scholarly journals Correlation of nosocomial infection with prolonged hospital stay in Kano Nigeria

2021 ◽  
Vol 12 (2) ◽  
pp. 149-155
Author(s):  
B. Alkali ◽  
E. Agwu ◽  
F. Sarkinfada ◽  
A.M. Idris ◽  
S.B. Mada
Keyword(s):  
Nosocomial Infection ◽  
Hospital Stay ◽  
Nosocomial Infections ◽  
Clinical Laboratory ◽  
Clinical Samples ◽  
Surveillance Systems ◽  
Nasal Intubation ◽  
Prolonged Hospital Stay ◽  
Laboratory Procedure ◽  
Prolonged Hospital

Nosocomial infections or Health Care prolonged hospital stay and has been implicated in increase in socio-economic disturbance, long term disability, and increased mortality rate. There is paucity information on the burden of HCAIs because of poorly developed surveillance systems and inexistent control methods. We aimed to investigate the prevalence of nosocomial infection due to prolonged hospital stay in selected tertiary hospitals of Kano metropolis. Retrospective data  were collected from three hospitals with a total number of admitted patients and the number of prolonged hospital stays during the month of study. A total of 401 clinical samples collected from patients admitted for ≥14 days and the age of ≥18 years from all study sites. Examples include wound swabs, urine samples, urine catheters, and nasal intubation. All the samples were processed by the standard bacteriological laboratory procedure of the Clinical laboratory standard institute. The results showed that the percentage of prolonged hospital stay in Kano 40.34%, Murtala Muhammad Specialist Hospital (MMSH) 50.54% with the least at Muhammad Abdullahi Wase Specialist (MAWSH) 28.91%. Age served as significant factors for acquired HCAIs; participants aged were 41- 70 years have a higher prevalence of nosocomial infections. From 138 positive isolates observed, Murtala Muhammad Specialist Hospital (MMSH) has height nosocomial infection of 41.4%, with the least Aminu Kano Teaching Hospital (AKTH) has 29%. Among the Site of infection, 34.8% isolates were wounds Swabs (SSIs), urine (UTI) 31.2%, an least was nasal intubation 11.6%. Among pathogens isolated E. coli is the most prominent organism with 26.1% and the least Streptococcus pyogenes (7.9%). This study showed that the prevalence of Prolong hospital stay in Kano was 40.34%, AKTH 39.53% and MAWSH 28.91%. The prevalence of nosocomial infection was 34.3%. Gram-negative  bacteria were the predominant isolates.

scholarly journals Estimands to quantify prolonged hospital stay associated with nosocomial infections

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Martin Wolkewitz ◽  
Martin Schumacher ◽  
Gerta Rücker ◽  
Stephan Harbarth ◽  
Jan Beyersmann
Keyword(s):  
Hospital Stay ◽  
Nosocomial Infections ◽  
Prolonged Hospital Stay ◽  
Prolonged Hospital

A study on the design of a wardrobe, for patients bed-ridden with cancer, applying the knowledge of anonymous design

Impact ◽  
2020 ◽  
Vol 2020 (7) ◽  
pp. 45-47
Author(s):  
Naoko Fujii
Keyword(s):  
Hospital Stay ◽  
Nursing Care ◽  
Healthcare Professionals ◽  
The Other ◽  
Human Beings ◽  
Prolonged Hospital Stay ◽  
Hospital Patients ◽  
Hospital Gowns ◽  
Hospital Stays ◽  
Prolonged Hospital

The majority of human beings will be admitted to hospital at some point over the course of their lives. For the more fortunate among us, these hospital stays will be brief and will barely register as a significant experience. However, for others, being admitted for weeks or months at a time will be necessary in order to combat and recover from whatever it was that made admittance to hospital necessary. While it is easy to think of many reasons why a prolonged hospital stay might be undesirable, one that may escape our attention is the clothes that are worn by patients during their stay. Once a patient has been assigned a bed, they are often given a gown which they put on without thought and then lie down. The gowns that are given to patients are generally designed with healthcare professionals in mind. For example, in Japan pyjamas and yukata (bathrobes) are used as hospital gowns because they have a front opening that is easy to use during treatment and nursing care. In addition, the other gowns can be opened from the ankle to the crotch using the zip. Dr Naoko Fujii has focused her career on designing clothes for hospital patients and believes that there is a way to satisfy the practical needs of a hospital and the care it gives at the same time as satisfying the requirements of patients. She is now focusing her attention on this challenge.

scholarly journals COPD in patients after heart transplantation is associated with a prolonged hospital stay, early posttransplant atrial fibrillation, and impaired posttransplant survival

2018 ◽  
Vol Volume 10 ◽  
pp. 1359-1369 ◽  
Author(s):  
Rasmus Rivinius ◽  
Matthias Helmschrott ◽  
Arjang Ruhparwar ◽  
Bastian Schmack ◽  
Fabrice F. Darche ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Heart Transplantation ◽  
Hospital Stay ◽  
Prolonged Hospital Stay ◽  
Prolonged Hospital

scholarly journals Frequency, characteristics and impact of multiple consecutive nosocomial infections in patients with decompensated liver cirrhosis and ascites

2020 ◽  
Vol 8 (5) ◽  
pp. 567-576
Author(s):  
Marie Schultalbers ◽  
Tammo L Tergast ◽  
Nicolas Simon ◽  
Abdul-Rahman Kabbani ◽  
Markus Kimmann ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Nosocomial Infection ◽  
Hospital Stay ◽  
Nosocomial Infections ◽  
Fungal Pathogens ◽  
Multiple Infections ◽  
Decompensated Liver Cirrhosis ◽  
Infectious Episode ◽  
Free Survival ◽  
The Impact

Background Nosocomial infections are a particular threat for patients with liver cirrhosis. It is not uncommon that individuals develop even several consecutive infections during a single hospital stay. We aimed to investigate the impact and characteristics of multiple, consecutive nosocomial infections. Methods A total of 514 consecutive patients with liver cirrhosis and ascites were included and followed up for 28 days for nosocomial infection, death or liver transplantation (LTx). Laboratory values were assessed at the time of hospitalization as well as at the onset of each new infectious episode. Results 58% ( n = 298) of the patients developed at least one nosocomial infection and in 23% ( n = 119) even multiple infections were documented during a single hospital stay. Consecutive infections usually occurred shortly after the previous episode. Spontaneous bacterial peritonitis (SBP) was the most common infection. However, the proportion of SBP declined from 43% at the first to only 31% at the third nosocomial infection ( p = 0.096). In contrast, the likelihood for other, less common types of infection such as blood stream infections increased. Third nosocomial infections were also more likely to be linked to the detection of fungal pathogens (21% vs. 52%; p = 0.001). Each additional infectious episode had a dramatic detrimental impact on LTx-free survival that was independent from the stage of liver disease (adjusted-HR: 6.76, p = 0.002 for first nosocomial infection; adjusted-HR: 14.69, p<0.001 for second nosocomial infection; adjusted-HR: 24.95, p<0.001 for third nosocomial infection). Conclusion In patients with decompensated liver cirrhosis LTx-free survival significantly decreases with every consecutive infectious episode. Development of prevention strategies is urgently required.

scholarly journals Factors Associated with Prolonged Hospital Stay: a Retrospective Study for Imported Malaria Cases

2021 ◽  
Author(s):  
Liang Huang ◽  
Hong Jin ◽  
Hong Zhang ◽  
Yang Liu ◽  
Xinxing Shi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bacterial Infection ◽  
Hospital Stay ◽  
Predictive Factors ◽  
Imported Malaria ◽  
Health Concern ◽  
P Value ◽  
Prolonged Hospital Stay ◽  
Imported Cases ◽  
Prolonged Hospital

Abstract Background China had entered post-elimination era for malaria, however, the imported cases are continuously are a public health concern as the increasing number of cases. In this study we studied the potential predictive factors for prolonged hospital stay for imported malaria patients. Material and Methods We retrospectively collected patients of imported malaria cases data from 2017–2020 in our hospital. we analyzed the data from clinical, epidemiological, geographical, and seasonal points of view, and used cox proportional hazard model to find the predictive factors for prolonged hospital stay. Results We found most of imported cases were from Democratic Republic of the Congo(23%, 34/150) and most cases 74%(26/34) were infected by P. falciparum. Through Edwards Test, no significant seasonality of imported cases were found(χ2 = 2.51 p-value = 0.28). We found bacterial infection(HR = 0.58, p-value = 0.01) and thrombocytopenia(HR = 0.66, p-value = 0.02) were protective factors for discharge, that were, the risk factors for prolonged hospital stay. Conclusions The imported cases are the major risk of malaria in post-elimination era of China. The bacterial infection and thrombocytopenia were the risk factors for prolonged hospital stay.

Sign in / Sign up

Export Citation Format

Share Document