Post-graduate theses
Current Record: 5052 of 6695
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Identifier |
000369757 |
Title |
Μελέτη επιπολασμού των νοσοκομειακών λοιμώξεων σε τριτοβάθμιο νοσοκομείο. |
Alternative Title |
Prevalence study of nosocomial infections in a tertiary care hospital |
Author
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Μπολίκας, Εμμανουήλ
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Thesis advisor
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Γκίκας,Αχιλλέας
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Reviewer
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Ρουμπελάκη, Μαρία
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Abstract |
OBJECTIVE. To estimate the prevalence of nosocomial infections (NI) and
antibiotic use in a tertiary care hospital.
METHODOLOGY. A point prevalence study was conducted in the University
Hospital of Heraklion (July 2010), within the framework of the hospitals’
participation in the development and pilot implementation of a common European
protocol initiated by the European Centre for Disease Prevention and Control
(ECDC). All inpatients in 25 hospital departments were surveyed to obtain
demographic and clinical data, and data regarding NI and antimicrobial usage.
RESULTS. A total of 54 NIs were detected in 43 of the 456 surveyed patients. The
prevalence rate of patients with at least one NI was 9.4% (95% confidence interval
[CI]: 6.9% - 12.5%), while the prevalence of NI was 11.8 cases per 100 patients
(95%CI: 9.0 to 15.2). The most frequent infections were bloodstream infections (3.3
cases per 100 patients; 95%CI: 1.9-5.4), followed by urinary tract infections (2.2%;
95% CI: 1.1-4.0), pneumonias (2.0%; 95%CI: 0.9-3.7), and surgical site infections
(1.3%; 95%CI: 0.5-2.8). The leading pathogens were Acinetobacter species (19,2%),
Pseudomonas aeruginosa (19,2%) and Enterococcus species (13.5%). Overall, 235
patients (51.5%; 95%CI: 46.8 - 56.2) received 351 antibiotics. The most frequent
indication for antibiotic use was the treatment of a community-acquired or a
nosocomial infection (for 25.9% of the surveyed; 95%CI: 21.9-31.2), followed by
Public Health & Health Care Management
Faculty of Medicine – University of Crete
4
medical prophylaxis (12.7%; 95%CI: 9.8-16.1) and surgical prophylaxis (12.5%;
95%CI: 9.6-15.9). The duration of surgical prophylaxis was >1 day for 80.7% of the
patients who received it.
CONCLUSIONS. The prevalence of patients with NI in the study hospital lies within
the range observed in most European countries, but there is considerable room for
improvement. A markedly high prevalence of antibiotic use was recorded, stressing
an urgent need to develop more effective strategies to control the usage of these drugs.
The data obtained in this study highlighted infection control areas that require
immediate corrective actions and provided specific targets for intervention.
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Language |
Greek |
Subject |
Antibiotic use |
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Hospital |
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Nosocomial infection |
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Prevalence |
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Surveillance |
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Επιπολασμός |
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Επιτήρηση |
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Νοσοκομειακή λοίμωξη |
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Χρήση αντιβιοτικών |
Issue date |
2011-04-12 |
Collection
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School/Department--School of Medicine--Department of Medicine--Post-graduate theses
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Type of Work--Post-graduate theses
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Notes |
Πρόγραμμα μεταπτυχιακών σπουδών "Δημόσια Υγεία και Διοίκηση Υπηρεσιών Υγείας" |
Permanent Link |
https://elocus.lib.uoc.gr//dlib/f/5/4/metadata-dlib-1321429925-828644-27674.tkl
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Views |
314 |