A 5-year surveillance of healthcare-associated infections in a university hospital: A retrospective analysis

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dc.authoridKARAALİ, Rıdvan/0000-0003-2440-7529
dc.authoridErdem, İlknur/0000-0003-2262-6525
dc.authorwosidKARAALİ, Rıdvan/AAQ-1018-2020
dc.contributor.authorErdem, İlknur
dc.contributor.authorYıldırım, İlker
dc.contributor.authorŞafak, Birol
dc.contributor.authorKaraali, Ritvan
dc.contributor.authorErdal, Berna
dc.contributor.authorArdıç, Enes
dc.contributor.authorArar, Cavidan
dc.date.accessioned2023-04-20T08:01:19Z
dc.date.available2023-04-20T08:01:19Z
dc.date.issued2022
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Enfeksiyon Hastalıkları Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Tıbbi Mikrobiyoloji Ana Bilim Dalı
dc.description.abstractObjectives: Nosocomial infections or healthcare-associated infections are a significant public health problem around the world. This study aimed to assess the rate of laboratory-confirmed healthcare-associated infections, frequency of nosocomial pathogens, and the antimicrobial resistance patterns of bacterial isolates in a University Hospital. Methods: A retrospective evaluation of healthcare-associated infections in a University Hospital, between the years 2015 and 2019 in Tekirdag, Turkey. Results: During the 5 years, the incidence densities of healthcare-associated infections in intensive care units and clinics were 10.31 and 1.70/1000 patient-days, respectively. The rates of ventilator-associated pneumonia, central line-associated bloodstream infections, and catheter-associated urinary tract infections in intensive care units were 11.57, 4.02, and 1.99 per 1000 device-days, respectively. The most common healthcare-associated infections according to the primary sites were bloodstream infections (55.3%) and pneumonia (20.4%). 67.5% of the isolated microorganisms as nosocomial agents were Gram-negative bacteria, 24.9% of Gram-positive bacteria, and 7.6% of Candida. The most frequently isolated causative agents were Escherichia coli (16.7%) and Pseudomonas aeruginosa (I 5.7%). The rate of extended-spectrum beta-lactamase production among E. coli isolates was 51.1%. Carbapenem resistance was 29.8% among isolates of P. aeruginosa, 95.1 % among isolates of Acinetobacter baumannii, and 18.2% among isolates of Klebsiella pneumoniae. Colistin resistance was 2.4% among isolates of A. baumannii. Vancomycin resistance was 5.3% among isolates of Enterococci. Conclusion: Our study results demonstrate that healthcare-associated infections are predominantly originated by intensive care units. The microorganisms isolated from intensive care units are highly resistant to many antimicrobial agents. The rising incidence of multidrug-resistant microorganisms indicates that more interventions are urgently needed to reduce healthcare-associated infections in our intensive care units.
dc.identifier.doi10.1177/20503121221091789
dc.identifier.issn2050-3121
dc.identifier.scopus2-s2.0-85128486927
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1177/20503121221091789
dc.identifier.urihttps://hdl.handle.net/20.500.11776/10865
dc.identifier.volume10
dc.identifier.wosWOS:000786482900001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorErdem, İlknur
dc.institutionauthorYıldırım, İlker
dc.institutionauthorŞafak, Birol
dc.institutionauthorKaraali, Ritvan
dc.institutionauthorErdal, Berna
dc.institutionauthorArdıç, Enes
dc.institutionauthorArar, Cavidan
dc.language.isoen
dc.publisherSage Publications Inc
dc.relation.ispartofSage Open Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHealthcare-Associated Infection
dc.subjectSurveillance
dc.subjectAntimicrobial Resistance
dc.subjectNosocomial Infections
dc.subjectPrevalence
dc.subjectUpdate
dc.subjectStates
dc.titleA 5-year surveillance of healthcare-associated infections in a university hospital: A retrospective analysis
dc.typeArticle

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