跳至主要内容

Analysis of Nosocomial Infections in Selected Teaching Hospitals, Qazvin, Iran

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=50531#.VESeoVfHRK0

Introduction: Hospital infections prolong patient hospitalization, necessitate additional treatment, increase mortality rate, raise hospital expenses, and even reduce the level of health in the society. The purpose of this research was to study hospital infections in selected hospitals of Qazvin. Methods and Materials: This was an analytic-cross-sectional study. The research population consisted of 25,628 hospitalized patients in the first eight months of 2012 in three selected hospitals of the Qazvin Province. The algorithm of reporting hospital infections, the National Program of Controlling Hospital Infections, and 223 patient files hospitalized due to hospital-acquired infections were used to collect information. The collected information was analyzed using the SPSS V. 17 software; the descriptive statistics was used to analyze the qualitative variables; and the descriptive statistics together with chi-square and t-test were employed for the quantitative variables. Results: The ICU units had the most cases of hospital infections. Respiratory pneumonia and urinary infections topped the list of hospital infections. The most invasive treatments carried out on patients with hospital infections were surgery, urinary catheter, and venous catheter, respectively. More than 50 percent of patients with hospital infections were hospitalized for 2 to 21 days. Results and Conclusions: Because of the high rate of hospital infections, especially in the ICU ward, authorities must give top priority in their plans to designing suitable educational programs to inform hospital staff and patients of hospital infections and to provide suitable resources for dealing with this problem.
Cite this paper
Farzianpour, F. , Bakhtiari, A. , Mohammadi, M. , Khosravizadeh, O. , Mossavi, H. , Mohseni, M. and Mahboobi, M. (2014) Analysis of Nosocomial Infections in Selected Teaching Hospitals, Qazvin, Iran. Health, 6, 2425-2432. doi: 10.4236/health.2014.618279
 

[1] Farzianpour, F., Bakhtiari, A., Mosavee, H. and Akbarzadeh, A. (2014) The Most Important Species of Nosocomial Infection and the Most Important Wards Susceptible to Nosocomial Infection. Iranian Journal of Public Health, 43, 1016-1017.
http://ijph.tums.ac.ir
[2] Farzianpour, F., Gery, S., Foroushani, A.R., Arab, M. and Hosseini, S. (2013) Evaluating the Average Access to Care and Continuity of Care Patients in Tehran Teaching Hospitals. Health, 5, 2110-2115.
http://dx.doi.org/10.4236/health.2013.512288
[3] Gouya, M., Masoumi, H., Afhami, S.H., Nikfar, Sh. and Rahbar, M. (2006) National Directory of Hospital Infection Surveillance System. Ministry of Health Care and Medical Education, Management of Hospitals.
[4] Hashemian, D.A., Faal, H. and Fasihi, E. (2009) Survey of Nosocomial Infection and Accompanied Factors in Neonatal Intensive Care Unit. Journal of Guilan University of Medical Sciences, 19, 37-45.
[5] Kampf, G., Gastmeier, P., Wischnewski, N., et al. (1997) Analysis of Risk Factors for Nosocomial Infections—Results from the First National Prevalence Survey in Germany (NIDEP Study, Part 1). Journal of Hospital Infection, 37, 103-112.
http://dx.doi.org/10.1016/S0195-6701(97)90180-8
[6] Samiee, S. (2005) Prevention of Nosocomial Infections. Salemi Press, Tehran, 10-12.
[7] Abadi, A.S.H. (2008) Epidemiology of Nosocomial Infections. Shiraz University of Medical Sciences, 11-17.
[8] Akbari, M., Nejad, R., Azimpour, A., Barnousi, E. and Ghahremanlou, H. (2013) Prevalence of Nosocomial Infections in the ICU Ward of Imam Reza Hospital in Urmia City and Provide Appropriate Solutions Based on International Standards for the Prevention. Urmia Medical Journal, 23, 591-596.
[9] Ding, J.G., Sun, Q.F., Li, K.C., Zheng, M.H., Miao, X.H., Ni, W., et al. (2009) Retrospective Analysis of Nosocomial Infections in the Intensive Care Unit of a Tertiary Hospital in China during 2003 and 2007. BMC Infectious Diseases, 9, 115.
http://dx.doi.org/10.1186/1471-2334-9-115
[10] Iranian Committee for the Control of Nosocomial Infections (2006) Nosocomial Infections Care System Guidelines. Ministery of Health, Tehran, 7-12.
[11] Kasper, D.L., Braunwald, E., Fauci, A., Hauser, S., Longo, D. and Jameson, J. (2008) Harrison’s Principles of Internal Medicine. 17th Edition, McGraw-Hill, New York, 119-127.
[12] Salimi, S., Demir, N., Anami, E., Noruznia, S. and Rastad, M.A. (2009) Evaluation Standards of Nursing Care on the Incidence of Nosocomial Infections in the MICU. Urmia Medical Journal, 19, 310-315.
[13] Ken, I., Alison, P. and Jayshree, D. (2005) Nosocomial Infection. Oxford Journals, 5, 14-17.
[14] Nowruizi, J. (1994) Nosocomial Infection. Published Esharat, Tehran, 6.
[15] Gaynes, R.P. and Horan, T. (1999) Surveillance of Nosocomial Infections. In: Mayhall, C.G., Ed., Hospital Epidemiology and Infection Control, 2nd Edition, Lippincott Williams & Wilkins, Philadelphiai, 1285-1317.
[16] National Nosocomial Infections Surveillance System (2002) National Nosocomial Infections Surveillance (NNIS) System Report, Data Summary from January 1992 to June 2002. American Journal of Infection Control, 30, 458-475.
http://dx.doi.org/10.1067/mic.2002.130032
[17] Vafaei, K., Razaviyan, F. and Sheikholeslami, N. (2013) The Epidemiologic Study of One Year Nosocomial Infections in Kamkar Hospital (Qom) 2008: (A Short Report). Journal of Rafsanjan University of Medical Sciences, 12, 319-324.
[18] Birgani, A.G. and Asadpoor, S. (2011) Nosocomial Infections in Intensive Care Unit of Ahvaz Arya Hospital (2008-2009). Modern Care Journal, 8, 86-93.
[19] Mandell, G.L., Bennett, G.E. and Dolin, R. (2010) Principles and Practice of Infectious Diseases. 7th Edition, Elsevier Press, Philadelphia, 3669-3717.
[20] Richards, M.J., Edwards, J.R., Culver, D.H. and Gaynes, R.P. (1999) Nosocomial Infections in Medical Intensive Care Units in the United States. Critical Care Medicine, 27, 887-892.
http://dx.doi.org/10.1097/00003246-199905000-00020
[21] Stoll, B. (2004) Infection of the Neonatal Infant. In: Behrman, R.E., Kligman, R.M. and Jenson, H.B., Eds., Nelson Textbook of Pediatrics, 17th Edition, Saunders, Philadelphia, 623-640.
[22] Farzinasgharisana and Sanamgheybi, S. (2011) Determine the Role of Prevalent Bacterial Agents at Neonatal Blood Infection, Shahidarefian Hospital of Ormia. Journal of New in Biotechnology, 2, 1.
[23] Jeyan, S.Y., Alexis, M.E. and Victoria, J.F. (2002) Rate, Risk Factors, and Outcomes of Nose(omina) Primary Blood Stream Infection in Pediatric Intensive Care Unit Patients. Am Acad J Pediactric, 110, 481-485.
[24] Lewis, K.L. and Thompson, J.M. (2009) Health Care Professionals’ Perceptions and Knowledge of Infection Control Practices in a Community Hospital. Health Care Manager, 28, 230-238.
http://dx.doi.org/10.1097/HCM.0b013e3181b3ea8b
[25] Black, J.G. (1996) Microbiology, Principles and Applications. 3rd Edition, Prentice Hall College Div., Upper Saddle River, 436-443.
[26] Zamanzad, B., Shirzad, H.A. and Naseri, F. (2006) Comparison of the Causative Bacteria and Antibacterial Susceptibility Pattern of Nosocomial and Community: Acquired Urinary Tract Pathogens in 13-35 Years Old Women, Shahrekord, 2004. Journal of Arak University of Medical Sciences (Rahavard-E Danesh), 8, 23-30.
[27] Asl, H.M. (2007) Guidline for Hospital Infection Care. Ministry of Health, CDC, 6-7.
[28] Jean, L. (2003) Vincent Nosocomial Infection in Adult Intensive-Care Units. The Lancet, 361, 2068-2077.
[29] Sodari (1999) Prevalence of Microbial Contamination. Esfahan Pediatric Hospital J Med, 3, 267-271.
[30] Barak, M., Mamishi, S., Siadati, A., Salamati, P., Khotaii, G.H. and Mirzarahimi, M. (2011) Risk Factors and Bacterial Etiologies of Nosocomial Infections in NICU and PICU Wards of Children’s Medical Center and Bahrami Hospitals during 2008-2009. Journal of Ardabil University of Medical Sciences, 11, 113-120.
[31] Brindha, Sunit, S. and Neelam, T. (2010) Study of Nosocomial Urinary Tract Infections in a Pediatric Intensive Care Unit. Journal of Tropical Pediatrics, 5, 367-369.                                  eww141020lx
[32] Elizabeth, C. (2009) Sepsis Can Strike, Kill Shockingly Fast. HIS, 139-146.

评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...