Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Mar 31:2020:6875463.
doi: 10.1155/2020/6875463. eCollection 2020.

Are Invasive Procedures and a Longer Hospital Stay Increasing the Risk of Healthcare-Associated Infections among the Admitted Patients at Hiwot Fana Specialized University Hospital, Eastern Ethiopia?

Moti Tolera  1 , Dadi Marami  2 , Degu Abate  2 , Merga Dheresa  3
Affiliations

Are Invasive Procedures and a Longer Hospital Stay Increasing the Risk of Healthcare-Associated Infections among the Admitted Patients at Hiwot Fana Specialized University Hospital, Eastern Ethiopia?

Moti Tolera et al. Adv Prev Med. .

Abstract

Background: Healthcare-associated infection is a major public health problem, in terms of mortality, morbidity, and costs. Majorities of the cause of these infections were preventable. Understanding the potential risk factors is important to reduce the impact of these avoidable infections. The study was aimed to identify factors associated with healthcare-associated infections among patients admitted at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia.

Methods: A cross-sectional study was carried out among 433 patients over a period of five months at Hiwot Fana Specialized University Hospital. Sociodemographic and clinical data were obtained from a patient admitted for 48 hours and above in the four wards (surgical, medical, obstetrics/gynecology, and pediatrics) using a structured questionnaire. A multivariate logistic regression model was applied to identify predictors of healthcare-associated infections. A p value <0.05 was considered statistically significant.

Results: Fifty-four (13.7%) patients had a history of a previous admission. The median length of hospital stay was 6.1 days. Forty-six (11.7%) participants reported comorbid conditions. Ninety-six (24.4%) participants underwent surgical procedures. The overall prevalence of healthcare-associated infection was 29 (7.4%, 95% CI: 5.2-10.6). Cigarette smoking (AOR: 5.18, 95% CI: 2.15-20.47), staying in the hospital for more than 4 days (AOR: 4.29, 95% CI: 2.31-6.15), and undergoing invasive procedures (AOR: 3.58, 95% CI: 1.11-7.52) increase the odds of acquiring healthcare-associated infections.

Conclusion: The cumulative prevalence of healthcare-associated infections in this study was comparable with similar studies conducted in developing countries. Cigarette smoking, staying in the hospital for more than 4 days, and undergoing invasive procedures increase the odds of healthcare-associated infections. These factors should be considered in the infection prevention and control program of the hospital.

PubMed Disclaimer

Conflict of interest statement

The authors declare that there are no conflicts of interest regarding the publication of this article.

References

    1. Reghu R. R., Vijayan M., Krishnan S. Nosocomial infections- an overview. International Journal of Pharmaceutical, Chemical and Biological Sciences. 2014;4(2):291–297.
    1. Horan T. C., Andrus M., Dudeck M. A. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. American Journal of Infection Control. 2008;36(5):309–332. doi: 10.1016/j.ajic.2008.03.002. - DOI - PubMed
    1. Shahida S. M., Islam A., Dey B. R., Islam F., Venkatesh K., Goodman A. Hospital acquired infections in low and middle income countries: root cause analysis and the development of infection control practices in Bangladesh. Open Journal of Obstetrics and Gynecology. 2016;6(1):28–39. doi: 10.4236/ojog.2016.61004. - DOI
    1. Bereket W. Update on bacterial nosocomial infections. European Review for Medical and Pharmacological Sciences. 2012;16:1039–1044. - PubMed
    1. Klevens R., Edwards J. R., Richards C. L., et al. Estimating health care-associated infections and deaths in US hospitals, 2002. Public Health Reports. 2007;122(2):160–166. doi: 10.1177/003335490712200205. - DOI - PMC - PubMed

LinkOut - more resources