Incidence of and risk factors for hospital-acquired diarrhea in three tertiary care public hospitals in Bangladesh.
| Autor: | Bhuiyan MU, Luby SP, Zaman RU, Rahman MW, Sharker MAY, Hossain MJ, Rasul CH, Ekram ARMS, Rahman M, Sturm-Ramirez K, Azziz-Baumgartner E, Gurley ES |
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| Jazyk: | angličtina |
| Zdroj: | The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2014 Jul; Vol. 91 (1), pp. 165-172. Date of Electronic Publication: 2014 Apr 28. |
| DOI: | 10.4269/ajtmh.13-0484 |
| Abstrakt: | During April 2007-April 2010, surveillance physicians in adult and pediatric medicine wards of three tertiary public hospitals in Bangladesh identified patients who developed hospital-acquired diarrhea. We calculated incidence of hospital-acquired diarrhea. To identify risk factors, we compared these patients to randomly selected patients from the same wards who were admitted > 72 hours without having diarrhea. The incidence of hospital-acquired diarrhea was 4.8 cases per 1,000 patient-days. Children < 1 year of age were more likely to develop hospital-acquired diarrhea than older children. The risk of developing hospital-acquired diarrhea increased for each additional day of hospitalization beyond 72 hours, whereas exposure to antibiotics within 72 hours of admission decreased the risk. There were three deaths among case-patients; all were infants. Patients, particularly young children, are at risk for hospital-acquired diarrhea and associated deaths in Bangladeshi hospitals. Further research to identify the responsible organisms and transmission routes could inform prevention strategies. (© The American Society of Tropical Medicine and Hygiene.) |
| Databáze: | MEDLINE |
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