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[Current issues related to nosocomial infections in general surgery]

Martin Hutan1, Ján Mihálik, Martin Hutan

  • 1IV Chirurgická klinika LFUK a FNsP Bratislava, pracovisko, Ruzinov, Slovenská republika. martin.hutan@nspr.sk

Klinicka Mikrobiologie a Infekcni Lekarstvi
|August 9, 2008
PubMed

Insights

Nosocomial infections, including wound and urinary tract infections, averaged 3.12% between 1999-2006, increasing hospitalization and costs. Multiresistant strains like MRSA were detected, highlighting the need for infection control measures.

Area of Science:

  • Healthcare epidemiology
  • Infectious disease surveillance
  • Hospital-acquired infections

Context:

  • Analysis of nosocomial infection rates from 1999 to 2006.
  • Identification of the most common types of hospital-acquired infections.
  • Observation of increased hospitalization duration and treatment expenses associated with these infections.

Purpose:

  • To determine the prevalence and trends of nosocomial infections.
  • To identify prevalent infection types and associated pathogens.
  • To assess the impact of nosocomial infections on healthcare resource utilization.

Summary:

  • Annual nosocomial infection rates varied from 1.92% to 4.24%, averaging 3.12%.
  • Wound infections, febrile conditions with positive blood cultures, and urinary tract infections were most frequent.
  • Hospitalization increased 3.5-fold, and costs rose, with sporadic detection of multidrug-resistant organisms (MDROs) including MRSA, MRCoNS, and ESBL-producing Enterobacteriaceae.

Impact:

  • Highlights the significant burden of nosocomial infections on patient outcomes and healthcare costs.
  • Underscores the emergence and detection of multidrug-resistant strains, necessitating stringent infection prevention strategies.
  • Emphasizes the critical importance of comprehensive infection control measures, including source control, sterilization, transmission route interruption, and patient protection.

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