ANKMJ
Ankyra Medical Journal

Ankyra Medical Journal (AnkMJ), formerly known as the Journal of Translational and Practical Medicine, regularly publishes international quality issues in the field of Medicine in the light of current information.

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Original Article
Healthcare-associated infections: prospective rotational surveillance data of a training and research hospital
Abstract
Aims: Monitoring and prevention of healthcare-associated infections (HAI) are considered to be one of the key measures to improve the effectiveness and quality of healthcare services. This study aimed to ascertain the prevalence of HAI in various hospital departments, identify the causative bacterial profile, risk factors, and the association with mortality.
Methods: This prospective study included 3117 patients who were monitored in various departments of a Training and Research Hospital. The identified HAI cases were monitored using an active, prospective, rotational surveillance method. Patient data on HAI was daily recorded on pre-established tracking forms.
Results: The mean hospital stay of patients was 9.9±7.5 days. The HAI prevalence was 4.5% and the HAI rate was 5.5%. The HAI rate showed no difference between internal medicine and surgical departments (5.7% vs 5.5%, p>0.05), but it was higher in intensive care units (ICU) (p<0.001). The majority of the isolated agents (65.2%) were gram-negative bacteria. Advanced age, intrinsic risk factors such as malignancy, and invasive procedures (use of central, peripheral, and urinary catheters) were associated to the development of HAI. The frequency of HAI was higher in deceased patients compared to survivors (25.4% vs 4.1%, p<0.001).
Conclusion: HAI remains a major concern in hospital settings, particularly in ICU, and strongly correlates with intrinsic risk factors and invasive procedures. Optimized infection control measures with these risk factors can make a significant contribution to improving patient outcomes.

Keywords : Healthcare-associated infection, intensive care unit, surveillance, mortality

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Article available in :
Volume 3, Issue 1, 2024
Page : 6-12
https://doi.org/10.51271/ANKMJ-0002
Article Information
Received : 01 Oca 2024
Accepted : 28 Oca 2024
Published : 31 Oca 2024
Corresponding Author :

Yavuz Çekli: Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy Haydarpaşa Training Hospital, Ankara, Turkey

[email protected]
Citation : Çekli Y, Çavuşoğlu Ş. Healthcare-associated infections: prospective rotational surveillance data of a training and research hospital. Ank Med J. 2024;3(1):6-12.

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