Research code: 93454
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Ghafuri Y, Saghafipour A, Karami Jooshin M. Epidemiological Characteristics of Nosocomial Infections and Related Microbial Agents in Hospitals of Qom, Iran. Qom Univ Med Sci J 2024; 18 : 2037.4
URL: http://journal.muq.ac.ir/article-1-3792-en.html
URL: http://journal.muq.ac.ir/article-1-3792-en.html
1- Research Center for Environmental Pollutants, Qom University of Medical Sciences, Qom, Iran.
2- Department of Public Health, School of Health, Qom University of Medical Sciences, Qom, Iran.
3- Qom Province Health Center, Qom University of Medical Sciences, Qom, Iran. ,karamimoharram@gmail.com
2- Department of Public Health, School of Health, Qom University of Medical Sciences, Qom, Iran.
3- Qom Province Health Center, Qom University of Medical Sciences, Qom, Iran. ,
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Introduction
Nosocomial infections refer to healthcare-associated infections that are infections acquired during the process of receiving health care that was not present during the time of admission. This study aims to determine the prevalence of nosocomial infections and related factors in hospitals of Qom City, Iran.
Methods
This is a descriptive cross-sectional study that was conducted on 112,316 patients from eight hospitals in Qom City in 2018. Information were collected via the national nosocomial infections surveillance system of Iran and patients’ medical records. Four main groups of nosocomial infections including urinary tract infection (UTI), pneumonia (PNEU), bloodstream infection (BSI), surgical site infection (SSI) as well as the device-related infections including catheter-related, venous catheter-related, and ventilator-related infections, which were a subset of the four main groups of infections, were investigated.
According to the laboratory guideline for nosocomial infections, including the procedure for collecting, preparing, and controlling the quality of culture media, as well as interpreting the results of the culture of respiratory and urinary samples, surgical wounds, blood and blood catheters, special samples from wounds, sputum, bronchitis, blood and urine of the patients were collected and the laboratory findings were recorded. Then, the source of infection was determined and differentiated according to the guideline, and the required data were collected and extracted. Data were described using SPSS software, version 18.
Results
Based on the findings of the study, the prevalence of nosocomial infections in patients hospitalized in the hospitals of Qom City was 0.8%. The highest and lowest cases of nosocomial infections were reported in Shahid Beheshti Hospital and Hazrat-e Masoumeh Hospital, respectively. The highest and lowest prevalence of nosocomial infections were reported in neonatal intensive care units (11%) and pediatric intensive care units (1.1%), respectively. In this study, the UTI with 29.1% was the most common nosocomial infection type. The most common type of nosocomial infection in hospitalized patients was UTI (27.7%) and the least common type was SSI (8.3%). Also, Acinetobacter and Escherichia coli were the highest bacterial strains in infections.
Conclusion
In general, the prevalence of nosocomial infections in hospitals of Qom City is 0.8%. To control and prevent nosocomial infections, it is necessary to improve the screening and care systems for these infections and increase the awareness and practice of the treatment staff.
Ethical Considerations
Compliance with ethical guidelines
This study was approved by the Ethics Committee of the Deputy of Research of Qom University of Medical Sciences as a research project (Code: 93454).
Funding
This research was funded by Qom University of Medical Sciences.
Authors contributions
Methodology, data collection and analysis: Yadollah Ghafuri; Supervision and writing: Abedin Saghafipour; Project administration and financing: Moharram Karami Jooshin.
Conflicts of interest
The authors declared no conflict of interest.
Acknowledgments
The authors would like to thank the infection control experts of selected hospitals in Qom City for their cooperation in this research.
Nosocomial infections refer to healthcare-associated infections that are infections acquired during the process of receiving health care that was not present during the time of admission. This study aims to determine the prevalence of nosocomial infections and related factors in hospitals of Qom City, Iran.
Methods
This is a descriptive cross-sectional study that was conducted on 112,316 patients from eight hospitals in Qom City in 2018. Information were collected via the national nosocomial infections surveillance system of Iran and patients’ medical records. Four main groups of nosocomial infections including urinary tract infection (UTI), pneumonia (PNEU), bloodstream infection (BSI), surgical site infection (SSI) as well as the device-related infections including catheter-related, venous catheter-related, and ventilator-related infections, which were a subset of the four main groups of infections, were investigated.
According to the laboratory guideline for nosocomial infections, including the procedure for collecting, preparing, and controlling the quality of culture media, as well as interpreting the results of the culture of respiratory and urinary samples, surgical wounds, blood and blood catheters, special samples from wounds, sputum, bronchitis, blood and urine of the patients were collected and the laboratory findings were recorded. Then, the source of infection was determined and differentiated according to the guideline, and the required data were collected and extracted. Data were described using SPSS software, version 18.
Results
Based on the findings of the study, the prevalence of nosocomial infections in patients hospitalized in the hospitals of Qom City was 0.8%. The highest and lowest cases of nosocomial infections were reported in Shahid Beheshti Hospital and Hazrat-e Masoumeh Hospital, respectively. The highest and lowest prevalence of nosocomial infections were reported in neonatal intensive care units (11%) and pediatric intensive care units (1.1%), respectively. In this study, the UTI with 29.1% was the most common nosocomial infection type. The most common type of nosocomial infection in hospitalized patients was UTI (27.7%) and the least common type was SSI (8.3%). Also, Acinetobacter and Escherichia coli were the highest bacterial strains in infections.
Conclusion
In general, the prevalence of nosocomial infections in hospitals of Qom City is 0.8%. To control and prevent nosocomial infections, it is necessary to improve the screening and care systems for these infections and increase the awareness and practice of the treatment staff.
Ethical Considerations
Compliance with ethical guidelines
This study was approved by the Ethics Committee of the Deputy of Research of Qom University of Medical Sciences as a research project (Code: 93454).
Funding
This research was funded by Qom University of Medical Sciences.
Authors contributions
Methodology, data collection and analysis: Yadollah Ghafuri; Supervision and writing: Abedin Saghafipour; Project administration and financing: Moharram Karami Jooshin.
Conflicts of interest
The authors declared no conflict of interest.
Acknowledgments
The authors would like to thank the infection control experts of selected hospitals in Qom City for their cooperation in this research.
Type of Study: Original Article |
Subject:
عفونی
Received: 2023/08/13 | Accepted: 2023/11/22 | Published: 2024/04/29
Received: 2023/08/13 | Accepted: 2023/11/22 | Published: 2024/04/29
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