THỰC TRẠNG NHIỄM KHUẨN BỆNH VIỆN TẠI CÁC KHOA HỒI SỨC CỦA BỆNH VIỆN SẢN NHI NGHỆ AN NĂM 2024

Abstract

Objective: Assessing the current situation of hospital-acquired infections in the Intensive Care Department of Nghe An Obstetrics and Children's Hospital in 2024. Subjects and Methods: Analytical cross-sectional descriptive study. Research on all 306 patients eligible for treatment at the resuscitation department of Nghe An Obstetrics and Pediatrics Hospital from February 1, 2024 to May 30, 2024. Results: Among 306 patients meeting research criteria in 3 intensive care units, the rate of hospital-acquired infections was 10.8%. Of which, the surgical intensive care unit accounts for 17.1%, the neonatal intensive care unit 10%, and the toxicology intensive care unit 7.8%. Hospital pneumonia accounts for 51.2%; bacteremia 31.7%; Surgical wound infection 9.8%; urinary tract infections 4.8% and other infections 2.5%. Bacteria causing hospital infections include Klebsiella (K.pneumoniae, K.aerogenes) 36.6%; P.aeruginosa 22%; Candida fungus (C.albicans, C.pelliculosa) 17.1%; H.influenzae 7.3%; Serratia marcescens, S.aureus and E.cloacae account for 4.9% and E.coli 2.4%. Conclusion: The rate of hospital-acquired infections is 10.8%. Hospital-acquired pneumonia and sepsis account for the highest proportion of hospital-acquired infections.  Gram-negative bacteria are the leading causes of hospital-acquired infections, including: Klebsiella (K.pneumoniae, K.aerogenes), P.aeruginosa, H.influenzae, Serratia marcescens E.cloacae and E.coli.