Description of the epidemiology of healthcare-associated infections in the military hospital of Tunis
DOI:
https://doi.org/10.3396/ijic.v20.23765Abstract
Background: Healthcare-associated infections (HAIs) are the most common adverse events in healthcare delivery and the most frequently reported worldwide. Understanding its epidemiology can help stratify the problems and effectively determine prevention and control strategies.
Objective: The aim of this study is to describe the epidemiology of HAIs in the military hospital of Tunis.
Design: This is a retrospective descriptive study covering the year 2021. It concerns patients who stayed more than 48 h and who developed an infection meeting the criteria of HAIs.
Results: A total of 380 HAIs were detected. This represents 2.49 per 1,000 days of hospitalization and 8% of admissions. Men were more affected than women. The anesthesia-intensive care department was the most involved (32.25%). Diabetes mellitus was the most encountered comorbidity (27%). The pulmonary system was the most affected site (46.8%). Germs were identified in 26% of cases. Klebsiella pneumoniae was the most incriminated germ (31%), followed by Staphylococcus aureus (26%). Vancomycin was the most prescribed broad-spectrum antibiotic (24%).
Conclusions: Epidemiological surveillance is an essential tool to evaluate the impact of infection prevention and control policies. It would be desirable to reinforce the global policy in our hospital, which is mainly based on the respect of hygiene rules by the staff.
Downloads
References
MacLaurin A, Amaratunga K, Couris C, Frenette C, Galioto R, Hansen G, et al. Measuring and monitoring healthcare-associated infections: a Canadian collaboration to better understand the magnitude of the problem. Healthc Q 2020 Feb 3; 22(Suppl): 116–28. doi: 10.12927/hcq.2020.26040
SF2H_surveiller-and-prevent-the-IAS-2010.pdf. Available from: https://sf2h.net/wp-content/uploads/2010/09/SF2H_surveiller-et-prevenir-les-IAS-2010.pdf [cited 20 November 2022].
Gachot B, Coriat P. The medico-judicial risk of nosocomial infections. Med Right 2019; 2019(159): 137–41. doi: 10.1016/j.meddro.2019.04.001
Unahalekhaka. Epidemiology of healthcare-associated infections. 2014. Available from: https://www.theific.org/wp-content/uploads/2014/08/Ch3French.pdf [cited 7 June 2023].
Bouafia N, Chouchène I, Cheikh AB, Bouchoucha S, Njah M. Risk of death from infections associated with medical devices risk of mortality due to device associated infection. Tunis Med 2015; 93: 8.
Poirier E, Boulanger V, MacLaurin A, Quach C. National health care-associated infection surveillance programs: a scoping review. Can Commun Dis Rep 2022; 48(7/8): 373–84. doi: 10.14745/ccdr.v48i78a05
Hall. Epidemiology of healthcare-associated infections. 2010. Available from: https://www.infectiologie.org.tn/pdf_ppt_docs/revues/1-2010/epidemiologie.pdf [cited 7 June 2023].
Gaudichon A, Astagneau P. Infecciones nosocomiales e infecciones asociadas a la atención sanitaria. EMC Tratado Med 2022; 26(2): 1–8. doi: 10.1016/S1636-5410(22)46451-8
Öncül O, Öksüz S, Acar A, Ülkür E, Turhan V, Uygur F, et al. Nosocomial infection characteristics in a burn intensive care unit: analysis of an eleven-year active surveillance. Burns J Int Soc Burn Inj 2014; 40(5): 835–41. doi: 10.1016/j.burns.2013.11.003
Abdel-Fattah MM. Nosocomial pneumonia: risk factors, rates and trends. East Mediterr Health J 2008; 14(3): 546–55.
Chen Y, Zhao JY, Shan X, Han XL, Tian SG, Chen FY, et al. A point-prevalence survey of healthcare-associated infection in fifty-two Chinese hospitals. J Hosp Infect 2017; 95(1): 105–11. doi: 10.1016/j.jhin.2016.08.010
Trifi A, Abdellatif S, Oueslati M, Zribi M, Daly F, Nasri R, et al. Nosocomial infections: state of play in a nosocomial intensive care unit infections: current situation in a resuscitation-unit. Tunis Med 2017; 95: 6.
Al-Asmary SM, Al-Helali NS, Abdel-Fattah MM, Al-Jabban TM, Al-Bamri AM. Nosocomial urinary tract infection. Risk factors, rates and trends. Saudi Med J 2004; 25(7): 895–900. doi: 10.1086/502336
Teymourzadeh E, Bahadori M, Fattahi H, Rahdar HA, Mirzaei Moghadam S, Shokri A. Prevalence and predictive factors for nosocomial infection in the military hospitals: a systematic review and meta-analysis. Iran J Public Health 2021; 50(1): 58–68. doi: 10.18502/ijph.v50i1.5072
Zoukal S, Tsoumbou-Bakana G, Traore B, Nani S, Hassoune S. Infections associated with neonatal care in the Greater Maghreb region. Systematic review and meta-analysis. Rev Epidemiol Public Health 2021; 69(2): 88–95. doi: 10.1016/j.respe.2021.01.007
Stempliuk V. Surveillance of healthcare-associated infections in low- and middle-income countries: from the need to a reality. Curr Treat Options Infect Dis 2018; 10(1): 1–6. doi: 10.1007/s40506-018-0148-x
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Aloui Ghaith, Yousfi Mohamed Ali, Bennour Sana
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright of their work, with first publication rights granted to IJIC. Read the full Copyright- and Licensing Statement.
