The effect of surveillance of nosocomial infections, Health Regional 4, 2022

Abstract

This cross-sectional descriptive study aimed to study the effect of surveillance of nosocomial infections in health regional 4, 2022. The sample was 5,201 data of patients who received infection surveillance in hospitals from January – December 2022, from the IC Surveillance Program. Data were collected using the hospital infection surveillance record form developed by the researcher during January to March 2023. Quantitative data were analyzed using descriptive statistics. The study found that 5,201 infected patients in hospitals were 73.18% male, 63.47% aged 60 years and over, mostly 58.14% in center hospitals, and 49.82% internal medicine wards. The most common pathogens were 27.11% Acinetobacter baumannii, 16.40% Klebsiella pneumoniae and 13.25% Escherichia coli. Drug resistance was also found in 32.53 percent, antimicrobial susceptibility 77.54% were resistant to Carbapenem, 77.54% Colistin and 50.47% Ceftazidime. In addition, the infection rate in hospital was 5.19 times per 1,000 lengths of stay in hospital. Urinary tract infections associated with urinary catheter insertion (CAUTI) was 7.70 times per 1,000 device days. Ventilator-associated pneumonia (VAP) incidence was 27.31 per 1,000 device days. The bloodstream infection associated with catheter insertion (CABSI) was 13.17 times per 1,000 device days and the surgical site infection (SSI) rate was 0.50 times per 100 surgeries. Recommendations for the study. There should be a development of public health personnel for infection diagnosis. infection surveillance and guidelines for the prevention, and control of infections in hospitals continuously to be able to effectively reduce the rate of infection in hospitals.