Hospital-acquired Respiratory-Tract Infections in the Teaching Hospitals of Sfax

Maissa Ben Jmaa, S. Yaich, H. Ayed, M. Trigui, M. B. Hmida, H. Feki, J. Damak
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引用次数: 1

Abstract

Hospital-acquired Respiratory-Tract Infections (HARTIs) are identified as the most frequent type of hospital-acquired infections. They can engender significant morbidity and mortality rates, generating a heavy economic burden, especially in the limited resources countries. In this perspective, this study aimed to determine the prevalence of HARTIs in the University Hospitals (UHs) of Southern Tunisia and to identify their main associated factors. It was a cross-sectional study conducted in the two UHs of Sfax governorate, Tunisia, from July 10 to 24th, 2017, including all hospitalized patients for at least 48 hours. It was a 1-day pass per department and a 1-week survey per UH. In total, 34 cases of HARTIs were notified among 752 surveyed patients, accounting for an overall prevalence of 4.5%. The prevalence of HARTIs in the Intensive Care Units (ICU) was 20.6%. Multivariate logistic regression analysis showed that developing a HARTI in non-ICU was independently associated with tobacco use [Adjusted Odds Ratio (AOR) = 2.83; 95% Confidence Interval (95% CI) = [1.10–7.27]; p = 0.03], central vascular catheter (AOR = 5.70; 95% CI = [1.29–25.15]; p = 0.022) and McCabe Index ≥1 (AOR = 7.38; 95% CI = [2.73–19.97]; p < 0.001). In ICU, only endotracheal tube was independently associated with HARTIs (AOR = 42.5; 95% CI = [4.97–64.13]; p = 0.001). This study illustrated the extent of HARTIs problem threatening the quality of care in Southern Tunisia. Identifying the risk factors of HARTIs in both ICUs and non-ICUs may help healthcare workers to ascertain the avoidability of these infections.
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斯法克斯教学医院院内获得性呼吸道感染调查
医院获得性呼吸道感染(HARTIs)是最常见的医院获得性感染类型。它们可造成很高的发病率和死亡率,造成沉重的经济负担,特别是在资源有限的国家。从这个角度来看,本研究旨在确定突尼斯南部大学医院(UHs)中HARTIs的患病率,并确定其主要相关因素。这是一项横断面研究,于2017年7月10日至24日在突尼斯斯法克斯省的两所大学进行,包括所有住院至少48小时的患者。每个院系为期1天,每个大学为期1周的调查。在752名被调查的患者中,总共报告了34例HARTIs,占总患病率的4.5%。重症监护病房(ICU)的HARTIs患病率为20.6%。多因素logistic回归分析显示,在非icu发生HARTI与吸烟独立相关[调整优势比(AOR) = 2.83;95%置信区间(95% CI) = [1.10-7.27];p = 0.03],中央血管导管(AOR = 5.70;95% ci = [1.29-25.15];p = 0.022), McCabe指数≥1 (AOR = 7.38;95% ci = [2.73-19.97];P < 0.001)。在ICU中,只有气管内管与HARTIs独立相关(AOR = 42.5;95% ci = [4.97-64.13];P = 0.001)。这项研究说明了HARTIs问题威胁突尼斯南部医疗质量的程度。识别重症监护室和非重症监护室中HARTIs的危险因素可能有助于医护人员确定这些感染的可避免性。
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审稿时长
49 weeks
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