Prevalencija intrahospitalnih infekcija u istočnoj Hercegovini
Authors: Janković Slavenka 
Published: September 2013

&lt;p&gt;&lt;span id=&quot;page17R_mcid1302&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 597.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.16849);&quot; role=&quot;presentation&quot;&gt;Introduction&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1303&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 214.391px; top: 597.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10045);&quot; role=&quot;presentation&quot;&gt;. Hospital-acquired infections (HAIs) are a global public health problem. Surveillance has &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1304&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 617.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.07546);&quot; role=&quot;presentation&quot;&gt;been widely accepted as the primary tool in the control of HAI. It assumes systematic collection, analysis &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1305&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 637.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11553);&quot; role=&quot;presentation&quot;&gt;and interpretation of HAI data, as well as providing feedback information for personnel in health care&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1306&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 657.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11163);&quot; role=&quot;presentation&quot;&gt;settings. Prevalence study is a fast, simple and relatively inexpensive surveillance method. The aim of &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1307&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 677.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.11386);&quot; role=&quot;presentation&quot;&gt;this study was to assess the magnitude of the problem of HAIs in hospitals of East Herzegovina in the &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1308&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 697.809px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.08135);&quot; role=&quot;presentation&quot;&gt;Republic of Srpska.&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1309&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 727.258px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.15574);&quot; role=&quot;presentation&quot;&gt;Methods&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1310&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 185.553px; top: 727.258px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.07539);&quot; role=&quot;presentation&quot;&gt;. At the time of conducting this study (August 2011) there were 483 patients hospitalized, out of &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1311&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 747.258px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09538);&quot; role=&quot;presentation&quot;&gt;whom 234 were involved in this study. Patients who spent at least 72 hours in hospital were included in &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1312&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 767.258px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09104);&quot; role=&quot;presentation&quot;&gt;the study. According to the CDC (Centers for Disease Control and Prevention) definition only clinically &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1313&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 787.258px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.1084);&quot; role=&quot;presentation&quot;&gt;manifested HAIs were considered.&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1314&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 816.706px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.15009);&quot; role=&quot;presentation&quot;&gt;Results&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1315&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 174.556px; top: 816.706px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.12105);&quot; role=&quot;presentation&quot;&gt;. The prevalence of patients with HAIs was 4.2%, which is exactly the same value as the HAI &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1316&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 836.706px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.09004);&quot; role=&quot;presentation&quot;&gt;prevalence. The highest prevalence of patients with HAI was registered at the Department of Neurology &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1317&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 856.706px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.04024);&quot; role=&quot;presentation&quot;&gt;(15.7%), followed by the Surgical Intensive Care Department (12.5%) and Gynecology Department (12.5%),&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1318&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 876.706px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.10027);&quot; role=&quot;presentation&quot;&gt;while the least prevalence was found at the Department of Surgery (6.2%). The highest prevalence was &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1319&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 896.706px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.08228);&quot; role=&quot;presentation&quot;&gt;registered in the group aged between 40 and 59 years. The causative agents of HAI were isolated in 40% &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1320&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 916.706px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.06833);&quot; role=&quot;presentation&quot;&gt;of cases. By anatomic localization, the most common were infections of the surgical site (40%) and diges&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1322&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 936.706px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.08245);&quot; role=&quot;presentation&quot;&gt;tive system (40%), followed by urinary tract infections (10%) and skin and soft tissue infections (10%).&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1323&quot; class=&quot;markedContent&quot;&gt;&lt;br role=&quot;presentation&quot; /&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 966.155px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.14596);&quot; role=&quot;presentation&quot;&gt;Conclusion&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1324&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 205.122px; top: 966.155px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.08483);&quot; role=&quot;presentation&quot;&gt;. The results of this study showed that the prevalence of HAI is within the frame of the prev&lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1326&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 986.155px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.13056);&quot; role=&quot;presentation&quot;&gt;alence in developed countries. However, their occurrence in patients with low risk for HAI indicates &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1327&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 1006.16px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.12541);&quot; role=&quot;presentation&quot;&gt;that more attention must be given to this problem. The prevalence study can be a tool of routine HAI &lt;/span&gt;&lt;/span&gt;&lt;span id=&quot;page17R_mcid1328&quot; class=&quot;markedContent&quot;&gt;&lt;span dir=&quot;ltr&quot; style=&quot;left: 118.11px; top: 1026.16px; font-size: 16.6667px; font-family: serif; transform: scaleX(1.099);&quot; role=&quot;presentation&quot;&gt;surveillance at a national level.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;