Prevention for Nosocomial infection can be done in many ways.

First,interrupting transmission of microorganisms by sterilization or disinfection and maintenance of equipment and devices. It can be done by thorough clean all equipment and devices before sterilization or disinfection, sterilize or use high-level disinfection for semi critical equipment or devices and use sterile (not distilled) water for rinsing reusable semi critical equipment and devices used on the respiratory tract after they have been disinfected chemically. Next, interrupting person-to-person transmissions of bacteria by promote hand washing. Regardless of whether gloves are worn, wash hands after contact with mucous membranes, respiratory secretions, or objects contaminated with respiratory secretions. Then, regardless of whether gloves are worn, wash hands both before and after contact with a patient who has an endotracheal or tracheotomy tube in place or when contact with any respiratory device that is used on the these patient. One of the most important things is practise barrier precautions. That is wear gloves if handling respiratory secretions or objects contaminated with respiratory secretions of any patient. Next, change gloves and wash hands after contact with a patient, after handling respiratory secretions or objects contaminated with secretions from one patient and before contact with another patient, object, or environmental surface and between contacts with a contaminated body site and the respiratory tract or respiratory device on the same patient. Then, wear a gown if soiling with respiratory secretions from a patient is anticipated and change the gown after such contact and before providing care to another patient. Besides that, care of patients who have a tracheotomy by perform tracheotomy under sterile conditions. Make sure that, when changing a tracheotomy tube, use aseptic techniques and replace the tube with one that has undergone sterilization or high-level of disinfection. Nosocomial infection that cause from the result of suctioning of respiratory tract secretions also can be prevent through some method. That is, use only sterile fluid to remove secretions from the suction catheter if the catheter is to be used for re-entry into the patient's lower respiratory tract. Then, change the entire length of suction-collection tubing between uses on different patients. Next, change suction-collection canisters between uses on different patients except when used in short-term care units. Next, preventing aspiration associated with endotracheal intubation. That is, before deflating the cuff of an endotracheal tube in preparation for tube removal, or before moving the tube, ensure that secretions are cleared from above the tube cuff. Then, prevent patient from postoperative pneumonia. Instruct preoperative patients, especially those at high risk for contracting pneumonia regarding frequent coughing by taking deep breaths and ambulating as soon as medically indicated during the postoperative period. Patients at high risk include those who will receive anaesthesia. Especially those who will have an abdominal, thoracic, head or neck operation and also those who have substantial pulmonary dysfunction. For example patients who have chronic obstructive lung disease, a musculoskeletal abnormality of the chest, or abnormal pulmonary function tests. Other than that, encourage postoperative patients to cough frequently, take deep breaths, move about the bed, and ambulate unless these actions are medically contraindicated for themselves. Next control pain that interferes with coughing and deep breathing during the immediate postoperative period by using systemic analgesia, including patient-controlled analgesia, with

as little cough-suppressant effect as possible. Then, provide appropriate support for abdominal wounds, such as tightly placing a pillow across the abdomen and also administering regional analgesia, as example, epidural analgesia.