[Nosocomial infections at Clinical Centre in Kragujevac--prevalence study].

Abstract:

INTRODUCTION:Nosocomial infections (NIs) are a serious health problem in hospitals worldwide and are followed by a series of consequences, medical, judicial, ethical and economic. OBJECTIVE:The main aim of this study was to assess the magnitude of NIs at the Clinical Centre in Kragujevac. METHODS:A prevalence study of nosocomial infections was conducted from 16th till 20th May, 2005, within Second National Prevalence Study of Nis in the Republic of Serbia. RESULTS:The study included 866 patients. 40 patients had a NI, thus the prevalence of patients with NIs and prevalence of NIs was the same, 4.6%. Among NIs, the most frequent were urinary infections (45.0%) followed by surgical-site infections (17.5%), skin and soft tissue infections (15%) and pneumonia (12.5%). The rate of NIs was highest at departments of orthopaedics and traumatological surgery (12.0%), followed by intensive care units (8.0%). Overall, 67.5% (27/40) NIs were culture-proved; the leading pathogens were Escherichia coli (40.0%), followed by gram-negative bacteria (Pseudomonas species, Proteus mirabilis, Enterobacteriaceae with equal frequency of 8.0%). Nosocomial infections were significantly more frequent in patients aged > or = 65 years (p < 0.05), with longer hospitalization > or = 8 days (p < 0.00), in intensive care patients (p < 0.05), patients with an intravenous catheter (p < 0.00), urinary catheter (p < 0.00), and those under antibiotic therapy (p < 0.00). CONCLUSION:This study showed that the prevalence of nosocomial infections in our hospital is similar to the prevalence in the developed countries. The study of prevalence provides a prompt insight into basic epidemiological and ethiological characteristics of nosocomial infections, hence identification of hospital priorities and the need to undertake appropriate prevention measures.

journal_name

Srp Arh Celok Lek

authors

IIić M,Marković-Denić L

doi

10.2298/sarh1006337i

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

337-42

issue

5-6

eissn

0370-8179

issn

2406-0895

journal_volume

138

pub_type

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