Frequency and risk factors of nosocomial infections in a trauma center: a case study from the Beni Suef University Hospital, Egypt.

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL

Wiener medizinische Wochenschrift Pub Date : 2024-11-13 DOI:10.1007/s10354-024-01059-3

Moaz Beni Melhem, Manal M Yasser, Aya I Tagyan, Shimaa S Khaled, M Sayed Mohamed, Dalal Hussien M Alkhalifah, Wael N Hozzein

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Abstract

Background and objective: Hospital-acquired infections (HAI) cause a significant risk to patient maintenance and wellbeing, particularly within the specialized environment of a trauma center. This study focuses on investigating the frequency of HAI in a trauma center through a comprehensive surveillance and monitoring system.

Methods: This observational study, conducted between January 2023 and June 2023, focused on the 16-bed trauma center. HAI diagnoses were based on the centers for disease control and prevention (CDC) definitions that typically include specific criteria for different types of infections, for example, urinary tract infections, surgical site infections, bloodstream infections, and others.

Results: Among the 160 trauma center-admitted patients, 89 were included in the study. 44 patients contracted HAI, resulting in a frequency of 49.4%. The incidence rates (IR) were 21/1000 central venous catheter (CVC) days for catheter-related bloodstream infections (CRBSI), 10/100 urinary catheter days for catheter-associated urinary tract infections (CAUTI), and 34/1000 ventilator days for ventilator-associated pneumonia (VAP).

Conclusion: The HAI percentages noticed in the trauma center are comparatively lower than those reported in other developing country hospitals. The incidence of VAP aligns with findings from other studies.

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创伤中心发生院内感染的频率和风险因素：埃及贝尼苏埃夫大学医院的案例研究。

背景和目的：医院获得性感染（HAI）对患者的维护和健康造成重大风险，尤其是在创伤中心的特殊环境中。本研究的重点是通过全面的监视和监测系统调查创伤中心的 HAI 发生频率：本观察性研究于 2023 年 1 月至 2023 年 6 月期间进行，重点关注拥有 16 张病床的创伤中心。HAI 诊断基于疾病控制和预防中心（CDC）的定义，通常包括不同类型感染的特定标准，如尿路感染、手术部位感染、血流感染等：在创伤中心收治的 160 名患者中，有 89 人被纳入研究范围。44 名患者感染了 HAI，感染率为 49.4%。导管相关血流感染（CRBSI）的发病率（IR）为 21/1000 个中心静脉导管（CVC）日，导管相关尿路感染（CAUTI）的发病率（IR）为 10/100 个导尿管日，呼吸机相关肺炎（VAP）的发病率（IR）为 34/1000 个呼吸机日：结论：与其他发展中国家的医院相比，该创伤中心的 HAI 百分比相对较低。VAP 的发生率与其他研究结果一致。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wiener medizinische Wochenschrift MEDICINE, GENERAL & INTERNAL-

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： ''From the microscope to clinical application!'', Scientists from all European countries make available their recent research results and practical experience through Wiener Medizinische Wochenschrift, the renowned English- and German-language forum. Both original articles and reviews on a broad spectrum of clinical and preclinical medicine are presented within the successful framework of thematic issues compiled by guest editors. Selected cutting-edge topics, such as dementia, geriatric oncology, Helicobacter pylori and phytomedicine make the journal a mandatory source of information.