Volume 7, Issue 1 (June 2021)
Elderly Health Journal 2021, 7(1): 26-31 |
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Rahimi A, Namazi Shabestari A, Sadeh M, Bidaki R, Jamalimoghadamsiahkali S, Vahabi Z. Frequency of Healthcare-Associated Infections in the Elderly Patient Hospitalized. Elderly Health Journal 2021; 7 (1) :26-31
URL: http://ehj.ssu.ac.ir/article-1-219-en.html
URL: http://ehj.ssu.ac.ir/article-1-219-en.html
Aria Rahimi 
, Alireza Namazi Shabestari 
, Maryam Sadeh , Reza Bidaki , Saeidreza Jamalimoghadamsiahkali , Zahra Vahabi *
, Alireza Namazi Shabestari , Maryam Sadeh , Reza Bidaki , Saeidreza Jamalimoghadamsiahkali , Zahra Vahabi *
2. Department of Geriatric Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran , vahab1357@gmail.com
Abstract: (1608 Views)
Introduction: Healthcare- Associated Infections (HAI) are known to be one of the most important health issues in developed and developing countries. The most common infections include central line-associated bloodstream infections, catheter-associated urinary tract infections, ventilator-associated pneumonia and surgical site infection. The aim of this study was to investigate the incidence of nosocomial infections in the elderly patients.
Methods: In this cross-sectional study, 1279 patients were 60 years of age or older. Patients who had been admitted for more than 48 hours in the hospital and had no signs of infection at the time of admission, were entered into the study. It was evaluated four most common HAI, according to CDC include bacteremia, central line-associated blood stream infections, urinary tract infections, and ventilator-associated pneumonia. Infections may also occur at surgery sites, known as surgical site infections. The Chi-square and T- test or analysis of variance was used for data analysis.
Results: Of the total patients, 93 (7.3%) developed HAI at duration admission. The highest rate of infection was bacteremia, which was 48.4 % and then urinary tract infection 21.5%. The prevalence of HAI among patients with cardiovascular diseases was relatively higher than underlying diseases. The frequency of length of hospital stay was significant in patients > 7 days with 68.8% in the HAI group.
Conclusion: Our findings showed that patients with cardiovascular, renal and pulmonary disease are more susceptible to HAIs. Due to the increased length of hospital stay increases the risk of infection, it is recommended to discharge patients as soon as possible.
Methods: In this cross-sectional study, 1279 patients were 60 years of age or older. Patients who had been admitted for more than 48 hours in the hospital and had no signs of infection at the time of admission, were entered into the study. It was evaluated four most common HAI, according to CDC include bacteremia, central line-associated blood stream infections, urinary tract infections, and ventilator-associated pneumonia. Infections may also occur at surgery sites, known as surgical site infections. The Chi-square and T- test or analysis of variance was used for data analysis.
Results: Of the total patients, 93 (7.3%) developed HAI at duration admission. The highest rate of infection was bacteremia, which was 48.4 % and then urinary tract infection 21.5%. The prevalence of HAI among patients with cardiovascular diseases was relatively higher than underlying diseases. The frequency of length of hospital stay was significant in patients > 7 days with 68.8% in the HAI group.
Conclusion: Our findings showed that patients with cardiovascular, renal and pulmonary disease are more susceptible to HAIs. Due to the increased length of hospital stay increases the risk of infection, it is recommended to discharge patients as soon as possible.
Type of Study: Research |
Subject:
Special
Received: 2021/01/11 | Accepted: 2021/06/9 | Published: 2021/06/27
Received: 2021/01/11 | Accepted: 2021/06/9 | Published: 2021/06/27
References
1. Morris K. Global control of health-care associated infections. The Lancet. 2008; 372(9654): 1941-2.
2. Allegranzi B, Bagheri Nejad S, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. The Lancet. 2011; 377(9761): 228-41.
3. Al-Tawfiq JA, Tambyah PA. Healthcare associated infections (HAI) perspectives. Journal of Infection and Public Health. 2014; 7(4): 339-44.
4. Warren DK, Kollef MH. Prevention of hospital infection. Microbes and Infection. 2005; 7(2): 268-74.
5. Eggimann P, Sax H, Pittet D. Catheter-related infections. Microbes and Infection. 2004; 6(11): 1033-42.
6. Hoxha A, Duysburgh E, Mortgat L. Healthcare-associated infections in home healthcare: an extensive assessment, 2019. Euro surveillance: Bulletin European Sur Les Maladies Transmissible. 2021; 26(5): 1900646.
7. Huerta-Gutiérrez R, Braga L, Camacho-Ortiz A, Díaz-Ponce H, García-Mollinedo L, Guzmán-Blanco M, et al. One-day point prevalence of healthcare-associated infections and antimicrobial use in four countries in Latin America. International Journal of Infectious Diseases. 2019; 86: 157-66.
8. Rajabi M, Esmaeili Abdar M, Rafiei H, Aflatoonia MR, Esmaeili Abdar Z. Nosocomial infections and epidemiology of antibiotic resistance in teaching hospitals in south east of Iran. Global Journal of Health Science. 2016; 8(2):190-7.
9. Hosseinrezaei H, Rafiei H, Amiri M. Incidence and risk factors of sternal wound infection at site of incision after open-heart surgery. Journal of Wound Care. 2012; 21(8): 408-11.
10. Askarian M, Yadollahi M, Assadian O. Point prevalence and risk factors of hospital acquired infections in a cluster of university-affiliated hospitals in Shiraz, Iran. Journal of Infection and Public Health. 2012; 5(2): 169-76.
11. Boev C, Kiss E. Hospital-acquired infections: current trends and prevention. Critical Care Nursing Clinics of North America. 2017; 29(1): 51-65.
12. Yoshikawa T. Epidemiology and unique aspects of aging and infectious diseases. Clinical Infectious Diseases: an Official Publication of the Infectious Diseases Society of America. 2000; 30(6): 931-3
13. Solis-Hernandez PS, Vidales-Reyes M, Garza-Gonzalez E, Guajardo-Alvarez G, Chavez-Moreno S, Camacho-Ortiz A. hospital-acquired infections in elderly versus younger patients in an acute care hospital. International Journal of Infection. 2016; 3(1): 1-5.
14. Ferreira L, Azevedo L, Salvador P, Morais S, Paiva R, Santos V. Nursing care in healthcare-associated infections: a scoping review. Revista Brasileira de Enfermagem. 2019; 72(2): 476-83.
15. Sposato KA. Non-ventilator health care-associated pneumonia (NV-HAP): the infection preventionist's role in identifying NV-HAP. American Journal of Infection Control. 2020; 48(5S): A3-A6.
16. Lakoh S, Li L, Sevalie S, Guo X, Adekanmbi O, Yang G, et al. Antibiotic resistance in patients with clinical features of healthcare-associated infections in an urban tertiary hospital in Sierra Leone: a cross-sectional study. Antimicrobial Resistance and Infection Control. 2020; 9(38): 1-10.
17. Niraula R, Tambat R, Gupta R, Devkota A. A hospital-based prospective study on surgical antimicrobial prophylaxis and incidence of surgical site infections in the department of general surgery. World Journal of Surgery Surgical Research. 2021; 4; 1-6.
18. Devrim F, Caglar I, Demiray N, Oruc Y, Ayhan Y, Agin H, et al. Bacteremia due to healthcare-associated urinary tract infections in children. Archives de Pediatrie. 2021; 28(2): 147-9.
19. Li Y, Ren L, Zou J. Risk factors and prevention strategies of nosocomial infection in geriatric patients. Canadian Journal of Infectious Diseases & Medical Microbiology. 2019; 2019: 1-6.
20. Rodríguez-Acelas AL, Abreu Almeida M, Engelman B, Cañon-Montañez W. Risk factors for health care-associated infection in hospitalized adults: systematic review and meta-analysis. American Journal of Infection Control. 2017; 45(12): 149-56.
21. Zahraei SM, Eshrati B, Masomi Asl H, Pezeshki Z. Epidemiology of four main nosocomial infections in Iran during march 2007-march 2008 based on the findings of a routine surveillance system. Archives of Iranian Medicine. 2012; 15(12): 764-6.
22. Lahsaeizadeh S, Jafari H, Askarian M. Healthcare-associated infection in Shiraz, Iran 2004-2005. Journal of Hospital Infection. 2008; 69(3): 283-7.
23. Askarian M, Hosseini R, Kheirandish P, Memish ZA. Incidence of urinary tract and bloodstream infections in Ghotbeddin burn center, Shiraz 2000-2001. Burns: Journal of the International Society for Burn Injuries. 2003; 29(5): 455-9.
24. Haque M, Sartelli M, McKimm J, Bakar MA. Health care-associated infections–an overview. Infection and Drug Resistance. 2018; 11: 2321-33.
25. Zhao X, Wang L, Wei N, Zhang J, Ma W, Zhao H, et al. Epidemiological and clinical characteristics of healthcare-associated infection in elderly patients in a large Chinese tertiary hospital: a 3-year surveillance study. BMC Infectious Diseases. 2020; 20(121): 1-7.
26. Ojulong J, Mwambu TP, Joloba M, Bwanga F, Kaddu-Mulindwa DH. Relative prevalence of methicilline resistant Staphylococcus aureus and its susceptibility pattern in Mulago Hospital, Kampala, Uganda. Tanzania Journal of Health Research. 2009; 11(3): 149-53.
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