Khazaei S, Adabi M, Bashirian S, Shojaeian M, Bathaei S J, Karami M
Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
Brucellosis Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
New Microbes New Infect. 2020 Nov 24;38:100823. doi: 10.1016/j.nmni.2020.100823. eCollection 2020 Nov.
Healthcare-associated infections (HC-AI) are major health problem with high financial impact. HC-AIs are one of the main causes of morbidity and mortality in paediatric hospitals. This study was performed to determine the epidemiology of HC-AIs in children admitted to medical wards of Besat Hospital in Hamadan, west of Iran. Data on cases of HC-AIs in paediatrics were collected from March 2017 to February 2018 in Besat Hospital. The medical records of eligible cases were extracted from Iranian Nosocomial Infections Surveillance Software. During the study period, a total of 355 HC-AIs in children were detected, 213 (60%) in boys and 214 (60.3%) in the 0-4-year age group. Of these, bloodstream infection was the most frequent infection in both age groups (37.38% in 0-4 years and 34.75% in 5-14 years). was the common detected microorganism in girls (25.84% in those aged 0-4 years and 24.53% in 5-14 years), whereas was more prevalent in boys (33.6% in those aged 0-4 years and 29.55% in 5-14 years). HC-AIs were more prevalent in burn, haematology and intensive care unit wards. In Besat Hospital, bloodstream infection and urinary tract infection were the most frequent infections among paediatric patients, and and were the commonest detected microorganism in girls and boys respectively. Preventive activities should be targeted to reduce the rate of HC-AIs in wards associated with more contamination.
医疗保健相关感染（HC-AI）是一个重大的健康问题，具有很高的经济影响。HC-AI是儿科医院发病和死亡的主要原因之一。本研究旨在确定伊朗西部哈马丹市贝萨特医院内科病房收治儿童的HC-AI流行病学情况。2017年3月至2018年2月在贝萨特医院收集儿科HC-AI病例数据。符合条件病例的医疗记录从伊朗医院感染监测软件中提取。在研究期间，共检测到355例儿童HC-AI，其中男孩213例（60%），0-4岁年龄组214例（60.3%）。其中，血流感染是两个年龄组中最常见的感染（0-4岁组为37.38%，5-14岁组为34.75%）。 是女孩中常见的检测到的微生物（0-4岁年龄组为25.84%，5-14岁年龄组为24.53%），而 在男孩中更普遍（0-4岁年龄组为33.6%，5-14岁年龄组为29.55%）。HC-AI在烧伤、血液学和重症监护病房更为普遍。在贝萨特医院，血流感染和尿路感染是儿科患者中最常见的感染， 分别是女孩和男孩中最常见的检测到的微生物。应开展预防活动，以降低污染较多病房的HC-AI发生率。
