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Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   MARCH 2016 , Volume 19 , Number 3; Page(s) 179 To 185.
 
Paper: 

MORTALITY AMONG PATIENTS WITH NOSOCOMIAL INFECTIONS IN TERTIARY INTENSIVE CARE UNITS OF SAHLOUL HOSPITAL, SOUSSE, TUNISIA

 
DOI: 

0161903/AIM.005

 
Author(s):  REJEB MOHAMED BEN*, SAHLI JIHENE, CHEBIL DHEKRA, KHEFACHA AISSA SELWA, JAIDANE NADIA, KACEM BALSAM, HMOUDA HOUSSEM, DHIDAH LAMINE, SAID LATIRI HOUYEM, NAIJA WALID
 
* DEPARTMENT OF PREVENTION AND CARE SAFETY, HOSPITAL OF SAHLOUL, ROUTE CEINTURE SAHLOUL, SOUSSE 4054, TUNISIA
 
Abstract: 

BACKGROUND: Nosocomial infections are public health issues that are associated with high mortality in intensive care units. This study aimed to determine nosocomial infection-associated mortality in Tunisian intensive care units and identify its risk factors.
METHODS: A prospective cohort study was carried out in intensive care units of a Tunisian University Hospital. The ICUs-wide active surveillance of nosocomial infections has been performed between 1 July 2010 and 30 June 2011. Data collection was based on Rea-Raisin protocol 2009 of “Institut National de Veille Sanitaire” (InVS, Saint Maurice - France). We used Kaplan Meier survival analysis and Cox Proportional Hazard regression to identify independent risk factors of nosocomial infection-associated mortality.
RESULTS: Sixty-seven patients presented nosocomial infection in the end of the surveillance. The mean age of patients was 44.71 ± 21.2 years. Of them, 67.2% were male and 32.8% female. Nosocomial bacteremia was the most frequent infection (68.6%). Nosocomial infection-associated mortality rate was 35.8% (24/67). Bacteremia (Hazard Ratio (HR)) = 3.03, 95% Confidential Interval (95% CI): [1.23 – 7.45], P=0.016) and trauma (HR = 3.6, 95% CI: [1.16 – 11.2], P = 0.026) were identified by Cox regression as independent risk factors for NI-associated mortality.
CONCLUSIONS: Our rate was relatively high. We need to improve the care of trauma patients and intensify the fight against nosocomial infections especially bacteremia.

 
Keyword(s): INTENSIVE CARE UNIT, MORTALITY, NOSOCOMIAL INFECTION, RISK FACTOR
 
 
References: 
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Citations: 
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APA: Copy

REJEB, M., & SAHLI, J., & CHEBIL, D., & KHEFACHA AISSA, S., & JAIDANE, N., & KACEM, B., & HMOUDA, H., & DHIDAH, L., & SAID LATIRI, H., & NAIJA, W. (2016). MORTALITY AMONG PATIENTS WITH NOSOCOMIAL INFECTIONS IN TERTIARY INTENSIVE CARE UNITS OF SAHLOUL HOSPITAL, SOUSSE, TUNISIA. ARCHIVES OF IRANIAN MEDICINE, 19(3), 179-185. https://www.sid.ir/en/journal/ViewPaper.aspx?id=511258



Vancouver: Copy

REJEB MOHAMED BEN, SAHLI JIHENE, CHEBIL DHEKRA, KHEFACHA AISSA SELWA, JAIDANE NADIA, KACEM BALSAM, HMOUDA HOUSSEM, DHIDAH LAMINE, SAID LATIRI HOUYEM, NAIJA WALID. MORTALITY AMONG PATIENTS WITH NOSOCOMIAL INFECTIONS IN TERTIARY INTENSIVE CARE UNITS OF SAHLOUL HOSPITAL, SOUSSE, TUNISIA. ARCHIVES OF IRANIAN MEDICINE. 2016 [cited 2021July31];19(3):179-185. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=511258



IEEE: Copy

REJEB, M., SAHLI, J., CHEBIL, D., KHEFACHA AISSA, S., JAIDANE, N., KACEM, B., HMOUDA, H., DHIDAH, L., SAID LATIRI, H., NAIJA, W., 2016. MORTALITY AMONG PATIENTS WITH NOSOCOMIAL INFECTIONS IN TERTIARY INTENSIVE CARE UNITS OF SAHLOUL HOSPITAL, SOUSSE, TUNISIA. ARCHIVES OF IRANIAN MEDICINE, [online] 19(3), pp.179-185. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=511258.



 
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