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The burden of healthcare-associated infections (HCAIs) has traditionally been measured using clinical and economic outcomes. We conducted semi-structured interviews with 18 patients or their caregivers affected by HCAI caused by multidrug-resistant organisms to better understand the human impact of HCAI. Most patients had misconceptions about HCAI and antimicrobial resistance, leading to strong negative feelings towards HCAIs despite positive views of their healthcare providers. Communication issues across power imbalances need to be addressed to help deal with trauma of HCAIs. A holistic approach to HCAIs incorporating patient perspectives will likely help guide policymakers developing solutions to improve patient outcomes.

Original publication




Journal article


The Journal of hospital infection

Publication Date





454 - 460


Division of Infectious Disease, University Medicine Cluster, National University Hospital, Singapore; Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, UK. Electronic address:


Humans, Bacterial Infections, Cross Infection, Mycoses, Health Knowledge, Attitudes, Practice, Drug Resistance, Microbial, Adult, Aged, Aged, 80 and over, Middle Aged, Female, Male, Interviews as Topic, Health Communication