Prevalence of Healthcare-Associated Infections in a Tertiary Hospital in Casablanca, Morocco, 2021.
| Autor: | Lyazidi S; Laboratory of Epidemiology, Faculty of Medicine and Pharmacy, University Hassan II, Casablanca, MAR., Ouhadous M; Hospital Hygiene Department, Ibn Rochd University Hospital, Casablanca, MAR.; Nosocomial Infections Control Committee, Ibn Rochd University Hospital, Casablanca, MAR., Arai M; Hospital Hygiene Department, Ibn Rochd University Hospital, Casablanca, MAR.; Nosocomial Infections Control Committee, Ibn Rochd University Hospital, Casablanca, MAR., Zerouali K; Microbiology Laboratory, Ibn Rochd University Hospital, Casablanca, MAR.; Nosocomial Infections Control Committee, Ibn Rochd University Hospital, Casablanca, MAR., Barrou H; Surgical Intensive Care Unit, Ibn Rochd University Hospital, Casablanca, MAR.; Nosocomial Infections Control Committee, Ibn Rochd University Hospital, Casablanca, MAR., Hassoune S; Laboratory of Epidemiology, Faculty of Medicine and Pharmacy, University Hassan II, Casablanca, MAR.; Laboratory of Cellular and Molecular Pathology/Epidemiology and Histology of Cancerous Diseases Research, Faculty of Medicine and Pharmacy, University Hassan II, Casablanca, MAR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Aug 19; Vol. 16 (8), pp. e67171. Date of Electronic Publication: 2024 Aug 19 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.67171 |
| Abstrakt: | Background: During the COVID-19 pandemic, healthcare professionals experienced an increased workload, which may have affected infection prevention and control (IPC) programs and consequently healthcare-associated infection (HAI) rates. The objective of this study was to estimate the prevalence of HAI in Ibn Rochd University Hospital Center (IRUHC) and identify associated factors. Methods: A survey was conducted on November 30, 2021 at IRUHC, including all patients hospitalized for at least 48 hours. Data was collected using a questionnaire, and analyzed using SPSS IBM software version 16. The significance level was set at 0.05. Results: Among 887 patients, the prevalence of HAI was 9.7% (7.7%; 11.6%). The highest prevalence was observed in intensive care units (ICUs) (44.2%). Nosocomial pneumonia was the most common site (26.8%). The main isolated microorganisms were Acinetobacter baumannii (18.0%) and Escherichia coli (16.0%). All Acinetobacter baumannii isolated strains were imipenem-resistant. The presence of HAI was significantly associated with the presence of an invasive medical device (p<0.001), a higher physical status score of American Society of Anesthesiologists (ASA) (p<0.001), and a longer hospital stay (p<0.001). Conclusion : The emergence of imipenem-resistant Acinetobacter baumannii (IRAB) represents a serious therapeutic and epidemiological problem requiring the establishment of a system for monitoring the microbial environment and the application of strict hygiene measures. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Lyazidi et al.) |
| Databáze: | MEDLINE |
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