Causative Organisms of Hospital Acquired Infections Among The Pediatric Patients In Tertiary Level Hospitals of Dhaka City

Miah, Khorshed Ali; Chowdhury, Zaforullah; Johora, Fatima Tuj; Khatun, Sumaiya

doi:10.3329/updcj.v9i1.41202

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Another study reported that 2.6% of hospitalized patients and 4% of healthcare workers developed hospital-acquired diarrhea [ 12 ]. Other studies from Bangladesh have estimated overall rates of HAIs ranging from 8 to 30%, exacerbated by inadequate IPC [ 13 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

Infection prevention and control in tertiary care hospitals of Bangladesh: results from WHO infection prevention and control assessment framework (IPCAF)

Harun

Anwar²,

Sumon

et al. 2022

Antimicrob Resist Infect Control

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Introduction Infection prevention and control (IPC) in healthcare settings is imperative for the safety of patients as well as healthcare providers. To measure current IPC activities, resources, and gaps at the facility level, WHO has developed the Infection Prevention and Control Assessment Framework (IPCAF). This study aimed to assess the existing IPC level of selected tertiary care hospitals in Bangladesh during the COVID-19 pandemic using IPCAF to explore their strengths and deficits. Methods Between September and December 2020, we assessed 11 tertiary-care hospitals across Bangladesh. We collected the information from IPC focal person and/or hospital administrator from each hospital using the IPCAF assessment tool.. The score was calculated based on eight core components and was used to categorize the hospitals into four distinct IPC levels– Inadequate, Basic, Intermediate, and Advanced. Key performance metrics were summarized within and between hospitals. Results The overall median IPCAF score was 355.0 (IQR: 252.5–397.5) out of 800. The majority (73%) of hospitals scored as ‘Basic’ IPC level, while only 18% of hospitals were categorized as ‘Intermediate’. Most hospitals had IPC guidelines as well as environments, materials and equipments. Although 64% of hospitals had IPC orientation and training program for new employees, only 30% of hospitals had regular IPC training program for the staff. None of the hospitals had an IPC surveillance system with standard surveillance case definitions to track HAIs. Around 90% of hospitals did not have an active IPC monitoring and audit system. Half of the hospitals had inadequate staffing considering the workload. Bed occupancy of one patient per bed in all units was found in 55% of hospitals. About 73% of hospitals had functional hand hygiene stations, but sufficient toilets were available in only 37% of hospitals. Conclusion The majority of sampled tertiary care hospitals demonstrate inadequate IPC level to ensure the safety of healthcare workers, patients, and visitors. Quality improvement programs and feedback mechanisms should be implemented to strengthen all IPC core components, particularly IPC surveillance, monitoring, education, and training, to improve healthcare safety and resilience.

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Section: Introductionmentioning

confidence: 99%

Infection prevention and control in tertiary care hospitals of Bangladesh: results from WHO infection prevention and control assessment framework (IPCAF)

Harun

Anwar²,

Sumon

et al. 2022

Antimicrob Resist Infect Control

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“…Open access and overcome. 4 WHO and other health organisations have emphasised the importance of implementing effective infection prevention and control (IPC) programmes to curb the spread of these infections. These measures are critical to achieving sustainable development goals, improving patient safety and promoting universal health coverage.…”

Section: How This Study Might Affect Research Practice or Policymentioning

confidence: 99%

Infection control practices in public sector hospitals of Punjab: a critical analysis

Ehsan,

Hanif

2024

BMJ Open Qual

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IntroductionInfection prevention and control (IPC) is imperative towards patient safety and health. The Infection Prevention and Control Assessment Framework (IPCAF) developed by WHO provides a baseline assessment at the acute healthcare facility level. This study aimed to assess the existing IPC level of selected public sector hospital facilities in Punjab to explore their strengths and deficits.MethodsBetween October and April 2023, 11 public sector hospitals (including tertiary, secondary and primary level care) were selected. Data were collected using the IPCAF assessment tool comprising eight sections, which were then categorised into four distinct IPC levels– inadequate, basic, intermediate and advanced. Key performance metrics were summarised within and between hospitals.ResultsThe overall median IPCAF score for the public sector hospitals was 532.5 (IQR: 292.5–690) out of 800. Four hospitals each scored ‘advanced’ as well as ‘basic’ IPC level and three hospitals fell into ‘intermediate level’. Most hospitals had IPC guidelines as well as IPC programme, environments, materials and equipments. Although 90% of secondary care hospitals had IPC education and training, only 2 out of 5 (40%) tertiary care and 2 out of 3 (67%) primary care hospitals have IPC or additional experts for training. Only 1 out of 5 tertiary care hospitals (20%) were recorded in an agreed ratio of healthcare workers to patients while 2 out of 5 (40%) of these hospitals lack staffing need assessment.ConclusionOverall the sampled public sector (tertiary, secondary and primary) hospitals demonstrated satisfactory IPC level. Challenging areas are the healthcare-associated infection surveillance, monitoring/audit and staffing, bed occupancy overall in all the three categories of hospitals. Periodic training and assessment can facilitate improvement in public sector systems.

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“…Staphylococcus aureus (12.9%) and Pseudomonas aeruginosa (11.5%) are the most common pathogens implicated in HAIs. A study on post caesarean wound infection in Dhaka Medical College Hospital showed that 35.3% of caesarean patients developed hospital acquired infection 10 . A study on 299 admitted patients of Dhaka Medical College Hospital 34(11.37%) were found affected by HAI.…”

Section: Introductionmentioning

confidence: 99%

Bacteriological Profiles with Antibiotic Susceptibility Pattern in Different Clinical Specimens of Specialized Neuroscience Hospital of Bangladesh

Mallick

Yusuf

Islam

et al. 2020

J. Natl Inst. Neurosci Bangladesh

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Background: Throughout the world multi-drug resistant hospital acquired infections (HAI) are one of the leading causes of deaths and morbidity amongst hospitalized patients. Objective: The aim of study was to identify prevalence and variations of predominant microorganisms and their drug sensitivity and resistance pattern in a tertiary care public hospital, Dhaka, Bangladesh. Methodology: The study was conducted in Intensive Care Unit (ICU), High Dependency Unit (HDU), Post-operative ward and general wards of a tertiary care publicNeuro- hospital in Dhaka during 1st January, 2017 to 31st December, 2018. Patients admitted in any of the four units (ICU, HDU, Post-operative and general wards) of the hospital who were clinically suspected of having acquired any infection after 48 hours of admission to the ICUs were included. Depending on the clinical suspicion laboratory samples were collected from the patients. Samples were subjected to the testing and antibiotic sensitivity. Results: A total number of total 1672 samples from these patients yielded clinically relevant microorganisms. Of these samples, 273 were respiratory specimens were tracheal aspirate; 537 were urine; 377 were blood; 396 were cerebrospinal fluids; and 82 were other clinical samples. More than two-third samples were growth negative (71.4%) and only one-thirdsamples (28.6%) were growth positive. Maximum growth negative in blood samples and about half of samples of urine and tracheal aspirates were growth negative. About 80% were Gram-negative bacteria like Escherichia coli, Pseudomonas spp., Klebsiella whereas gram-positive organisms were about 20%. Most of the pathogens were Multi-drug resistance. Conclusion: Among HAIs Multidrug-resistant Gram-negative bacteria are the main challenge. Regular updating resistance of microbial are needed to develop antibiotic guideline to combat these infections and reduce morbidity and mortality. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 82-86

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Causative Organisms of Hospital Acquired Infections Among The Pediatric Patients In Tertiary Level Hospitals of Dhaka City

Cited by 3 publications

References 17 publications

Infection prevention and control in tertiary care hospitals of Bangladesh: results from WHO infection prevention and control assessment framework (IPCAF)

Infection prevention and control in tertiary care hospitals of Bangladesh: results from WHO infection prevention and control assessment framework (IPCAF)

Infection control practices in public sector hospitals of Punjab: a critical analysis

Bacteriological Profiles with Antibiotic Susceptibility Pattern in Different Clinical Specimens of Specialized Neuroscience Hospital of Bangladesh

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