Health  Vol.6 No.18 , October 2014
Analysis of Nosocomial Infections in Selected Teaching Hospitals, Qazvin, Iran
Introduction: Hospital infections prolong patient hospitalization, necessitate additional treatment, increase mortality rate, raise hospital expenses, and even reduce the level of health in the society. The purpose of this research was to study hospital infections in selected hospitals of Qazvin. Methods and Materials: This was an analytic-cross-sectional study. The research population consisted of 25,628 hospitalized patients in the first eight months of 2012 in three selected hospitals of the Qazvin Province. The algorithm of reporting hospital infections, the National Program of Controlling Hospital Infections, and 223 patient files hospitalized due to hospital-acquired infections were used to collect information. The collected information was analyzed using the SPSS V. 17 software; the descriptive statistics was used to analyze the qualitative variables; and the descriptive statistics together with chi-square and t-test were employed for the quantitative variables. Results: The ICU units had the most cases of hospital infections. Respiratory pneumonia and urinary infections topped the list of hospital infections. The most invasive treatments carried out on patients with hospital infections were surgery, urinary catheter, and venous catheter, respectively. More than 50 percent of patients with hospital infections were hospitalized for 2 to 21 days. Results and Conclusions: Because of the high rate of hospital infections, especially in the ICU ward, authorities must give top priority in their plans to designing suitable educational programs to inform hospital staff and patients of hospital infections and to provide suitable resources for dealing with this problem.

Cite this paper
Farzianpour, F. , Bakhtiari, A. , Mohammadi, M. , Khosravizadeh, O. , Mossavi, H. , Mohseni, M. and Mahboubi, M. (2014) Analysis of Nosocomial Infections in Selected Teaching Hospitals, Qazvin, Iran. Health, 6, 2425-2432. doi: 10.4236/health.2014.618279.
[1]   Farzianpour, F., Bakhtiari, A., Mosavee, H. and Akbarzadeh, A. (2014) The Most Important Species of Nosocomial Infection and the Most Important Wards Susceptible to Nosocomial Infection. Iranian Journal of Public Health, 43, 1016-1017.

[2]   Farzianpour, F., Gery, S., Foroushani, A.R., Arab, M. and Hosseini, S. (2013) Evaluating the Average Access to Care and Continuity of Care Patients in Tehran Teaching Hospitals. Health, 5, 2110-2115.

[3]   Gouya, M., Masoumi, H., Afhami, S.H., Nikfar, Sh. and Rahbar, M. (2006) National Directory of Hospital Infection Surveillance System. Ministry of Health Care and Medical Education, Management of Hospitals.

[4]   Hashemian, D.A., Faal, H. and Fasihi, E. (2009) Survey of Nosocomial Infection and Accompanied Factors in Neonatal Intensive Care Unit. Journal of Guilan University of Medical Sciences, 19, 37-45.

[5]   Kampf, G., Gastmeier, P., Wischnewski, N., et al. (1997) Analysis of Risk Factors for Nosocomial Infections—Results from the First National Prevalence Survey in Germany (NIDEP Study, Part 1). Journal of Hospital Infection, 37, 103-112.

[6]   Samiee, S. (2005) Prevention of Nosocomial Infections. Salemi Press, Tehran, 10-12.

[7]   Abadi, A.S.H. (2008) Epidemiology of Nosocomial Infections. Shiraz University of Medical Sciences, 11-17.

[8]   Akbari, M., Nejad, R., Azimpour, A., Barnousi, E. and Ghahremanlou, H. (2013) Prevalence of Nosocomial Infections in the ICU Ward of Imam Reza Hospital in Urmia City and Provide Appropriate Solutions Based on International Standards for the Prevention. Urmia Medical Journal, 23, 591-596.

[9]   Ding, J.G., Sun, Q.F., Li, K.C., Zheng, M.H., Miao, X.H., Ni, W., et al. (2009) Retrospective Analysis of Nosocomial Infections in the Intensive Care Unit of a Tertiary Hospital in China during 2003 and 2007. BMC Infectious Diseases, 9, 115.

[10]   Iranian Committee for the Control of Nosocomial Infections (2006) Nosocomial Infections Care System Guidelines. Ministery of Health, Tehran, 7-12.

[11]   Kasper, D.L., Braunwald, E., Fauci, A., Hauser, S., Longo, D. and Jameson, J. (2008) Harrison’s Principles of Internal Medicine. 17th Edition, McGraw-Hill, New York, 119-127.

[12]   Salimi, S., Demir, N., Anami, E., Noruznia, S. and Rastad, M.A. (2009) Evaluation Standards of Nursing Care on the Incidence of Nosocomial Infections in the MICU. Urmia Medical Journal, 19, 310-315.

[13]   Ken, I., Alison, P. and Jayshree, D. (2005) Nosocomial Infection. Oxford Journals, 5, 14-17.

[14]   Nowruizi, J. (1994) Nosocomial Infection. Published Esharat, Tehran, 6.

[15]   Gaynes, R.P. and Horan, T. (1999) Surveillance of Nosocomial Infections. In: Mayhall, C.G., Ed., Hospital Epidemiology and Infection Control, 2nd Edition, Lippincott Williams & Wilkins, Philadelphiai, 1285-1317.

[16]   National Nosocomial Infections Surveillance System (2002) National Nosocomial Infections Surveillance (NNIS) System Report, Data Summary from January 1992 to June 2002. American Journal of Infection Control, 30, 458-475.

[17]   Vafaei, K., Razaviyan, F. and Sheikholeslami, N. (2013) The Epidemiologic Study of One Year Nosocomial Infections in Kamkar Hospital (Qom) 2008: (A Short Report). Journal of Rafsanjan University of Medical Sciences, 12, 319-324.

[18]   Birgani, A.G. and Asadpoor, S. (2011) Nosocomial Infections in Intensive Care Unit of Ahvaz Arya Hospital (2008-2009). Modern Care Journal, 8, 86-93.

[19]   Mandell, G.L., Bennett, G.E. and Dolin, R. (2010) Principles and Practice of Infectious Diseases. 7th Edition, Elsevier Press, Philadelphia, 3669-3717.

[20]   Richards, M.J., Edwards, J.R., Culver, D.H. and Gaynes, R.P. (1999) Nosocomial Infections in Medical Intensive Care Units in the United States. Critical Care Medicine, 27, 887-892.

[21]   Stoll, B. (2004) Infection of the Neonatal Infant. In: Behrman, R.E., Kligman, R.M. and Jenson, H.B., Eds., Nelson Textbook of Pediatrics, 17th Edition, Saunders, Philadelphia, 623-640.

[22]   Farzinasgharisana and Sanamgheybi, S. (2011) Determine the Role of Prevalent Bacterial Agents at Neonatal Blood Infection, Shahidarefian Hospital of Ormia. Journal of New in Biotechnology, 2, 1.

[23]   Jeyan, S.Y., Alexis, M.E. and Victoria, J.F. (2002) Rate, Risk Factors, and Outcomes of Nose(omina) Primary Blood Stream Infection in Pediatric Intensive Care Unit Patients. Am Acad J Pediactric, 110, 481-485.

[24]   Lewis, K.L. and Thompson, J.M. (2009) Health Care Professionals’ Perceptions and Knowledge of Infection Control Practices in a Community Hospital. Health Care Manager, 28, 230-238.

[25]   Black, J.G. (1996) Microbiology, Principles and Applications. 3rd Edition, Prentice Hall College Div., Upper Saddle River, 436-443.

[26]   Zamanzad, B., Shirzad, H.A. and Naseri, F. (2006) Comparison of the Causative Bacteria and Antibacterial Susceptibility Pattern of Nosocomial and Community: Acquired Urinary Tract Pathogens in 13-35 Years Old Women, Shahrekord, 2004. Journal of Arak University of Medical Sciences (Rahavard-E Danesh), 8, 23-30.

[27]   Asl, H.M. (2007) Guidline for Hospital Infection Care. Ministry of Health, CDC, 6-7.

[28]   Jean, L. (2003) Vincent Nosocomial Infection in Adult Intensive-Care Units. The Lancet, 361, 2068-2077.

[29]   Sodari (1999) Prevalence of Microbial Contamination. Esfahan Pediatric Hospital J Med, 3, 267-271.

[30]   Barak, M., Mamishi, S., Siadati, A., Salamati, P., Khotaii, G.H. and Mirzarahimi, M. (2011) Risk Factors and Bacterial Etiologies of Nosocomial Infections in NICU and PICU Wards of Children’s Medical Center and Bahrami Hospitals during 2008-2009. Journal of Ardabil University of Medical Sciences, 11, 113-120.

[31]   Brindha, Sunit, S. and Neelam, T. (2010) Study of Nosocomial Urinary Tract Infections in a Pediatric Intensive Care Unit. Journal of Tropical Pediatrics, 5, 367-369.

[32]   Elizabeth, C. (2009) Sepsis Can Strike, Kill Shockingly Fast. HIS, 139-146.