Epidemiology and risk factors for nosocomial infection in the respiratory intensive care unit of a teaching hospital in China: A prospective surveillance during 2013 and 2015

Wang, Linchuan; Zhou, Kai-Ha; Chen, Wei; Yu, Yan; Shi, Feng

doi:10.1186/s12879-019-3772-2

Cited by 43 publications

(39 citation statements)

References 27 publications

(43 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A series of studies indicated that surgery, device utilization, antimicrobial use and length of stay were the risk factors for nosocomial infection. [19][20][21] Studying the risk factors in the patients with COVID-19, bivariate analysis showed that there were six factors associated with nosocomial bacteria infection, including age, arteriovenous catheterization, urinary catheterization, use of ventilator, WBC and procalcitonin. During the hospitalization of elderly patients, many factors can interact and lead to the occurrence of nosocomial infection, 22 for most of the old hospitalized patients underlying chronic basic diseases make them a high-risk population, becoming prone to nosocomial bacteria infection.…”

Section: Discussionmentioning

confidence: 99%

“…28 Previous studies indicated that surgery, device utilization, antimicrobial use and length of stay were the risk factors for nosocomial bacteria infection. 1,20,21 Following the bivariate analysis, factors with P-value ≤0.05 at bivariate analysis were considered for multivariate analysis. After adjustment for age, use of ventilator and arteriovenous intubation, the logistics regression model with multiple factors showed that urinary catheterization, WBC count and procalcitonin could be considered as…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Analysis of the Risk Factors for Nosocomial Bacterial Infection in Patients with COVID-19 in a Tertiary Hospital</p>

Keping¹,

He²,

Qin³

et al. 2020

RMHP

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

<p>Analysis of the Risk Factors for Nosocomial Bacterial Infection in Patients with COVID-19 in a Tertiary Hospital</p>

Keping¹,

He²,

Qin³

et al. 2020

RMHP

View full text Add to dashboard Cite

“…In previous studies, the highest prevalence of NI was reported in ICU, surgical, and orthopedics units [5]. Moreover, the most frequent kinds of infections include central line-associated blood system infections, catheter-associated urinary tract infections, surgical site infections, and ventilator-associated pneumonia [6].…”

mentioning

confidence: 95%

A Comparative Analysis of Nosocomial Infections between Internal and Surgical Intensive Care Units of a University Hospital in Birjand, Iran from 2015 to 2016: A Retrospective Study

Ebrahimzadeh

Allahyari

Nikoomanesh

et al. 2020

Preprint

View full text Add to dashboard Cite

Background:The aim of this study was to investigate and then to compare the prevalence of nosocomial infections (NIs) in the patients admitted to the surgery and internal Intensive Care Units(ICU) as well as studying the risk factors involved.Methods:In this cross-sectional descriptive, patients admitted to ICUs were studied over a year .Clinical data of patients, including demographic information, length of stay, underlining disease, the rate of patient with NIs and distribution of NIs sites and pathogens were collected. Univariate and multivariate logestic regression were carried out to determine the factors associated with NIs.Results:A total of 1018 patients were studiedincluding surgical ICU (n = 665) and internal ICU (n = 353). The incidence rate of NI in surgical and internal ICUs was 67(10.1%) and 96(27.2%), respectively. The most common NI in the internal ICU were respiratory tract infections( RTI ,46.9%) and urinary tract infections (UTI, 37.5%), while in the surgical ICU, the most common infections were respiratory tract infections (RTI, 38.3%) and surgical-site infections (SSI, 22.0%), respectively. The major factors the length of stay and the use of nasogastric intubation (NG tubes) were associated with NIs in both ICUs.Conclusions:The incidence of infections in the internal ICU were more than the surgical ICU. Age, underlying diseases, the long stay, used of ventilator and NG tube were factors associated with NIs rate in internal ICU.Trial registration:This study was the result of two research works with ethics code (IR.BUMS.REC.1394-17 and IR.BUMS.REC.1394-27).

show abstract

“…The prevalence of HAI in NICUs is estimated to be about 30% that is higher in developing countries (up to 40%), leading to infant mortality. Hospitalacquired infection increases the risk of severe neurodevelopmental disorders, especially in premature infants, the length of hospital stay, and hospital costs (1).…”

Section: Introductionmentioning

confidence: 99%

Nosocomial Infection in an Iranian Neonatal Intensive Care Unit: Hospital Epidemiology and Risk Factors

Choobdar

Vahedi

Khosravi

et al. 2020

Arch Pediatr Infect Dis

View full text Add to dashboard Cite

Background: Hospital-acquired infection is one of the main concerns in Neonatal Intensive Care Units (NICUs), leading to increased mortality, hospital stay, and costs. Objectives: This study aimed to investigate the risk factors of hospital-acquired infection in NICUs. Methods: A descriptive, cross-sectional, prospective study was conducted in the NICU of Ali Asghar Children Hospital for one year. All admitted newborns were sampled on a simple basis. The criteria for the diagnosis of hospital-acquired infection were based on the definitions of the CDC and the NNIS system. Risk factors such as days of fully catheters usage, nurse-to-patient ratio, history of surgery, prematurity, and mechanical ventilation were considered as variables. The data collection tools consisted of a patient information questionnaire, the monthly report of the hospital infection control committee based on the NNIS system, a daily schedule of all risk factors for each infant, and the monthly nurse-to-patient ratio in the NICU. The STATA software was used for data analysis. Results: In our study, 654 newborns were enrolled. The rate of hospital-acquired infections was 13.5%. Moreover, 80.7% of the cases exhibited sepsis (72.7% diagnosed based on clinical findings and 8% based on positive blood culture). Statistical analysis showed 9% pneumonia cases, 8% surgical site infection cases, and 2.3% urinary tract infection cases. The average time to the occurrence of hospital-acquired infection was 13.5 days after admission. All risk factors were significantly higher in the infected group than in the control group (P = 0.0001). Furthermore, surgical interventions were significantly more in the infected group than in the non-infected group (34.1% vs. 6.7%, respectively, P = 0.0001). The prevalence rates in different weight ranges (less than 1000 g, 1001 to 1500 g, 1501 to 2500, and above 2501 g) were 2.6%, 6.9%, 21.4%, and 69.1%, respectively, in the infected group, which were significantly different from those of the non-infected group (P = 0.0001). The most common etiologic microorganism was Acinetobacter baumannii. Conclusions: Factors such as surgery, the presence of a central venous catheter, and the increased length of hospital stay significantly increased the hospital-acquired infections. Reducing invasive procedures, maintenance of full catheters, and providing optimal nursing care can help control hospital-acquired infections.

show abstract

Epidemiology and risk factors for nosocomial infection in the respiratory intensive care unit of a teaching hospital in China: A prospective surveillance during 2013 and 2015

Cited by 43 publications

References 27 publications

<p>Analysis of the Risk Factors for Nosocomial Bacterial Infection in Patients with COVID-19 in a Tertiary Hospital</p>

<p>Analysis of the Risk Factors for Nosocomial Bacterial Infection in Patients with COVID-19 in a Tertiary Hospital</p>

A Comparative Analysis of Nosocomial Infections between Internal and Surgical Intensive Care Units of a University Hospital in Birjand, Iran from 2015 to 2016: A Retrospective Study

Nosocomial Infection in an Iranian Neonatal Intensive Care Unit: Hospital Epidemiology and Risk Factors

Contact Info

Product

Resources

About