scholarly journals Prospective study analyzing risk factors and characteristics of healthcare-associated infections in a Urology ward

2017 ◽  
Vol 58 (1) ◽  
pp. 61 ◽  
Author(s):  
José Medina-Polo ◽  
Raquel Sopeña-Sutil ◽  
Raúl Benítez-Sala ◽  
Alba Lara-Isla ◽  
Manuel Alonso-Isa ◽  
...  
2022 ◽  
Vol 4 (1) ◽  
Author(s):  
Serin Edwin Erayil ◽  
Elise Palzer ◽  
Susan Kline

Staphylococcus aureus (SA) colonization has significant implications in healthcare-associated infections. Here we describe a prospective study conducted in pre-surgical outpatients, done with the aim of identifying demographic and clinical risk factors for SA colonization. We found younger age to be a potential predictor of SA colonization.


Author(s):  
O.A. Orlova ◽  
V.G. Akimkin

Surgical site infections (SSI) are the most common and most expensive of the Healthcare-associated Infections (HAI). The rate of SSI in the world is 11.2 per 100 patients. One of the significant and important factors leading to ineffectiveness of prevention of SSI is a weak system of epidemiological surveillance, including insufficient completeness of accounting and registration of Healthcare-associated Infections. To conduct a full epidemiological surveillance of SSI, the complex of measures is necessary, including: conducting a prospective study, efficient microbiological monitoring of SSI pathogens, correct calculation of morbidity taking into account risk factors, organizational-methodical support of epidemiological surveillance.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
H Hannachi ◽  
A Ben Cheikh ◽  
S Bhiri ◽  
H Ghali ◽  
S Khefacha ◽  
...  

Abstract Introduction Healthcare -associated infections has become a worldwide public health problem. The aim of this study was to estimate the incidence of healthcare- associated infections in a university hospital of Tunisia. Methods This was a cohort study conducted in six intensive care units in a university hospital of Tunisia during three months (from august to October 2018). Data was provided from patients’ files. Data entry and analysis was done using SPSS version 22. Multivariate analysis was used in order to identify independent risk factors for healthcare associated infection. Results A total of 202 patients were enrolled in this study. The incidence rate of healthcare-associated infections was 53,96%(109/202). The ratio infection/infected was estimated to 1.65(109/66). The incidence of multi-drug resistant pathogens was 21,28% (43/202). The most common resistant pathogens included pseudomonas aeruginosa resistant to cefdazidime in 13,76%(15/109) followed by those resistant to extended spectrum cephalosporin 11.92% (13/109), followed by carbapenem-resistant acinetobcater baumanii 6,42%(7/109) then by carbapenem resistant pathogens and enterococcus resistant to vancomycin 2.75%(3/109) and finally staphylococcus aureus resistant to methicillin 2.1%(2/1.83). The multivariate analysis showed that long duration of central line catheterisation (RR = 7.44; 95%CI[2.79-19.82]), tracheotomy(RR = 8.61;95%CI[2.09-35,39]) and length of stay (RR = 1.08; 95%CI[1.04-1.13]) were found as independent risk factors for healthcare -associated infection. Conclusions The emergence of mutli-drug resistant pathogens needs to be deeply studied and effective measures have to be taken in order to detect and prevent transmission of resistant strains and/or their resistance determinants, especially those with phenotypes having the fewest viable treatment options. Key messages The incidence of healthcare associated infection in the intensive care unit was high. Effective measures have to be taken in the intensive care unit to detect and prevent transmission of resistant pathogens.


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