Point prevalence of hospital-acquired infections  in two teaching hospitals of amhara region in  ethiopia Walelegn Worku Yallew1 abera Kumie 2 Feleke  Moges Yehuala 3 1 institute of Public Health, college  of Medicine and Health Sciences,  University of gondar, gondar,  2 School  of Public Health, college of Health  Sciences, addis ababa University,  addis ababa,  3 Department of Medical  Microbiology, college of Medicine  and Health Sciences, University of  gondar,gondar, ethiopia Purpose: Hospital-acquired infection (HAI) is a major safety issue affecting the quality of  care of hundreds of millions of patients every year, in both developed and developing countries,  including Ethiopia. In Ethiopia, there is no comprehensive research that presents the whole  picture of HAIs in hospitals. The objective of this study was to examine the nature and extent  of HAIs in Ethiopia. Methods: A repeated cross-sectional study was conducted in two teaching hospitals. All  eligible inpatients admitted for at least 48 hours on the day of the survey were included. The  survey was conducted in dry and wet seasons of Ethiopia, that is, in March to April and July  2015. Physicians and nurses collected the data according to the Centers for Disease Control  and Prevention definition of HAIs. Coded and cleaned data were transferred to SPSS 21 and  STATA 13 for analysis. Univariate and multivariable logistic regression analyses were used to  examine the prevalence of HAIs and relationship between explanatory and outcome variables. Results: A total of 908 patients were included in this survey, the median age of the patients was  27 years (interquartile range: 16–40 years). A total of 650 (71.6%) patients received antimicrobials during the survey. There were 135 patients with HAI, with a mean prevalence of 14.9%  (95% confidence interval 12.7–17.1). Culture results showed that Klebsiellaspp. (22.44%) and  Staphylococcus aureus(20.4%) were the most commonly isolated HAI-causing pathogens in  these hospitals. The association of patient age and hospital type with the occurrence of HAI  was statistically significant. Conclusion: It was observed that the prevalence of HAI was high in the teaching hospitals.  Surgical site infections and pneumonia were the most common types of HAIs. Hospital management should give more attention to promoting infection prevention practice for better control  of HAIs in teaching hospitals. Keywords:hospital-acquired infection, surgical site infections, Ethiopia, point prevalence Introduction Hospital-acquired infections (HAIs) are a major public health concern throughout the  world, contributing to increased morbidity, mortality, and cost.1 HAI is a major safety  issue affecting the quality of care of hundreds of millions of patients every year in  both developed and developing countries. 2 In developing countries, the problem is three times higher when compared to the  incidence observed in adult intensive care units in the US. 3 According to the World  Health Organization review, hospital-wide prevalence of health care-associated infections varies from 5.7% to 19.1%, with a pooled prevalence of 10.1% in low-income  countries. 4 correspondence: Walelegn Worku Yallew institute of Public Health, college  of Medicine and Health Sciences,  University of gondar, PO Box 196,  gondar, ethiopia Tel +251 911 969 579 Fax +251 581 110 6221 email walelegnw@gmail.com Video abstract Point your SmartPhone at the code above. If you have a  QR code reader the video abstract will appear. Or use: http://youtu.be/c5f8yjSzM9A Drug, Healthcare and Patient Safety downloaded from https://www.dovepress.com/ by 213.55.72.171 on
Creators: name: Yehuala 3, Moges
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2016

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