Point prevalence & risk factor assessment for hospital-acquired infections in a tertiary care hospital in Pune, India.

Autor: Nair V; Department of Internal Medicine, Armed Forces Medical College, Pune, India., Sahni AK; Department of Microbiology, Armed Forces Medical College, Pune, India., Sharma D; Department of Community Medicine, Armed Forces Medical College, Pune, India., Grover N; Department of Microbiology, Armed Forces Medical College, Pune, India., Shankar S; Department of Internal Medicine, Armed Forces Medical College, Pune, India., Chakravarty A; Department of Hospital Administration, Armed Forces Medical College, Pune, India., Patrikar S; Department of Community Medicine, Armed Forces Medical College, Pune, India., Methe K; Department of Community Medicine, Armed Forces Medical College, Pune, India., Jaiswal SS; Department of Surgery, Armed Forces Medical College, Pune, India., Dalal SS; Department of Paediatrics, Armed Forces Medical College, Pune, India., Kapur A; Department of Obstetrics and Gynaecology, Armed Forces Medical College, Pune, India., Verma R; Department of Dermatology, Armed Forces Medical College, Pune, India., Prakash J; Department of Psychiatry, Armed Forces Medical College, Pune, India., Gupta A; Department of Ophthalmology, Armed Forces Medical College, Pune, India., Bhansali A; Department of Otorhinolaryngology, Armed Forces Medical College, Pune, India., Batura D; Department of Urology, Armed Forces Medical College, Pune, India., Rao GG; Department of Microbiology, Armed Forces Medical College, Pune, India., Joshi DP; Department of Urology, Armed Forces Medical College, Pune, India., Chopra BK; Department of Orthopaedics, Armed Forces Medical College, Pune, India.
Jazyk: angličtina
Zdroj: The Indian journal of medical research [Indian J Med Res] 2017 Jun; Vol. 145 (6), pp. 824-832.
DOI: 10.4103/ijmr.IJMR_1167_15
Abstrakt: Background & Objectives: Hospital-acquired infections (HAIs) are a major challenge to patient safety and have serious public health implications by changing the quality of life of patients and sometimes causing disability or even death. The true burden of HAI remains unknown, particularly in developing countries. The objective of this study was to estimate point prevalence of HAI and study the associated risk factors in a tertiary care hospital in Pune, India.
Methods: A series of four cross-sectional point prevalence surveys were carried out between March and August 2014. Data of each patient admitted were collected using a structured data entry form. Centers for Disease Control and Prevention guidelines were used to identify and diagnose patients with HAI.
Results: Overall prevalence of HAI was 3.76 per cent. Surgical Intensive Care Unit (ICU) (25%), medical ICU (20%), burns ward (20%) and paediatric ward (12.17%) were identified to have significant association with HAI. Prolonged hospital stay [odds ratio (OR=2.81), mechanical ventilation (OR=18.57), use of urinary catheter (OR=7.89) and exposure to central air-conditioning (OR=8.59) had higher odds of acquiring HAI (P<0.05).
Interpretation & Conclusions: HAI prevalence showed a progressive reduction over successive rounds of survey. Conscious effort needs to be taken by all concerned to reduce the duration of hospital stay. Use of medical devices should be minimized and used judiciously. Healthcare infection control should be a priority of every healthcare provider. Such surveys should be done in different healthcare settings to plan a response to reducing HAI.
Databáze: MEDLINE
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