ISSN: 1859 - 2872
Characteristics of nosocomial infections and related factors at Vinh Phuc Hospital's Intensive Care Unit from January to September 2021
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Abstract
Objective: To investigate the rate of multiple types of nosocomial infections and related factors at Department of Intensive Care, Vinh Phuc province Hospital. Subject and method: This was a prospective, cross-sectional study on 280 patients treated for more than 48 hours at the Intensive Care Unit (ICU) of Vinh Phuc Province Hospital from January to September 2021. Result: The rate of nosocomial infections was 31.1% with an incidence rate of 25.1/1000 days of hospital stay, ventilator-associated pneumonia (VAP) was the most common 32.2% with 42.3/1000 days of mechanical ventilation (DU = 0.4) followed by catheter-associated urinary tract infection (CAUTI) accounted for 10% with 10.7/1000 days of urinary catheter retention (DU = 0.6). The most common agent causing nosocomial infections was A. baumannii (34.4%). The three strongest risk factors for increasing the likelihood of UTI in multivariable analysis were mechanical ventilation (OR = 4.45, 95%CI: 1.68-11.7, p<0.05), blood transfusion (OR = 2.12, 95%CI:
1.0-4.5, p<0.05), hospital stay > 7 days (OR = 25, 95%CI: 5.49-85.5, p<0.001. Conclusion: The rate of nosocomial infections in the Department of Intensive Care was high (31.1%) in which VAP accounts for the highest rate (32.2%), the most common agent A. baumannii. Prolonged hospital stay with device use, surgical interventions increases the risk of nosocomial infections.
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References
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