Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis

Allegranzi, Benedetta; Nejad, S Bagheri; Combescure, Christophe; Graafmans, Wilco C.; Attar, Homa; Donaldson, Liam; Pittet, Didier

doi:10.1016/s0140-6736(10)61458-4

Cited by 1,937 publications

(1,845 citation statements)

References 155 publications

Supporting

Mentioning

1,577

Contrasting

Unclassified

Order By: Relevance

“…Evidências mostram que em países da Europa e Estados Unidos da América a infecção relacionada à assistência à saúde ocorre em 7,1% e 4,5% dos indivíduos, respectivamente. Por outro lado, em países em desenvolvimento esse percentual é ainda maior, 15,5% (20) .…”

Section: Idiscussãounclassified

Fatores De Risco Às Infecções Relacionadas À Assistência Em Unidades De Terapia Intensiva*

et al. 2018

View full text Add to dashboard Cite

RESUMO: Objetivo: identificar os pacientes e os fatores de risco associados à ocorrência de infecções relacionadas à assistência à saúde em unidades de terapia intensiva. Método: estudo transversal realizado com 155 pacientes internados entre 2012 e 2014 em duas unidades de terapia intensiva de dois hospitais públicos do Distrito Federal. Os dados foram coletados em prontuário e registrados em planilha no programa Microsoft Excel®. Foram considerados significativos resultados com p-value<0,05. Resultados: do total de 155 pacientes, 55 (35,5%) pacientes foram acometidos por infecções relacionadas à assistência à saúde durante a internação na unidade de terapia intensiva. Tempo de internação (p=0,001), internação por causas clínicas (p=0,017), diabetes mellitus (p=0,002) e cirurgia eletiva (p=0,011), foram fatores de risco, independentes para essas infecções. Conclusão: as complicações infecciosas acometeram cerca de um terço dos pacientes no cenário de terapia intensiva. A vigilância dessas complicações pode orientar ações para melhoria da segurança do paciente crítico. DESCRITORES: Infecção hospitalar; Unidades de terapia intensiva; Fatores de risco; Hospitais públicos; Pacientes. RISK FACTORS FOR HEALTHCARE-ASSOCIATED INFECTIONS IN INTENSIVE CARE UNITSABSTRACT: Objective: to identify patients and risk factors related to the occurrence of healthcare-associated infections in intensive care units. Method: cross-sectional study with 155 hospitalized patients between 2012 and 2014 in two intensive care units of two public hospitals of the Federal District. Data were collected from the medical records and recorded in a spreadsheet using the Microsoft Excel® program. Results with p-value <0.05 were considered significant. Results: of the total of 155 patients, 55 (35.5%) patients were affected by healthcare-associated infections during hospitalization in the intensive care unit. Length of stay (p=0.001), hospitalization due to clinical causes (p=0.017), diabetes mellitus (p=0.002) and elective surgery (p=0.011) were independent risk factors for these infections. Conclusion: infectious complications affected approximately one third of the patients in the intensive care setting. Surveillance of these complications may guide actions to improve the safety of critical patients. KEYWORDS: Cross Infection; Intensive care units; Risk factors; Hospitals, public; Patients. FACTORES DE RIESGO A INFECCIONES ASOCIADAS A LA ASISTENCIA EN UNIDADES DE TERAPIA INTENSIVA*RESUMEN: Objetivo: identificar los pacientes y los factores de riesgo asociados a la ocurrencia de infecciones relacionadas a la asistencia a la salud en unidades de terapia intensiva. Método: estudio transversal realizado con 155 pacientes internados entre 2012 y 2014 en dos unidades de terapia intensiva de dos hospitales públicos de Distrito Federal. Se recogieron los datos por medio de prontuario y se los registraron en programa Microsoft Excel®. Se consideraron significativos resultados con p-value<0,05. Resultados: del total de 155 pacientes, 55 (35,5%) pacientes ...

show abstract

Section: Idiscussãounclassified

Fatores De Risco Às Infecções Relacionadas À Assistência Em Unidades De Terapia Intensiva*

et al. 2018

View full text Add to dashboard Cite

show abstract

“…According to WHO, the risk of SSI in developing countries is higher than in equivalent surgical procedures carried out in high-income countries. This is especially so in sub-Saharan Africa [6,7].…”

Section: Introduction Backgroundmentioning

confidence: 99%

Role of premorbid status and wound related factors in surgical site infection in a tertiary hospital in sub-saharan Africa

Osakwe¹,

Nnaji²,

Osakwe³

et al. 2014

Fam Pract Rep

View full text Add to dashboard Cite

Background: Surgical site infection (SSI) is the commonest hospital acquired infection in surgical patients globally. It has remained a major cause of morbidity and mortality and a major source of worry to both the patients, doctors, hospitals and the community as a whole. Aim: To determine the role of premorbid status, wound class and cadre of surgeons on the prevalence rate of surgical site infections. Materials and methods: This was a cross-sectional study involving 200 randomly recruited surgical patients between April and June 2012 at Nnamdi Azikiwe University Teaching Hospital, Nnewi. Pre-tested, interviewer administered questionnaires and laboratory test results were used to collect data, which were analyzed using Statistical Package for Social Sciences, version 16. Results: The prevalence of surgical site infection was 15.5% (or 31 of 200) among the participants. Premorbid status, as well as, wound class, of the patients affected the rate of SSI (p=0.007) and (p=0.009), respectively. However, the wound location did not show any significant effect on the prevalence of SSI. Conclusion:The study found a high prevalence of SSI which was dependent on the class of wound, and premorbid status of the patient.

show abstract

“…Where possible, collaborations should continue, with a focus on promoting IPCI in LMICs, which often lag behind in this area. 198 AMR strategies must thus look for opportunities to integrate their activities and goals into these closely related development sectors.…”

Section: Insufficient Evidence Basementioning

confidence: 99%

Exploring the evidence base for national and regional policy interventions to combat resistance

et al. 2016

View full text Add to dashboard Cite

Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis

Cited by 1,937 publications

References 155 publications

Fatores De Risco Às Infecções Relacionadas À Assistência Em Unidades De Terapia Intensiva*

Fatores De Risco Às Infecções Relacionadas À Assistência Em Unidades De Terapia Intensiva*

Role of premorbid status and wound related factors in surgical site infection in a tertiary hospital in sub-saharan Africa

Exploring the evidence base for national and regional policy interventions to combat resistance

Contact Info

Product

Resources

About