The Prevalence of Nosocomial Infections and Related Microbial Agents Based on the NNIS System in Sabzevar During ۲۰۱۱-۲۰۱۵

Background: Nosocomial infection is an infection that hospitalized patients get while receiving health care. This study aimed to determine the prevalence and factors involved in the incidence of nosocomial infections, related microbial agents, and antibiotic resistance profiles. Methods: This cross-sectional study was conducted on ۳۹۰ patients with nosocomial infection admitted to Shahid Beheshti Hospital in Sabzevar from ۲۰۱۱ to ۲۰۱۵. The acquired data were assessed by the standard checklist of the National Nosocomial Infections Surveillance (NNIS) system of the Ministry of Health. The collected data were analyzed using the Stata ۱۲ software. Results: Of the ۴۱ ۹۷۹ admitted patients during the mentioned period, ۳۹۰ patients with an average age of ۴۸.۰۸ years suffered from a hospital-acquired infection. The prevalence of nosocomial infections was ۱% with the highest rate related to the respiratory tract in men and surgical sites in women. Intravenous catheters, surgical wounds, urinary catheters, suction, ventilator, tracheotomy, and tracheostomy were the most commonly encountered factors (invasive measures) of nosocomial infection, respectively. The most prevalent causes of nosocomial infections were Klebsiella, Staphylococcus aureus, and Acinetobacter. Conclusions: Based on our findings, several factors play a pivotal role in preventing hospitalassociated infections, including proper follow-up and timely reporting of nosocomial infection cases. The other influential factors were accurate identification of microorganisms involved, allocation of sufficient funds to provide appropriate facilities for infection prevention, the appropriate and timely medical interventions, and the rational use of antibiotics.

کلیدواژه ها:

Nosocomial infections ، Hospital-acquired infection ، NNIS ، Microbial agents