Repeated prevalence studies of nosocomial infections in one university hospital in Serbia

被引:2
作者
Ilic, Milena [1 ]
Markovic-Denic, Ljiljana [2 ]
机构
[1] Univ Kragujevac, Fac Med Sci, Dept Epidemiol, Kragujevac, Serbia
[2] Univ Belgrade, Fac Med, Inst Epidemiol, Belgrade, Serbia
关键词
Nosocomial infection; prevalence; repeated survey; university hospital; risk factors; CARE-ASSOCIATED INFECTION; ACQUIRED INFECTIONS; POINT-PREVALENCE; SURVEILLANCE; PERSPECTIVE; NORWAY; RISK; US;
D O I
10.3906/sag-1509-10
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background/aim: Nosocomial infections occur worldwide and affect both developed and resource-poor countries. The aim of this paper was to determine the prevalence and risk factors for nosocomial infections in one Serbian hospital. Materials and methods: Three-point prevalence surveys were conducted in the Clinical Center of Kragujevac (1240 beds). The standard definitions for nosocomial infections of the Centers for Diseases Control and Prevention were used. The authors conducted surveys according to the same protocol. Results: The prevalence of infected patients and the overall prevalence of nosocomial infections was 6.2% and 7.1% in 2003, 4.6% and 4.6% in 2005, and 7.6% and 8.7% in 2009, respectively. In all three studies, the risk factors for nosocomial infections were older age, intravascular catheters, urinary catheters, longer hospital stays, hospitalization in an intensive care unit, and surgeries. According to the multivariate regression analysis, a prolonged hospitalization and use of a urinary catheter were independent risk factors for nosocomial infections in the first and second study. Conclusion: The overall healthcare-associated infection prevalence in our hospital increased from 2003 to 2009, and this was an incentive for a better definition of infection control priorities in high-risk departments.
引用
收藏
页码:563 / 569
页数:7
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