PDF(Pubmed)
Abstract：
BACKGROUND: Nosocomial infections or hospital-acquired infections are a growing public health threat that increases patient morbidity and mortality. Patients at the highest risk are those in intensive care units. Therefore, our objective was to provide a pattern analysis of nosocomial infections that occurred in an adult surgical intensive care unit (ICU).
METHODS: This study was a retrospective observational study conducted in a 6-bed surgical intensive care unit (SICU) at An-Najah National University Hospital (NNUH) to detect the incidence of nosocomial infections from January 2020 until December 2021. The study group included 157 patients who received antibiotics during their stay in the SICU.
RESULTS: The incidence of nosocomial infections, either suspected or confirmed, in the SICU was 26.9% (95 out of 352 admitted patients). Pneumonia (36.8%) followed by skin and soft tissue infections (35.8%) were the most common causes. The most common causative microorganisms were in the following order: Pseudomonas aeruginosa (26.3%), Acinetobacter baumannii (25.3%), extended-spectrum beta lactamase (ESBL)-Escherichia coli (23.2%) and Klebsiella pneumonia (15.8%). The average hospital stay of patients with nosocomial infections in the SICU was 18.5 days.
CONCLUSIONS: The incidence of nosocomial infections is progressively increasing despite the current infection control measures, which accounts for an increased mortality rate among critically ill patients. The findings of this study may be beneficial in raising awareness to implement new strategies for the surveillance and prevention of hospital-acquired infections in Palestinian hospitals and health care centers.
METHODS: This study was a retrospective observational study conducted in a 6-bed surgical intensive care unit (SICU) at An-Najah National University Hospital (NNUH) to detect the incidence of nosocomial infections from January 2020 until December 2021. The study group included 157 patients who received antibiotics during their stay in the SICU.
RESULTS: The incidence of nosocomial infections, either suspected or confirmed, in the SICU was 26.9% (95 out of 352 admitted patients). Pneumonia (36.8%) followed by skin and soft tissue infections (35.8%) were the most common causes. The most common causative microorganisms were in the following order: Pseudomonas aeruginosa (26.3%), Acinetobacter baumannii (25.3%), extended-spectrum beta lactamase (ESBL)-Escherichia coli (23.2%) and Klebsiella pneumonia (15.8%). The average hospital stay of patients with nosocomial infections in the SICU was 18.5 days.
CONCLUSIONS: The incidence of nosocomial infections is progressively increasing despite the current infection control measures, which accounts for an increased mortality rate among critically ill patients. The findings of this study may be beneficial in raising awareness to implement new strategies for the surveillance and prevention of hospital-acquired infections in Palestinian hospitals and health care centers.
摘要：
背景：医院感染或医院获得性感染是日益增长的公共卫生威胁，增加了患者的发病率和死亡率。风险最高的患者是重症监护病房的患者。因此,我们的目的是对成人外科重症监护病房(ICU)发生的医院感染进行模式分析.
方法：本研究是一项回顾性观察性研究，在安纳加国立大学医院（NNUH）的6张病床的外科重症监护病房（SICU）进行，以检测2020年1月至2021年12月的医院感染发生率。研究组包括157名在SICU住院期间接受抗生素治疗的患者。
结果：医院感染发生率，怀疑或证实，在SICU中占26.9%(352例入院患者中有95例).肺炎（36.8％），其次是皮肤和软组织感染（35.8％）是最常见的原因。最常见的致病微生物依次为：铜绿假单胞菌（26.3%），鲍曼不动杆菌（25.3%），超广谱β内酰胺酶(ESBL)-大肠杆菌(23.2%)和肺炎克雷伯菌(15.8%)。SICU医院感染患者平均住院时间为18.5天。
结论：尽管现行的感染控制措施，医院感染的发生率仍在逐步增加，这是危重病人死亡率增加的原因。这项研究的结果可能有助于提高人们的意识，以实施新的策略来监视和预防巴勒斯坦医院和医疗保健中心的医院获得性感染。
方法：本研究是一项回顾性观察性研究，在安纳加国立大学医院（NNUH）的6张病床的外科重症监护病房（SICU）进行，以检测2020年1月至2021年12月的医院感染发生率。研究组包括157名在SICU住院期间接受抗生素治疗的患者。
结果：医院感染发生率，怀疑或证实，在SICU中占26.9%(352例入院患者中有95例).肺炎（36.8％），其次是皮肤和软组织感染（35.8％）是最常见的原因。最常见的致病微生物依次为：铜绿假单胞菌（26.3%），鲍曼不动杆菌（25.3%），超广谱β内酰胺酶(ESBL)-大肠杆菌(23.2%)和肺炎克雷伯菌(15.8%)。SICU医院感染患者平均住院时间为18.5天。
结论：尽管现行的感染控制措施，医院感染的发生率仍在逐步增加，这是危重病人死亡率增加的原因。这项研究的结果可能有助于提高人们的意识，以实施新的策略来监视和预防巴勒斯坦医院和医疗保健中心的医院获得性感染。
