A study on the incidence of nosocomial infections in a large University hospital |
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Authors: | L. Ortona G. Federico M. Fantoni F. Ardito G. Branca S. Caponera N. Spagnolo |
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Affiliation: | (1) Istituto di Clinica delle Malattie Infettive, Facoltä di Medicina e Chirurgia A. Gemelli , Università Cattolica del Sacro Cuore, Largo F. Vito, 1 - 00168 Roma, Italy;(2) Istituto di Microbiologia, Facoltà di Medicina e Chirurgia A. Gemelli , Università Cattolica del Sacro Cuore, Largo F. Vito, 1 - 00168 Roma, Italy |
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Abstract: | The results of a study on the incidence of nosocomial infections in a 1800 bed University hospital are reported. The study, carried out over a 9 months period, included: 1) continuous microbiological surveillance, and 2) a clinical and epidemiological survey. On the basis of the microbiological data collected and analyzed by a computer data system, developed and employed for the control of nosocomial infections, a weekly bed-to-bed survey was carried out by the staff of the Institute of Infectious Diseases. Among 2777 suspected nosocomial infections, as revealed by microbiological monitoring, 701 were confirmed after the bed-to-bed survey. The nosocomial infection rate was 6.75 per 100 discharges. It was higher in the surgical than in the medical wards (7.3 and 6 per 100 discharges, respectively).Nosocomial urinary tract infections were the most frequent (74.2%). The urinary infection rate was higher in the surgical than in the medical wards (5.3 and 4.6 per 100 discharges, respectively).Escherichia coli (19.4%), Pseudomonas aeruginosa (19.3%), Proteus spp. (18.4%) were the pathogens most frequently associated with nosocomial infections. They were followed by Klebsiella pneumoniae (7.8%) and Staphylococcus aureus (6.5%) in frequency.Among the risk factors, involved in nosocomial infections, the importance of catheterization was confirmed: among our patients with nosocomial urinary tract infections; 73.4% and 79.5% — in the medical and surgical wards, respectively -underwent urological instrumentation, mainly catheterization.An analogous and more detailled study is now in progress and will be extended in the next years.Corresponding author. |
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Keywords: | Nosocomial infections Microbiological surveillance Hospital epidemiology |
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