Rates of Hospital‐Acquired Respiratory Illness in Bangladeshi Tertiary Care Hospitals: Results from a Low‐Cost Pilot Surveillance Strategy

Abstract

Patients on these study wards frequently experienced hospital-acquired respiratory infections, including 1 in every 20 patients hospitalized for >72 h on 1 ward. The surveillance method was useful in calculating rates of hospital-acquired respiratory illness and could be used to enhance capacity to quickly detect outbreaks of respiratory disease in health care facilities where systems for outbreak detection are currently limited and to test interventions to reduce transmission of respiratory pathogens in resource-poor settings.

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

“…17 The current prevalence rate of MRSA to another study conducted in Bangladesh. 40 Perception of the students about antimicrobial use in their hospital also coincides with that of Intern doctors in their hospital. 17 71.14% of total patients had received antimicrobials in rural Bangladesh, which is higher than other parts of Asia, Europe or the USA.…”

Incidence of influenza-like illness and severe acute respiratory infection during three influenza seasons in Bangladesh, 2008–2010

“…Nevertheless, health care utilization patterns are limited by the capacity of the health-care system to treat patients in Bangladesh, where 11 patients are hospitalized for every 10 hospital beds. 28 Incidence was estimated from four sentinel sites that may not have been representative of all of Bangladesh, particularly its urban areas, which are densely populated and more prosperous than rural areas and which represent approximately 25% of the country's population. We were unable to reliably differentiate ILI patients with mild disease from those with severe respiratory illness in the community who were never hospitalized.…”

Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh

“…Rates of hospital-acquired respiratory illness in these three tertiary-level hospitals were estimated to be six cases per 1,000 patient days13; in this manuscript, we report the incidence, timing, and associated risk factors for hospital-acquired diarrhea in these three Bangladeshi tertiary hospitals during April 2007 through April 2010.…”

“…Patients often share beds or are cared for on the floor. As a result of inadequate critical care units, patients with severe illnesses such as acute respiratory infection, cardiovascular disease, and stroke are often treated in the same general medicine wards where diarrheal patients are also treated 13. Most patients have at least one personal caregiver, usually a family member, who provides the majority of hands-on care that nursing staff would typically provide in high-income countries 14.…”