Prevalence of healthcare-associated infections in surgical clinics of the University clinical centre of the Republic of Srpska

Autor: Aćimović Jela, Kunarac Slaviša, Rodić-Vukmir Nina, Božić-Majstorović Ljubinka, Bojanić Ljubica
Jazyk: English<br />Serbian
Rok vydání: 2016
Předmět:
Zdroj: Scripta Medica, Vol 47, Iss 1, Pp 34-41 (2016)
Druh dokumentu: article
ISSN: 2490-3329
2303-7954
Popis: Introduction. Healthcare-associated infections (HAI) are a global public health problem that exists in all health care systems and lead to very significant consequences. All health care systems are obliged to continuously improve preventive measures, which can reduce occurrence of HAI by 10 to 70 percent. First step in improving prevention is constitution of functional epidemiological surveillance over HAI. Aim of the study. The objective of this study was to show, through the point prevalence survey, the rates of HAI in surgical clinics of the University Clinical Centre of the Republic of Srpska (UCC RS), their most important epidemiological characteristics, the most frequently isolated microorganisms and their resistance to antibiotics. Material and methods. In this study, we used standardized methodology for the point prevalence survey of HAI and antimicrobial use, including case definitions established by the European Centre for Disease Control (ECDC). The study was conducted in October 2014 at the surgical clinics of the UCC RS, and it included a total of 196 patients. Results. The prevalence of HAI at the surgical clinics of the UCC RS was 11.7%. The most common localization of HAI were surgical site infections (60.8%). The most common isolated microorganisms were Acinetobacter spp., Enterococcus spp., Pseudomonas aeruginosa i Staphylococcus aureus. All isolated Acinetobacter and 50% ofisolated Pseudomonas were resistant to carbapenems, 50% of Staphylococcus aureus to methicillin, 50% Enterococcus spp. to vancomycin, and 40% Enterobacteriaceaeto cephalosporins, 3rd generation. Conclusion. The prevalence of HAI at the surgical clinics of the UCC RS is within the frame of the prevalence in developing countries. More attention must be given to this problem. The prevalence study may be the method of choice for HAI surveillanceat national level.
Databáze: Directory of Open Access Journals
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