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Investigating the Indicators and Predictors of Hospital Infection in General ICU of Qazvin’s Bouali hospital in 2017

Yahyaee, Alireza (2018) Investigating the Indicators and Predictors of Hospital Infection in General ICU of Qazvin’s Bouali hospital in 2017. Masters thesis, Qazvin university of medical science,Qazvin, Iran.

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Abstract

Background: Nosocomial infections account for about one third of deaths in hospitals and are increasingly important and challenging the health system of countries. In this study, we have tried to accurately determine the factors affecting the incidence of hospital infections at the regional level and provide more comprehensive information and provide an opportunity to improve the diagnosis and treatment of these infections in the region and in the country. Materials and Methods: The present study is a cross-sectional comparative study. The present study was conducted to investigate the 86 patients admitted to the ICU at Buali Hospital of Qazvin during the study period. After obtaining a license from the university's research deputy, we being reffered to the infection control system of Bouali Hospital in Qazvin and if it was necessary, we reffered to ICU at Bouali Hospital and extracted the patient’s files. Patient information consisted of two main categories of demographic information and clinical information، and the data were then analyzed by SPSS version 22. Results: The incidence of hospital infection was 24.3%. 48 cases (55.7%) had positive bronchial culture, 34 cases (39.6%) had positive urine culture and 4 cases (4.7%) had positive blood culture. 16 cases (18.6%) had Pseudomonas aeruginosa, 2 cases (2.3%) Staphylococcus aureus, 33 cases (38.4%) Acinetobacter, 3 cases (3.5%) Enterococcus, 14 (16.3%) Klebsiella, 9 (10.5 %) Escherichia coli, 1 case (1.2%) staphylococcus epidermis and 8 cases had (9.3%) candida in their specimen culture. The highest resistance in antibiograms was reported to Cefepime by 64% and then 60% reported to Ciprofloxacin and then 54% reported to Ofloxacin and Gentamycine and 42% to Imipenem and 26% to Amikacin and Co-trimoxazole، and 4.7% to fluconazole and 3.5% to Vancomycin. Discussion and conclusion: The incidence of hospital infection in General ICU of Qazvin’s Booali Hospital in 1396 was 24.3% and slightly higher than the incidence of hospital infection in similar studies in other countries. Older age, male sex, addmition in cold months, underlying diseases (especially high blood pressure, diabetes and COPD) aggressive interventions such as orotracheal suctioning, urinary catheterization, arterial and venous catheterization and ventilation had been more common in patients with nosocomial infections. The present study represents the possibility of developing infectious diseases with different strains and a more varied pattern of antibiotic resistance in the region which enhances the nessesity of more comprehensive studies in this feature in our region and country. Key words: Antibiotic Resistance, Hospital (Nasocomial) Infection، Risk Factors

Item Type: Thesis (Masters)
Subjects: R Medicine > R Medicine (General)
Divisions: University Thesis > Faculty of Medicine
Depositing User: Medicine School Students
Date Deposited: 22 Dec 2018 05:35
Last Modified: 22 Dec 2018 05:35
URI: http://eprints.qums.ac.ir/id/eprint/8377

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