The Prevalence of Nosocomial Infections in Imam Reza Hospital of Kermanshah, Iran, During 2019 - 2020

Alireza Janbakhsh, Armin Naghipour, Zeinab Mohseni Afshar, Marjan Balvandi, Zahra Naghibifar
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Abstract

Background: Nosocomial infections are among the most common causes of hospital-associated mortality. Objectives: This study aimed to evaluate the prevalence of nosocomial infections. Methods: This cross-sectional study was conducted on 66,691 patients hospitalized in Imam Reza Hospital of Kermanshah, Iran, during 2019 - 2020. The data collection tool was a researcher-made checklist, and the data were analyzed with SPSS software version 24 after obtaining permission. Results: The overall prevalence of nosocomial infections was 3.3% (2.9% and 3.9% in 2019 and 2020, respectively). Among people with hospital infections in 2019, 53.5% were men, 31.3% were under 45, and 42% were hospitalized in the intensive care unit. The highest hospital infection was urinary (38.5%), followed by surgical site infection (25.1%). In addition, 46.4% of women, 69.2% of people over 45 years old, and 45% of people in 2020 were hospitalized in the intensive care unit, who mostly suffered from urinary infections (39.7%) and blood infections (14.2%). Conclusions: Based on the results, hospital infection was higher in men and people over 45. The special care department had the highest prevalence among the hospital infections, the frequency of urinary infections, and among the hospital departments. The prevalence of nosocomial infections in Imam Reza Hospital was higher than in other hospitals in Iran. The health protocol at Imam Reza Hospital should be prepared and adjusted under the low-prevalence hospitals in the province.
2019 - 2020年伊朗克尔曼沙阿伊玛目礼萨医院医院感染流行情况
背景:医院感染是医院相关死亡的最常见原因之一。目的:本研究旨在评估医院感染的患病率。方法:对2019 - 2020年在伊朗克尔曼沙阿伊玛目礼萨医院住院的66691例患者进行横断面研究。数据收集工具为研究者自制的核对表,经许可使用SPSS软件24版对数据进行分析。结果:医院感染总体患病率为3.3%(2019年和2020年分别为2.9%和3.9%)。在2019年的医院感染者中,53.5%是男性,31.3%在45岁以下,42%在重症监护病房住院。医院感染最多的是泌尿系(38.5%),其次是手术部位感染(25.1%)。此外,46.4%的女性、69.2%的45岁以上人群和45%的人在2020年住进了重症监护病房,他们大多患有泌尿系统感染(39.7%)和血液感染(14.2%)。结论:医院感染在男性和45岁以上人群中较高。医院感染发生率、尿路感染频次、医院科室均以特护科最高。伊玛目礼萨医院的医院感染发生率高于伊朗其他医院。伊玛目礼萨医院的保健议定书应根据该省低流行率医院编制和调整。
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