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Mortality among Patients with Nosocomial Infections in Tertiary Intensive Care Units of Sahloul Hospital, Sousse, Tunisia.
Rejeb, Mohamed Ben; Sahli, Jihene; Chebil, Dhekra; Khefacha-Aissa, Selwa; Jaidane, Nadia; Kacem, Balsam; Hmouda, Houssem; Dhidah, Lamine; Said-Latiri, Houyem; Naija, Walid.
Afiliación
  • Rejeb MB; Department of Prevention and Care Safety, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia. mohamed_benrejeb@yahoo.fr, mohamed.benrejeb@rns.tn.
  • Sahli J; Department of Prevention and Care Safety, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia.
  • Chebil D; Department of Prevention and Care Safety, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia.
  • Khefacha-Aissa S; Department of Prevention and Care Safety, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia.
  • Jaidane N; Department of Prevention and Care Safety, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia.
  • Kacem B; Department of Prevention and Care Safety, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia.
  • Hmouda H; Department of Medical Intensive Care, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia.
  • Dhidah L; Department of Prevention and Care Safety, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia.
  • Said-Latiri H; Department of Prevention and Care Safety, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia.
  • Naija W; Department of Surgical Intensive Care, Hospital of Sahloul, Route Ceinture Sahloul, Sousse, Tunisia.
Arch Iran Med ; 19(3): 179-85, 2016 Mar.
Article en En | MEDLINE | ID: mdl-26923889
BACKGROUND: Nosocomial infections are public health issues that are associated with high mortality in intensive care units. This study aimed to determine nosocomial infection-associated mortality in Tunisian intensive care units and identify its risk factors. METHODS: A prospective cohort study was carried out in intensive care units of a Tunisian University Hospital. The ICUs-wide active surveillance of nosocomial infections has been performed between 1 July 2010 and 30 June 2011. Data collection was based on Rea-Raisin protocol 2009 of "Institut National de Veille Sanitaire" (InVS, Saint Maurice - France). We used Kaplan Meier survival analysis and Cox Proportional Hazard regression to identify independent risk factors of nosocomial infection-associated mortality. RESULTS: Sixty-seven patients presented nosocomial infection in the end of the surveillance. The mean age of patients was 44.71 ± 21.2 years. Of them, 67.2% were male and 32.8% female. Nosocomial bacteremia was the most frequent infection (68.6%). Nosocomial infection-associated mortality rate was 35.8% (24/67). Bacteremia (Hazard Ratio (HR)) = 3.03, 95% Confidential Interval (95% CI): [1.23 - 7.45], P = 0.016) and trauma (HR = 3.6, 95% CI: [1.16 - 11.2], P = 0.026) were identified by Cox regression as independent risk factors for NI-associated mortality. CONCLUSIONS: Our rate was relatively high. We need to improve the care of trauma patients and intensify the fight against nosocomial infections especially bacteremia.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Bacteriemia / Unidades de Cuidados Intensivos Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: Arch Iran Med Año: 2016 Tipo del documento: Article Pais de publicación: Irán

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección Hospitalaria / Bacteriemia / Unidades de Cuidados Intensivos Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: Arch Iran Med Año: 2016 Tipo del documento: Article Pais de publicación: Irán