Healthcare Associated Infections-A New Pathology in Medical Practice?
| Autor: | Anca Rachita, Septimiu Voidazan, Bianca Liana Grigorescu, Réka Toth, Sorin Albu, Iuliu Moldovan |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Health Toxicology and Mutagenesis prevention and control strategies Prevalence hospital acquired infections lcsh:Medicine 030501 epidemiology medicine.disease_cause Article 03 medical and health sciences Young Adult 0302 clinical medicine Antibiotic resistance Internal medicine Intensive care medicine Humans 030212 general & internal medicine Child Aged Enterocolitis Aged 80 and over Cross Infection biology Pseudomonas aeruginosa business.industry Hospitals Public Romania lcsh:R Public Health Environmental and Occupational Health Infant Newborn Infant Surgical wound Middle Aged bacterial resistance biology.organism_classification Acinetobacter baumannii Cross-Sectional Studies Staphylococcus aureus Child Preschool Female medicine.symptom 0305 other medical science business |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 17, Iss 3, p 760 (2020) Volume 17 Issue 3 |
| ISSN: | 1660-4601 |
| Popis: | Background: Hospital-acquired infections (HAI) contribute to the emotional stress and functional disorders of the patient and in some cases, can lead to a state of disability that reduces quality of life. Often, HAI are one of the factors that lead to death. The purpose of this study was to analyze the cases of HAI identified in public hospitals at the county level, through case report sheets, as they are reported according to the Romanian legislation. Methods: We performed a cross sectional study design based on the case law of the data reported to the Mures Public Health Directorate, by all the public hospitals belonging to this county. We tracked hospital-acquired infections reported for 2017&ndash 2018, respectively, a number of 1024 cases, which implies a prevalence rate of 0.44%, 1024/228,782 cases discharged from these hospitals during the studied period. Results: The most frequent HAIs were reported by the intensive care units (48.4%), the most common infections being the following: bronchopneumonia (25.3%), enterocolitis with Clostridioides difficile (23.3%), sepsis, surgical wound infections and urinary tract infections. At the basis of HAI were 22 pathogens, but the five most common germs were Clostridioides difficile, Acinetobacter baumannii, Klebsiella pneumoniae, Pseudomonas aeruginosa and Staphylococcus aureus. Bronchopneumonia have been most frequently reported in intensive care units, the most common being identified the Acinetobacter baumannii agent. Sepsis and central catheter infections also appeared predominantly in intensive care units, more often with Klebsiella pneumoniae. The enterocolitis with Clostridioides difficile, were the apanage of the medical sections. Infections with Staphylococcus aureus have been identified predominantly in the surgical sections at the level of the surgical wounds. Urinary infections had a similar distribution in the intensive care units, the medical and surgical sections, with Klebsiella pneumoniae being the most commonly incriminated agent. Conclusions: We showed a clear correspondence between the medical units and the type of HAI: what recommends the rapid, vigilant and oriented application of the prevention and control strategies of the HAI. |
| Databáze: | OpenAIRE |
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