Twenty Month Surveillance Infections in Intensive Care Unit of Zagazig University hospitals | ||||
| The Egyptian Journal of Community Medicine | ||||
| Article 9, Volume 37, Issue 2, April 2019, Page 76-84 PDF (598.04 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejcm.2019.30918 | ||||
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| Abstract | ||||
| Objective: To report types and rates of healthcare-associated infections (HAIs) as well as pathogen distribution from HAI surveillance system of Zagazig University Hospitals. Method: Active prospective surveillance was conducted from March 2016 through November 2017 in intensive care hospitals (ICUs) in Zagazig university hospitals. Definitions were adapted from the CDC’s National Healthcare Safety Network. Data collection was performed by trained healthcare workers in the participating ICUs, and data was recorded on clinical symptoms, radiological and laboratory investigations. A convenience sample of clinical isolates was tested for quality control at a central reference laboratory. Results: Fifteen (15) ICUs from 7 hospitals collected 106,028 patient-days of surveillance data. Of 290 HAIs identified, 56.6% % were bloodstream infections followed by urinary tract infection 32.4%. The highest rate of device-associated infections was reported for central lineassociated Blood stream infection (3.39 CLABSIs/1,000 central line-days) followed by ventilator-associated pneumonia (1.13 VAP/1,000 ventilator-days). Out of 280 isolates of ICU acquired organisms, Klebsiella was the most common isolated organism (38.2%) followed by staphylococcus and E. Coli (11.4 % and 10.4%). The most common obstacles identified were work overload and lack of cooperation of ICU staff. High levels of satisfaction of surveillance team for surveillance program training course, data collection tools (logbooks and smart devices, and overall usefulness of the program in reducing HAIs) were reported. Conclusions: HAIs have great threat to patient safety in Zagazig University ICUs. Continuation of surveillance activities and implementation of preventive bundles should become a priority for the Infection control team. | ||||
| Keywords | ||||
| HAI; surveillance; Incidence; Microorganism; Intensive Care Units | ||||
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