Volume 24, Issue 104, July - August, 2020

Hospital acquired infection and related factors in 7A Military Hospital in 2019

Thanh-Tam Vu¹, Quang-Tri Le^2♦

¹Scientific Research Department, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Email: thanhtam39ytcc11@gmail.com
²Department of Orthopedics and Department of High-Tech Diagnostics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: lqtri@ntt.edu.vn

^♦Corresponding author
Department of Orthopedics and Department of High-Tech Diagnostics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: lqtri@ntt.edu.vn

ABSTRACT

Background: Hospital acquired infection (HAI) is a notable issue in the medical facilities which can threaten patient health and exacerbate financial burden. HAI can be effectively prevented by proper control hence a good understanding of the situation is essential. Objectives: This study described and evaluated the HAI rate amongst the units of the 7A Military Hospital, together with its distributional characteristics and related factors, and the pathogens responsible for infection and antibiotics treatment practices in the 7A Military Hospital in June and July 2019. Material and methods: The study employed a descriptive, cross-sectional approach. The surveyed data of infection rate, related factors, pathogens and antibiotic therapy was collected by specialists in two days of investigation. The data was processed by Stata 8.0. Results: The general HAI rate was 2.8% (15/527 cases), mostly respiratory infection (40.0%). Intensive care department had the highest HAI rate. There was significant relationship between HAI and length of stay, ages, intervention techniques, and surgery (p < 0.05) and marginally significant relationship between HAI and intervention invasiveness (p = 0.067). The most frequent pathogens were Staphylococcus aureus and ESBL strain Klebsiella pneumonia (33.3% each) and the most common antibiotics treatment were two drugs combo (57.1%) and only a single drug (26.9%). Discussion: HAI rate was low in comparison with other studies worldwide. High HAI in intensive care unit and risk factors of invasive treatments, surgery, prolonged hospitalization, underlying conditions, and old ages were within literary expectation. Conclusion: HAI prevention and control in the hospital was satisfactory. The mentioned risk factors should be paid attention at, and further investigation of microbial pathogens, antibiotics and drug resistance is advisable.

Keywords: HAI, infection control, infection prevention, risk factors

Medical Science, 2020, 24(104), 2335-2341

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