machine and medicine used in intensive care may be necessary to sustain and protect the patient’s life, no treatment is entirely without risk. Because ICU patients are particularly vulnerable, they may be more likely to develop complications, and those complications can be especially serious. This is why the healthcare team reassesses the need for every treatment and therapy each day, so that the patient can be “weaned” from anything they no longer need before a complication occurs.

Psychological complications

An intensive care stay is always a major traumatic experience for a patient: confronting their own vulnerability or even mortality, feeling powerless and unable to control the situation, losing independence, experiencing pain and discomfort, being physically restrained to prevent harm, developing ICU delirium with vivid hallucinations, dreams or nightmares, and having gaps in their memory. All of this can have a major impact on psychological wellbeing. It is therefore important to minimise distress as much as possible, provide the most personalised support possible and help the patient understand what has happened to them, including by writing an ICU diary for them.

Please be assured that the healthcare team does everything possible to limit these risks. Staff are trained to follow hygiene measures rigorously, and these procedures are continually updated in line with official recommendations.