Prevalence and risk factors of health care–associated infections in a limited resources country: A cross-sectional study (original) (raw)
American Journal of Infection Control
Background: The aims of this study were to estimate the total prevalence of healthcare-associated infections (HAIs) among hospitalized patients and risk factors related to HAIs. Materials and methods: This was a point prevalence survey conducted in a Moroccan teaching hospital from June 5 to July 19, 2017. We used version 5.3 of the European Centre for Disease Prevention and Control's protocol to collect the data. Statistical analysis was performed using SPSS (version 21.0). Multivariate analysis was conducted using simple logistic regression. Results: Data on 207 patients were analyzed. The occupancy rate was 43.5%. The prevalence of HAIs was 22.2%, with a 95% confidence interval (CI) (17%-28%). Urinary tract infections were in the first range (17.4%). The most common pathogen causing HAIs was Staphylococcus aureus. Third-generation cephalosporins (38.2%) were the most common antibiotic used. Undergoing surgery (odds ratio [OR] = 7.65; 95% CI [2.72-21.51] p < 0.001), having a high McCabe score (OR = 1.374; 95% CI [0.417-4.531]; p = 0.002), and extended length of stay in the hospital (OR = 1.06; 95% CI [1.019-1.103]; p = 0.004) were the primary risk factors associated with HAIs. Conclusions: The burden of HAIs in our centre is high compared to the recommendations of the World Health Organization. Further research on antibiotic use, assessment of hygiene measures, and urgent implementation of infection control policy is needed.
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