Assessment of the incidence and etiology of nosocomial diarrhea in a medical ward in Iraq

Abstract

This study aimed to detect the incidence, etiology, risk factors, and severity of nosocomial diarrhea among adult inpatients in a medical ward in Iraq. The study was conducted among patients admitted to the medical ward from June 1, 2019, to January 31, 2020, in AL-Sader medical city. The surveillance for nosocomial diarrhea was performed by monitoring every patient in the ward 3 times/week. 1050 patients were admitted to the medical ward in AL-Sader medical city. Of these, 52 patients (mean age 58±12.91 years, range 32 to 80) developed new-onset diarrhea during hospitalization. There was a significant relationship between the severity of diarrhea and age, residence, antibiotic use, including number and duration of antibiotics, immunosuppressive agents (steroids/chemotherapy), duration of hospital stay, level of consciousness, and enema use. Nosocomial diarrhea is a significant clinical problem that complicates about 5% of all admission in the medical ward. Various microorganisms account for nosocomial diarrhea, including E. histolytica, G. lamblia, and Candida. Several risk factors associated with the severe form of nosocomial diarrhea include old age, antibiotic use, immunosuppressive use, and length of hospital stay.

Reducing health care associated Infections in a Neonatal Intensive Care Unit through Quality Improvement approach, Tibebe-Ghion Specialized Teaching Hospital, Bahir Dar University, Bahir Dar, Ethiopia – Mirror of the Health Care Quality

“…Nosocomial diarrhea. (31) Diarrhea that develops during a hospital stay or up to 3 days after discharge.…”

Antimicrobial management of dental infections: Updated review

“…[15] Present guidelines indicate that antibiotics should be prescribed 2 to 3 consecutive days after surgical treatment. [16] The surgical cut in the soft tissue (incise) and drain the pus as the antibiotic is not working in the presence of pus (this is because pus contains antibiotic inhibitors). A root canal (RC) can help get rid of the source of infection; the dentist accesses the cavity in the teeth, removes the diseased and infected central tissue (pulp), disinfects the canal using an irrigation solution, applies antibiotic dress in the canal, and restoration of the access cavity.…”