Health care-associated infections and associated factors among adult patients admitted to intensive care units of selected public hospitals, Addis Ababa, Ethiopia

Genaneh, Wondimagegn; Sibhat, Migbar; Techane, Tesfaye; Legesse, Tesfaye Girma

doi:10.1016/j.ijans.2023.100570

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…Of 4338 citations identified, 41 prevalence studies, 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 which included 6821 patients, met our eligibility criteria ( Fig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…1 ). The included studies were selected from all four subregions of SSA: fifteen studies from West Africa, 17 , 21 , 22 , 25 , 27 , 28 , 32 , 36 , 37 , 43 , 46 , 47 , 49 , 50 , 55 twelve from Southern Africa, 16 , 19 , 23 , 29 , 30 , 33 , 38 , 40 , 45 , 52 , 53 , 54 eleven from East Africa, 20 , 24 , 26 , 31 , 34 , 35 , 41 , 42 , 44 , 48 , 51 and three from Central Africa 18 , 39 , 56 ( Fig. 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Outlying studies adding to heterogeneity of BSI, 45 UTI, 50 SSI, 21 and LRTI 51 were identified. After excluding them from the meta-analysis, the prevalence of BSI, UTI, SSI and LRTI in HAI stood at 32.1% (I 2 = 99.4%; n = 1236; k = 19), 29.2% (I 2 = 94.5%; n = 685; k = 18), 38.8% (I 2 = 96.4%; n = 576; k = 17), and 23.3% (I 2 = 97.4%; n = 243; k = 16) with a negligible change of the I 2 heterogeneity from 99.7% to 99.4%, 94.7%–94.5%, 98.1%–96.4% and 97.7%–97.4% respectively.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The burden of hospital-acquired infections (HAI) in sub-Saharan Africa: a systematic review and meta-analysis

Melariri,

Freercks,

van der Merwe

et al. 2024

eClinicalMedicine

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The burden of hospital-acquired infections (HAI) in sub-Saharan Africa: a systematic review and meta-analysis

Melariri,

Freercks,

van der Merwe

et al. 2024

eClinicalMedicine

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“…2 A recent European study found that women with diabetes had a higher prevalence of asymptomatic bacteriuria (26%) compared to those without diabetes (6%). 3 It is advised to give diabetic patients extra consideration, particularly when it comes to the treatment of bacterial UTIs, as they are at an increased risk of developing UTIs. 4 UTI is linked to a number of risk factors, including age, sexual activity, length of diabetes, inadequate glycemic control, and complications from diabetes.…”

mentioning

confidence: 99%

Diversity of uropathogens and their antibiotic resistance among diabetic patients presented to MTI-Lady Reading Hospital, Peshawar

Masood,

Bilal,

Badshah

et al. 2024

Pak J Med Sci

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Objective: Our objective was to quantify the number of various bacteria that frequently cause UTI in diabetes patients as well as to gauge their susceptibility and resistance to antibiotics. Method: A cross-sectional study was conducted at the Internal Medicine Ward of Lady Reading Hospital, Peshawar, Pakistan from June 2021 to December 2021, Patients with confirmed diabetes were included in the study; however, participants receiving antimicrobial medications for a maximum of 14 days were excluded from the study. Resistance of Escherichia coli, Candida, Pseudomonas, E. faecalis, Klebsiella, P. mirabilis and Staphylococcus was asssessed using ciprofloxac, ceftazidime and meropenem. Results: The findings highlighted the the prevalence of Escherichia coli in 38.8% of patients, Candida in 19% of patients, Enterococcus faecalis in 11.8% of patients, Pseudomonas in 10%, Klebsiella in 9.5% patients, Proteus mirabilis 6.2% patients and Staphylococcus was found in 5.2% patients. According to the overall sensitivity and resistance of antibiotics in microorganisms, Meropenem showed 89.6% sensitivity and 10.4% resistance. Ciprofloxacin showed 38.9% sensitivity and 61.1% resistance and ceftazidime showed 22.7 sensitivity and 77.3% resistance. Conclusion: UTIs were very common in diabetes patients, and Escherichia coli was the most common uropathogen found. Compared to male patients, more female patients had infections. The uropathogens showed a significant degree of resistance to ceftizidime and ciprofloxacin. doi: https://doi.org/10.12669/pjms.40.5.8275 How to cite this: Masood A, Bilal M, Badshah S, Khan Y. Diversity of uropathogens and their antibiotic resistance among diabetic patients presented to MTI-Lady Reading Hospital, Peshawar. Pak J Med Sci. 2024;40(5):---------. doi: https://doi.org/10.12669/pjms.40.5.8275 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Healthcare-associated Urinary tract infection and its determinants among Adult Patients Admitted to Intensive Care Units of Addis Ababa Public Governmental Hospitals, Ethiopia; 2020

Genaneh,

Nega,

Argeta

et al. 2023

Preprint

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Back groundUrinary tract infections are common bacterial infections that affect almost 150 million people internationally each year. A catheter-associated urinary tract infection arises when germs enter the urinary tract via a urinary catheter, leading to infection and have been linked with increased mortality, morbidity, healthcare costs in intensive care units. It is one of the highest prevalent health care-related infections, accounting for nearly 30% of intensive care unit (ICU) reports because of its association to urinary catheterization, but has great preventive potential.MethodInstitutional based cross-sectional study design applied to determine the prevalence and associated factors of Health care-associated urinary tract infections among adult 391 patients admitted to ICU from 2017 to 2019 GC at Addis Ababa Public Governmental Hospital, Addis Ababa, Ethiopia, June-December 2020.Data had manually checked and entered to Epi-data manager version 4.6 and statistical analyses have been performed using SPSS version 23 software program. Strength of association between dependent and independent variables is assessed using crude odds ratio (COR) and adjusted odds ratio (AOR) with confidence Interval (CI) of 95%. Variables that had a value of P < 0.25 on bi-variate analysis were directly forward to be analyzed by multi variable analysis. Goodness of fit test had also computed for logistic regression using Hosmer and Lemeshow test resulted in (sig=0.073), finally having P-values < 0.05 is considered as statistically significant.Resultthe study find that the prevalence of Healthcare Associated Urinary Tract Infection among ICU admitted patients was 91(23.3%) 95%CI ;(19.2-27.4), While length of stay, Having tracheostomy, patients on Mechanical Ventilation and taking Proton pump inhibitor drugs were associated with HAUTI in the study area.ConclusionHealthcare-associated Urinary Tract infection is highly emerging clinical condition among ICU admitted patients in the study areas.

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Health care-associated infections and associated factors among adult patients admitted to intensive care units of selected public hospitals, Addis Ababa, Ethiopia

Cited by 3 publications

References 15 publications

The burden of hospital-acquired infections (HAI) in sub-Saharan Africa: a systematic review and meta-analysis

The burden of hospital-acquired infections (HAI) in sub-Saharan Africa: a systematic review and meta-analysis

Diversity of uropathogens and their antibiotic resistance among diabetic patients presented to MTI-Lady Reading Hospital, Peshawar

Healthcare-associated Urinary tract infection and its determinants among Adult Patients Admitted to Intensive Care Units of Addis Ababa Public Governmental Hospitals, Ethiopia; 2020

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