Department of Medicine, College of Medicine, University of Kufa, Al-Najaf, Iraq.
Department of Physiology, College of Medicine, University of Kufa, Al-Najaf, Iraq.
J Med Life. 2022 Jan;15(1):132-137. doi: 10.25122/jml-2021-0275.
This study aimed to detect the incidence, etiology, risk factors, and severity of nosocomial diarrhea among adult inpatients in a medical ward in Iraq. The study was conducted among patients admitted to the medical ward from June 1, 2019, to January 31, 2020, in AL-Sader medical city. The surveillance for nosocomial diarrhea was performed by monitoring every patient in the ward 3 times/week. 1050 patients were admitted to the medical ward in AL-Sader medical city. Of these, 52 patients (mean age 58±12.91 years, range 32 to 80) developed new-onset diarrhea during hospitalization. There was a significant relationship between the severity of diarrhea and age, residence, antibiotic use, including number and duration of antibiotics, immunosuppressive agents (steroids/chemotherapy), duration of hospital stay, level of consciousness, and enema use. Nosocomial diarrhea is a significant clinical problem that complicates about 5% of all admission in the medical ward. Various microorganisms account for nosocomial diarrhea, including , , and . Several risk factors associated with the severe form of nosocomial diarrhea include old age, antibiotic use, immunosuppressive use, and length of hospital stay.
本研究旨在检测伊拉克一家医疗病房成年住院患者的医院获得性腹泻的发病率、病因、危险因素和严重程度。该研究于 2019 年 6 月 1 日至 2020 年 1 月 31 日期间在 AL-Sader 医疗城的医疗病房进行，对医院获得性腹泻的监测通过每周监测病房内的每位患者 3 次来进行。AL-Sader 医疗城的医疗病房共收治了 1050 名患者，其中 52 名（平均年龄 58±12.91 岁，范围 32 至 80 岁）在住院期间出现新发腹泻。腹泻严重程度与年龄、居住地、抗生素使用情况（包括抗生素的种类和使用时间）、免疫抑制剂（类固醇/化疗）、住院时间、意识水平和灌肠使用之间存在显著关系。医院获得性腹泻是一个严重的临床问题，约占医疗病房所有入院患者的 5%。各种微生物均可引起医院获得性腹泻，包括、、。与严重医院获得性腹泻相关的几个危险因素包括年龄较大、抗生素使用、免疫抑制使用和住院时间延长。
