P016: Device associated infections in adult intensive care units in public versus private hospitals in Egypt

Abdelfattah, May; El-Kholy, Amani; Enany, M; Beheiry, I; Saleh, Doa’a A.

doi:10.1186/2047-2994-2-s1-p16

Cited by 1 publication

(2 citation statements)

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“…Urinary catheters, ventilator and central venous catheter (CVC) showed statistically significant difference (P<0.05) in the current study. This agreed with other Egyptian reports by Rasslan et al 30 and Abdelfattah et al 31 . They attributed the high rates of device associated HAI to unnecessary increase length of stay, low compliance in hand hygiene and serving many patients with same nurse.…”

Section: Discussionsupporting

confidence: 93%

“…Regarding the length of hospital stay, the percentage of HAI showed high statistically significance with increased hospital stay over 7 days (P-value<0.001). Similar conclusions were reached by Abdelfattah et al 31 and Razine et al 15 Patients with chronic diseases are virtually immune-compromised and more prone to develop infections. This is surely aggravated by hospital admission.…”

Section: Discussionsupporting

confidence: 81%

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Bacterial Pattern and Risk Factors of Hospital Acquired Infections in a Tertiary Care Hospital, Egypt

Fakhr

Fathy

2018

Egyptian Journal of Medical Microbiology

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Background: Hospital-acquired infection in hospitals especially in developing countries is a challenging health problem with a great burden on patients and national economy. The incidence and risk factors varies from place to another and from time to time which necessitates continuous updating to combat the problem. Objectives: A prospective cross-sectional surveillance study was done over two-year duration at Al-Ahrar hospital, Zagazig to estimate the incidence of hospital acquired infection (HAI) and highlight the risk factors associated, to determine the antibacterial susceptibility, and to generate a modified antibiotic policy against emergence of new resistant strains. Methodology: Samples were collected from different hospital wards. Isolation and identification of bacteria, antibacterial susceptibility testing was determined. Double disc synergy test and E-test ESBL were done for MIC determination. Results: The overall incidence of HAI in the hospital was 20.6%. Burn unit was the most affected (82.4%) followed by internal medicine and ICU with incidence of (57.10% and 29.40%) respectively. The most predominant organism was Pseudomonas spp. followed by E. coli and Staphylococcus aureus. Prolonged hospital stay, medical devices such as urine catheter, ventilator, CVC and some co-morbidities act as risk factors of HAI. The highest susceptibility was to imipenem, amikacin and vancomycin while all isolates were resistant to cephalosporins. All S. aureus isolates were MRSA and 18.2% were VRSA. Ten isolates (20.8%) were confirmed as ESBL by double disc synergy test and E-test ESBL. Conclusion: The relative high incidence of HAI and resistance among the studied isolates necessitates the implementation of strict infection control practice and antibiotic policies in our hospitals.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 81%