Control of Nosocomial Infections in a Hospital with Limited Means
Background: Nosocomial infection is happening as post- admission infections in hospitals and requires the prolonging the stay at the wards. Usually, it happens after 48h of hospital admissions and play a significant role in morbidity, mortality and exhibit an elevated loss of patient’s economy. The aim of this study was to find the incidence, etiology and to discuss the control of nosocomial infections in the post-operative patients admitted at Sree Balaji Medical College and Hospital during September 2013 to August 2015.
Methods: 200 patients who were stayed in Surgical Post-Operative and general Wards at least for 48h in were included in the study after getting ethical permission and their informed consent. The microbiological analysis was carried out by strictly sterile conditions to void the false positive results. Data was gathered in a proforma and analysed using Epidemiological Information Package 2012 developed by Centre for Disease Control, Atlanta.
Results: 16 patients out of 200 (8%) developed Nosocomial infection during their hospital stay. The most common Nosocomial infection was urinary tract infection (5.5%) followed by respiratory infection (2%) and blood stream infection (0.5%) in studied patients. The most common organism causing Nosocomial infection was Klebsiella sp. (5%), E.Coli (2%) and Pseudomonas sp.1%).
Conclusion: Patients admitted in the Surgical post-operative ward are subjective to more risk at developing nosocomial infection than patients in general surgical wards. In our study, Urinary tract infection was the commonest followed by respiratory and blood stream infection. Gram-negative organisms were the most common organisms found in this study.