Sheikh Omar Nasteho Mohamed, Erismis Betul, Muse Osman Marian, Garba Bashiru, Hassan Mohamed Abdulahi, Akuku Isaiah G
University of Health Sciences Turkey, Mogadishu Somalia-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.
University of Health Sciences, Bakirkoy Dr Sadi Konuk Education and Research Hospital, Istanbul, Turkey.
Infect Drug Resist. 2023 Feb 1;16:705-720. doi: 10.2147/IDR.S398387. eCollection 2023.
Nosocomial infection constitutes a significant public health challenge globally, with resource-limited countries bearing the greatest burden. Sadly, the emergence of drug-resistant strains of these pathogens have worsened the already precarious situation.
This study aimed to determine the incidence of nosocomial infections, the causative agents, and their antimicrobial susceptibilities among patients admitted to a tertiary hospital in Mogadishu, Somalia. The study included patients who had positive cultures 48 hours after admission. Abstracted data include the patient's demographic, infection outcome, the agents involved, and the site of infection.
A total of 330 patients were found to have acquired nosocomial infection, comprising 100 (30%) patients from the ICU department. The median age for the patients in this study was 36 years. Patients who died of all-cause mortality were older than those discharged. Most of the bacteria were collected from sepsis/bloodstream infections (34%) dominated by (42.1%), (14.0%), (14.0%), and . (7.0%). Urinary tract infections were mainly associated with (37.5%), (18.8%), and . 50% of all microorganisms were multidrug-resistant.
The findings of this study suggested that hospital infection control and prevention strategies need to be strengthened to improve the quality of care among hospitalized patients.
医院感染是全球重大的公共卫生挑战，资源有限的国家负担最为沉重。遗憾的是，这些病原体耐药菌株的出现使本就岌岌可危的状况更加恶化。
本研究旨在确定索马里摩加迪沙一家三级医院住院患者的医院感染发生率、病原体及其抗菌药敏情况。该研究纳入入院48小时后培养结果呈阳性的患者。提取的数据包括患者的人口统计学信息、感染结局、相关病原体及感染部位。
共发现330例患者发生医院感染，其中100例（30%）来自重症监护病房。本研究患者的中位年龄为36岁。全因死亡患者的年龄大于出院患者。大多数细菌分离自败血症/血流感染（34%），主要为[此处原文缺失具体细菌名称]（42.1%）、[此处原文缺失具体细菌名称]（14.0%）、[此处原文缺失具体细菌名称]（14.0%）和[此处原文缺失具体细菌名称]（7.0%）。尿路感染主要与[此处原文缺失具体细菌名称]（37.5%）、[此处原文缺失具体细菌名称]（18.8%）和[此处原文缺失具体细菌名称]有关。所有微生物中有50%对多种药物耐药。
本研究结果表明，需要加强医院感染控制和预防策略，以提高住院患者的护理质量。
