埃及一家三级护理医院的医疗保健相关感染概述。
An overview of healthcare-associated infections in a tertiary care hospital in Egypt.
作者信息
Hassan Rania, El-Gilany Abdel-Hady, Abd Elaal Amina M, El-Mashad Noha, Azim Dalia Abdel
机构信息
Clinical Pathology, Ministry of Health, Egypt.
Public Health & Preventive Medicine, Faculty of Medicine, Mansoura University, Egypt.
出版信息
Infect Prev Pract. 2020 May 19;2(3):100059. doi: 10.1016/j.infpip.2020.100059. eCollection 2020 Sep.
BACKGROUND
Healthcare-associated infection (HAI) is a major problem in healthcare facilities and is associated with increased morbidity and mortality and prolonged hospital stay. This study aims to determine the incidence rate, risk factors, and bacterial aetiology of HAI in a tertiary care hospital in Mansoura, Egypt.
METHODS
This is a prospective observational study carried out over 12 months in different departments of Mansoura New General Hospital (MNGH). Data were collected from patient's records and laboratory results of the ongoing HAI surveillance program.
RESULTS
The incidence of HAI was 3.7% among 6912 patients studied. The independent predictors of HAI were multiple devices (AOR=88.1), central venous catheter (CVC) (AOR=34), urinary catheter (AOR=28.9) and length of stay >20 days (AOR=3.1). Surgical site infections (SSI) were the most frequent (24%) followed by catheter associated urinary tract infections (CAUTI) (20%). The most frequently isolated pathogens were . (27.2%), and (18%).
CONCLUSIONS
HAI is a significant problem in MNGH. were the predominant causative organisms of HAI, as has been described in other studies from developing countries.
背景
医疗保健相关感染（HAI）是医疗机构中的一个主要问题，与发病率和死亡率增加以及住院时间延长相关。本研究旨在确定埃及曼苏拉一家三级护理医院中HAI的发病率、危险因素和细菌病因。
方法
这是一项在曼苏拉新综合医院（MNGH）不同科室进行的为期12个月的前瞻性观察研究。数据从正在进行的HAI监测项目的患者记录和实验室结果中收集。
结果
在6912名研究患者中，HAI的发病率为3.7%。HAI的独立预测因素为多种设备（调整后比值比[AOR]=88.1）、中心静脉导管（CVC）（AOR=34）、导尿管（AOR=28.9）和住院时间>20天（AOR=3.1）。手术部位感染（SSI）最为常见（24%），其次是导管相关尿路感染（CAUTI）（20%）。最常分离出的病原体是……（27.2%），以及……（18%）。
结论
HAI是MNGH中的一个重要问题。正如其他来自发展中国家的研究所描述的那样，……是HAI的主要致病生物。
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