Paper Information

Journal:   TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)   2004 , Volume 62 , Number 7; Page(s) 591 To 585.
 
Paper: 

NATIONAL NOSOCOMIAL INFECTION SURVEILLANCE SYSTEM BASED STUDY IN IRAN: ADDITIONAL HOSPITAL STAY ATTRIBUTABLE TO NOSOCOMIAL INFECTIONS

 
 
Author(s):  ASKARIAN M., VAKILI M., ROSTAMI GOURAN N.
 
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Abstract: 

Background: Nosocomial infection is a serious health and financial problem.The purpose. of this study was to determine the extra hospital , stay attributable to nosocomial infection, sin surgical patients.
Materials and Methods: All surgical patients admitted during February 20, 2000 to February 19,2001, to the 38 beds general surgery ward within a university hospital in Shiraz, Iran were included in this study. The study was planned as a pair wise matched case-control study nested in cohort design. A case was defined as any patient with one of four of the following nosocomial infections: Urinary tract infection (UTI), surgical site infection (SSI), blood stream infection (B.SI) and pneumonia (PNEU), whereby definitions for the nosocomial infections were based on national nosocomial infection surveillance (NNIS) system definitions. For each case, an appropriate match was selected, which resulted in 69 pairs of study patients. Results: In total, during the study period, the incidence of nosocomial infection during the study period was 17.59%. The mean extra length of hospitalizationdue to all major kinds of nosocomial infections was 6.62 days totally, which was obtained 4.4, 5.33, 8.73 and 9.2 extra days for UTI, PNEU, SSI and BSI respectively. Conclusion: Nosocomial infections add cOlisiderable costs to the health care system in Iran, therefore developing strategies, concepts to reduce the incidence of nosocomial infections are cost-effective and warrant, and an appropriate surveillance system based on international criteria is the cornerstone for this task.

 
Keyword(s): NOSOCOMIAL INFECTIONS, EXTRA HOSPITAL STAY, SURGICAL PATIENTS
 
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