Evaluation of Nosocomial Infections in a Teaching Hospital

Abstract

Background: Nosocomial infections (NIs) have increasingly resulted in death and patients have to bear high treatment costs. Healthcare personnel could play a prominent role in prevention and control of NIs. Objectives: The aim of this study was to evaluate NIs in patients admitted to a teaching hospital in Ahvaz, southwest of Iran, during 2013. Patients and Methods:The present study was a cross-sectional study conducted in Razi Hospital, Ahvaz during 12 months from March 2013 to March 2014. All patients hospitalized with no signs and symptoms of infection within 48 hours of admission and presenting signs and symptoms of infection after 48 hours of hospitalization were included in the study. Data about patients' age, sex, site of infection, ward of hospitalization and type of NIs were collected. Bacterial strains were isolated from various clinical samples of patients and identified by conventional methods. Results: The incidence of NIs was low (i.e. < 2%). Among 16936 admitted patients in this hospital, 174 patients (79 males and 95 females) with a mean age of 51.7 ± 24.6 years (range, 5 to 90 years) were diagnosed with an NI. Incidence density of NIs were 3.18% in infectious diseases ward, 2.17% in intensive care unit (ICU), 2% in orthopedic ward, 0.68% in obstetrics and gynecology (OBGYN) ward and 0.278% in general surgery. Regarding the etiology of infection, coagulase-negative staphylococci in 23.69%, Bacillus in 21.05%, Escherichia coli was found in 18.42%, and coagulase-positive staphylococci in 13.16% of the cases. The results indicated that coagulase-negative staphylococci was the most frequent pathogen. Conclusions:The frequency of NIs in this hospital was lower in comparison with other worldwide studies. However, low incidence of health care-associated infections in our study may be due to under diagnosis and underreporting of such infections by health care staff.

Epidemiology and Treatment Outcome of Mucormycosis in Khuzestan, Southwest of Iran

“…This cross-sectional study was performed at Razi teaching hospital, Ahvaz (principle referral center for infectious diseases in Khuzestan province). Location of the study was in the south west of Ahvaz city, Razi hospital, with approximately 220 beds, which is located between 48°and 49°29' east of the Greenwich meridian, 31°and 45' minutes north of the equator (8,18,19). Data were collected during a period of 10 years from April 2004 to March 2014, including demographic information, underlying conditions, concomitant immunosuppressive medications, laboratory data, radiologic findings, clinical features, antifungal treatment, the need for surgical debridement and outcome.…”

Epidemiology of nosocomial infection in Abadan, Southwest Iran

“…According to scientific findings, occur infection among patient's during 48-72 h after hospital admission is the definition of Nosocomial infections (NIs). 1 NIs are among the most important causes of mortality, disability, prolonged hospitalization duration, high hospital costs, and high incidence of health problems in medical centers. 2,3 Among the most important threats for health care workers (HCWs) are those NSIs.…”

Refusing to report the medication errors observed in Ahvaz Jundishapur University of Medical Sciences during 2014–2015

“…15,18 Among on HCWs, Nurses have the most important role to reduce the risk of incorrect medication errors and increase the patient safety. 17,19,20 According to the several studies, 1-2% of admitted patients and prescribing error is the most common type of medication error in these settings and each year this agents were responsible for at least $3.5 billion annually. 18,21 Reporting medication errors lead to https://doi.org/10.1016/j.cegh.2019.02.004 Received 27 November 2018; Received in revised form 1 February 2019; Accepted 8 February 2019 saving patients' wellbeing and safety, also is counted as a valuable information source for preventing further mistakes in future.…”