Epidemiology of nosocomial infections: About 70 cases

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Published Dec 8, 2016
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Vol. 94 No. 7 (2016): Issue Jul 2016

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Mohamed Hedfi
Hassen Khouni
Youssra Massoudi
Cherif Abdelhedi
Karim Sassi
Adnen Chouchen

Abstract

Abstract

Background: The infections associated with care (IAS) constitute a major public health problem by the morbi- mortality than they generate as well as by their cost to support. The prevention of these infections has become a priority for several years everywhere in the world and in the occurrence in Tunisia.

Aim : The purpose of our study is to assess the prevalence of nosocomial infections as well as develop their microbiologic  profiles in the different departments of  the hospital of FSI  Marsa Tunisia and try to highlight the risk factors that can influence these infections

Methods: It was a retrospective study about  patients with noscomila infection who were admitted in the different care unit of the Hospital of FSI  Marsa and this on a period of 6 years from 1 January 2009 to 31 December 2014

Results: We have identified seventy(70) patients having contracted a nososcomial infection during the period of study for 24600 hospital admission, with a prevalence rate of 0.28%.
The unit of intensive care   had the highest prevalence rate (30%), followed by the general surgery unit (17.1%) and orthopaedics (15.7%). Four bacterial species accounted for almost ¾ of germs isolated: Pseudomonas aeruginosa (22.86%), Staphylococcus  ( 15.71%), Klebsiella pneumoniae (15,71 %) and Escherichia coli in 8.75% of the helth care associated infections.
Conclusion : Nosocomial infections represent an important indicator of the quality of care. Serious efforts but simple, especially as regards the respect of the rules of aseptic and hand hygiene are effective to significantly reduce the occurrence of infections in hospital.

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References

  1. Vosylius S, Sipylaite J, Ivaskevicius J. Intensive care unit acquired infection: a prevalence and impact on morbidity and mortality. Acta anaesthesiologica scandinavica. 2003;47(9):1132-7.
  2. Allegranzi B, Nejad SB, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and metaanalysis. The Lancet.2011;377(9761):228-41.
  3. circulaire MSP/141/DTH du 30/06/1981 :1.
  4. Ennigrou S, Ben Redjeb S, Zouari B. Prévalence des infections Nosocomiales à l'hôpital Charles-Nicolle de Tunis. Tunisie Médicale . 1999;77(3):127-33.
  5. Kallel M, Bahoul M, Ksibi H, Dammak H, Chelly H, Hamida CB, et al. Prevalence of hospital-acquired infection in a Tunisian hospital. J Hosp Infect 2005; 59:343-7.
  6. -Annabi Attia T, Dhidah L, Hamza R, Kibech M, Lepoutre- Toulemon A. Première enquête nationale tunisienne de prévalence de l'infection nosocomiale: principaux résultats. Hygiènes. 2007;15:144-9.
  7. Dridi E, Chetoui A, Zaoui A. Prévalence de l'infection nosocomiale dans un hôpital régional tunisien. Santé publique. 2006;18(2):187-94.
  8. Mohamed M, Nebiha B, Waadia B, Tasnim M, Rym B, Radhia H et al . Healthcare-associated infections in a tunisian university hospital: from analysis to ActionPan African Medical Journal. 2015; 20:197.
  9. Chouchene I, Bouafia N, Ben Cheikh A, Toumi B, Mahjoub M, Bannour W, Helali R, Njah M, Bouchoucha S. Incidence of device-associated infections in a Tunisian intensive care unit. Sante Publique. 2015 Jan-Feb;27(1):69-78.
  10. Gastmeier P et al. Prevalence of nosocomial infections in representative German hospitals. Journal of Hospital Infection, 1998, 38:37-49. 11-Azzam R, Dramaix M. A one-day prevalence survey of hospitalacquired infections in Lebanon. Journal of Hospital Infection, 2001, 49:74-78.
  11. Kallel H et al. Prevalence of hospital-acquired infection in a Tunisian hospital. Journal of Hospital Infection, 2005, 59:343- 347.
  12. Institut de veille sanitaire. Enquête nationale de prévalence des infections nosocomiales 2001 : Résultats. RAISIN 2003 ; 1 : 84.
  13. Dhidah L, Dhidah M, Miladi M. Place de la plaie opératoire dans les infections nosocomiales - étude de prévalence au CHU Sahloul - Sousse - Tunisie. Tunisie Med 1998 ; 76 (3) :76-81.
  14. Maugat S, Carbonne A, Astagneau P. Réduction significative des infections nosocomiales: analyse stratifiée des enquêtes nationales de prévalence conduites en 1996 et 2001 dans l'inter-région Nord. Pathologie Biologie. 2003; 51(8):483-9.
  15. Michalopoulos A, Geroulanos S, Rosmarakis ES, Falagas ME. Frequency, characteristics, and predictors of microbiologically documented nosocomial infections after cardiac surgery. European journal of cardio-thoracic surgery. 2006;29(4):456- 60.
  16. Hamza R. L'infection hospitalière : épidémiologie, surveillance et prévention. Edité par le Ministère de la Santé Publique - Direction de l'hygiène du Milieu et de la Protection de l'Environnement 2003 ;4 :5-8
  17. Azzam R, Dramaix M. A one-day prevalence survey of hospital-acquired infections in Lebanon. J Hosp Infect 2001;49(1):74-8. 19-Ibrahim EH, Sherman G, Ward S, Fraser VJ, Kollef MH. The influence of inadequate antimicrobial treatment of bloodstream infections on patient outcomes in the ICU setting. Chest 2000;118:146-155.
  18. Pittet D, Allegranzi B, Storr J, Donaldson L. ‘Clean care is safer care': the global patient safety challenge 2005-2006. International Journal of Infectious Diseases. 2006;10(6):419- 24.
  19. Dettenkofer M, Wilson C, Ebner W, Norgauer J, Rüden H, Daschner F. Surveillance of nosocomial infections in dermatology patients in a German university hospital. British Journal of Dermatology. 2003; 149(3):620-3.
  20. Çelik SA. Nosocomial infections in neurosurgery intensive care units. Journal of clinical nursing. 2004; 13(6):741-7.
  21. Sánchez-Velázquez LD, de León Rosales SP, Frausto MSR. The burden of nosocomial infection in the intensive care unit: effects on organ failure, mortality and costs (A nested casecontrol study). Archives of medical research. 2006;37(3):370- 5.
  22. Ogeer-Gyles JS, Mathews KA, Boerlin P. Nosocomial infections and antimicrobial resistance in critical care medicine. Journal of Veterinary Emergency and Critical Care. 2006; 16(1):1-18.
  23. Pittet D, Allegranzi B, Storr J, Donaldson L. ‘Clean care is safer care': the global patient safety challenge 2005-2006. International Journal of Infectious Diseases. 2006;10(6):419- 24.
  24. Kenny H, Lawson E. The efficacy of cotton cover gowns in reducing infection in nursing neutropenic patients: An evidence-based study. International journal of nursing practice. 2000;6(3):135-9.
  25. Branger B. Enquête de prévalence nationale 2001 des infections nosocomiales chez les nouveau-nés et des enfants et adolescents de moins de 18 ans. Archives de pédiatrie. 2005;12(7):1085-93.
  26. Astagneau P, Brucker G., Coûts des infections nosocomiales. Rev Inf 1999 ; 48 : 37-42.
  27. Mallarat MR, Bosseray A, Micoud M. Infections nosocomiales. Encyl Med Chir (Elsevier- Paris) 1996 ; 8-001 - F - 10 : 6 p.
  28. Njah M, Nouira A, Héni K et al. Estimation des coûts associés aux infections hospitalières. Microb Hyg Alim 2002 ; 14: 33-6.