1Internal Medicine & Intensive Care, Lecturer Internist, College of Medicine, Baghdad University
2Baghdad Medical City, Baghdad Teaching Hospital, Clinical Pharmacy Department, Baghdad, Iraq
3Medical Student's Graduate, a Collage of Medicine, Baghdad University
*Corresponding author: Hayder Adnan Fawzi, Baghdad, Iraq, hayder.adnan2010@ierit.nahrainuniv.edu.iq, Phone no.: 009647722627943
Online published on 6 April, 2019.
assess the prevalence, risk factors, microbiological profile of hospital-acquired infections (HAI), and HAI impact on ICU stay and mortality in the Intensive Care Unit.
a cross-sectional study conducted on 83 patients in ICU of Ghazi Al Hariri hospital at the Baghdad Medical City, the study started from 1st July to 30th September 2018. All the patients were followed throughout their hospital stay, the septic screen was done for all patients. The specimens were processed by standard microbiological methods to isolate and identify bacteria etiology.
The overall prevalence was 67.5%, the most common type of HAI was ventilator-associated pneumonia (VAP), followed by catheter-associated urinary tract infection (UTI), bloodstream infections (BSI) and surgical site infections (SSI). Pseudomonas, Candida and Klebsiella were the most common agents causing these infections with a different rate of presentation. Prolonged hospital stay, urinary catheterization and the use of H2 antagonist had higher odds of acquiring HAI (P<0.05).
High prevalence of hospital-acquired infection with VAP and UTI as the most common types, Klebsiella was the most common etiological agent for VAP, Candida was the most common cause of UTI and SSI. Longer hospital stay and the use of H2 antagonist associated with increased risk of HAI.
H2 antagonist, Klebsiella, pneumonia, VAP, hospital stay, ventilator
