Evaluation of Healthcare-Associated Infections in Ardabil Hospitals, Iran, 2014-2015



Kazemian H¹ ; Pourmand MR¹ ; Pourramezan N¹ ; Jamshidi Y^{1, 4} ; Modares Sadrani SN² ; Hosseini SM³ ; Parsavash S³ Show Affiliations
Source: Research Journal of Pharmaceutical# Biological and Chemical Sciences Published:2016

Abstract

Health care associated infection (HCAI) is a major cause of morbidity and mortality in hospitalized patients particularly in developing countries. The purpose of this research was the evaluation of HCAI in patients admitted to five hospitals in Ardabil, Iran, during 2014. This was a descriptive-analytic study, conducted prospectively during 12 months from May 2014 to May 2015 in five participating hospitals in Ardabil, Iran. Data about patients' age, gender, site of infection, ward of hospitalization, underlying disease and type of microbial infection were collected and analyzed by SPSS 16.0. From 62601patients hospitalized in our hospitals, 2163 patients had HCAI. The infections were 32.17% urinary tract, 3.74% Surgical site, 17.33% blood stream, 31.76% pneumonia and 14.96% other infection. The results of the present study showed that the incidence of infections was low (i.e., < 3.45%). The incidence rates of infections were 32.59% in the intensive care unit (ICU), 18.34% in the neonatal intensive-care unit (NICU),6.35% in the coronary care unit (CCU), 3.14% in the Pediatric intensive care unit(PICU) and 39.58% in other Wards. Regarding the etiology of infections, Aspergillus, Streptococcus pyogenes and Salmonella paratyphi were the lowest (0.04%) and Escherichia coli was the highest rate (7.79%) in this study. A significant association was observed between the type of infection and the age, sex, type of hospital as well as underlying disease(P < 0.05). In this study, Healthcare-associated Infections had a lower frequency in comparison with the national rates. Our study results highlight that detection of nosocomial infections in Iran is still a problem and more attention should be to it.We hope that our findings promote strategies to facilitate the identification of hospital infections and help to prevention and control it in Iran.