Hospital acquired infections among surgical, gynaecology and obstetrics patients in Felege-Hiwot referral hospital, Bahir Dar, northwest Ethiopia.

作者: Kassahun Alamrew , Solomon Gebre-Selassie , Silabat Melaku , Meku Damtie

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摘要: Background Hospital-acquired infection is an important public health problem that contributes to significant morbidity and mortality worldwide. Objective The aim of this study was assess the prevalence risk factors hospital-acquired infections antibiotic susceptibility pattern bacterial isolates in Felege-Hiwot referral hospital. Methods conducted during April-August 2009. A total 1383 patients admitted Surgical Gynecology/Obstetrics wards were followed throughout their stay hospital for development infections. Data on sociodemographic, underlying diseases collected analysed Laboratory investigations including culture, biochemical tests, Gram staining antibacterial sensitivity tests using disc diffusion methods done. Results Of assessed 961 surgical, 333 obstetrics 89 gynaecology assessed, 17.1% 21.0% 13.5% developed infections, respectively. over all incidence acquired 246 (17.8%) with 251 (18.1%) episodes Urinary tract surgical site detected 118 (48%) 112 (45.6%) cases, isolates, 132 (52.6%) gram negative 119 (47.4%) positive. Escherichia coli, Klebsiella pneumoniae, Psuedomonas aeruginosa, dominant accounting 49 (19.5%), 36 (14.3%) 26 (10.4%), On other hand, Staphylococcus aureus, coagulase staphylococci, Enteroccocus species isolated 91 (36.3%), 18 (7.2%) 10 (4.0%), Surgery, catheterization, diseases, antibiotics prophylaxis length (P 80% showed high rate resistance ampicillin, chloramphenicol, amoxacillin-clavulanic acid Conclusion UTI high. coli from urinary aureus wounds predominant isolates. common antibiotics.

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