An international survey of the prevalence of hospital-acquired infection

Mayon-White, R.T.; Ducel, G; Kereselidze, T.; Tikomirov, E.

doi:10.1016/0195-6701(88)90164-8

Cited by 191 publications

(109 citation statements)

References 3 publications

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“…32 An extensive study conducted in 14 countries showed that, on average, 8.7% of patients had hospital-acquired infections, but that the burden is highest in Southeast Asia, where 10% of patients develop such infections. 33 Recent data from lower-income countries suggest that 6.5%-33% of patients have hospitalacquired infections, with pneumonia being among the most frequent. 34 Exact data is not available for a Bangladeshi perspective, but the value is probably similar to South East Asian Regions.…”

Section: Discussionmentioning

confidence: 99%

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Hoque¹,

Mostafa²,

Haque³

2016

JYP

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Background: Physicians formally receive education regarding antimicrobials and microbial resistance during a 5-6 year curriculum of the undergraduate medical program. However, the once magical bullet of antibiotics is now threatened by AR, which has become a significant hazard to global health. Thus, a doctor must possess the adequate knowledge to select an antibiotic or other drug for use in a particular disease. This issue is not currently being addressed in the undergraduate curriculum resulting in irrational prescribing. Therefore, it is essential to possess a comprehensive knowledge regarding drugs, including antimicrobials at an undergraduate level. Currently, there is no comprehensive evaluation of medical students' perception of AR in Bangladesh. This was the driving force to conduct this study and to identify gaps in KAP of medical students about AR, as well as to enrich the medical curriculum. Methods: This is a cross-sectional, randomized, questionnaire-based study. Data were collected using a validated instrument. Results: 107 students were selected using a quota sampling technique. A total of 107 participants (32.71% male and 67.29% female) attended the study. The response rate was 100%. Out of the cohort; 37.38%, 30.84%, and 31.78% were from the Year-III, Year-IV, and Year-V respectively. The participants felt more confident in 'Making an accurate diagnosis of infection/ sepsis.' Conclusion: Our study population found to be suffering from a lack of confidence partially due to a gap in their knowledge about the proper selection of antimicrobials.

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Section: Discussionmentioning

confidence: 99%

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Hoque¹,

Mostafa²,

Haque³

2016

JYP

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“…During routine clinical microbiology work in most laboratories, these are generally not pursued for identification due to the general notion of physicians that NFGNBs other than Pseudomonas aeruginosa are generally commensals or non pathogens and if required, can be treated easily with any of the broad spectrum antibiotics and also due to the tedious and time taking process of their species identification. 8 In our study a total of 25.7% (94/519) NFs were isolated. It is higher than the studies done in Saudi Arabia 9 and Orissa 10 in which an incidence of 16% and 15.75% were reported, respectively.…”

Section: Sample Processingmentioning

confidence: 99%

Non fermentative gram negative bacilli as nosocomial pathogens: Identification and antibiotic sensitivity in clinical samples of indoor patients

et al. 2015

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Background: Non fermenting gram negative bacilli (NFGNB) are usually considered to be non pathogenic commensals of little significance, however, data suggest that they are remarkable because of antimicrobial resistance; propensity to cause outbreaks and complex epidemiology. This study was conducted to find out the prevalence and sensitivity pattern of NFGNB from various clinical samples.Methods: A total of 519 samples were received from patients suspected of having hospital acquired infections (HAI), admitted in Sawai Man Singh Hospital, Jaipur, India. Organisms grown on culture were subjected to phenotypic identification along with antimicrobial sensitivity testing by Kirby Bauer’s disc diffusion method.Results: Among 366 culture positive samples, 94 (25.6%) NFGNB were isolated. Maximum pevalence prevalence was found in burn ward i.e. 76.7 % followed by surgical wards 71.0%, surgical ICUs 69.6% and medical ICUs 68.0 %. Highest yield was found in pus/wound samples (95.5%) while it was only 23.7% in blood samples. Pseudomonas aeruginosa was the most common isolate (48.9%), followed by Acinetobacter baumannii (33%), Stenotrophomonas maltophilia (13.8%) and Burkholderia cepacia complex (4.3%). P.aeruginosa and A. baumanii strains were most sensitive to Meropenem. S.maltophilia showed maximum sensitivity with ticarcillin/ clavulanic acid and B. cepacia complex with Piperacillin/ Tazobactam.Conclusion: Isolation of NFGNB and their antibiotic susceptibility pattern should be regarded with all seriousness in clinical practice and epidemiology because they are emerging nosocomial pathogens and by being resistant to multiple antibiotics, their prevalence not only limits the treatment options but also act as a reservoir of drug resistance genes.Nepal Journal of Medical Sciences Vol.3(2) 2014: 101-105

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“…8 The highest frequencies of nosocomial infections were reported from hospitals in the Eastern Mediterranean and South-East Asia Regions (11.8 and 10.0% respectively), with a prevalence of 7.7 and 9.0% respectively in the European and Western Pacific Regions. 9 The most frequent nosocomial infections are infections of surgical wounds, urinary tract infections and lower respiratory tract infections. The WHO study, and others have also shown that the highest prevalence of nosocomial infections occurs in intensive care units and in acute surgical and orthopedic wards.…”

Section: Discussionmentioning

confidence: 99%

Study of Surgical Site Infections following Gynaecological Surgery at tertiary care teaching hospital in Rural India

Bangal¹,

Borawake²,

Shinde³

et al. 2014

Int Jour of Biomed Res

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An international survey of the prevalence of hospital-acquired infection

Cited by 191 publications

References 3 publications

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Non fermentative gram negative bacilli as nosocomial pathogens: Identification and antibiotic sensitivity in clinical samples of indoor patients

Study of Surgical Site Infections following Gynaecological Surgery at tertiary care teaching hospital in Rural India

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