Setting: Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu, Nepal.
Objectives: 1) To report the incidence of health-care-associated infections (HAIs), 2) to compare demographic, clinical characteristics and hospital outcomes in those with and without HAIs; and 3) to verify bacterial types in HAI and community-acquired infections (CAIs) among inpatients with invasive devices and/or surgical procedures.
Design: This was a cohort study using secondary data (December 2017 to April 2018).
Results: Of 1,310 inpatients, 908 (69.3%) had surgical procedures, 125 (9.5%) had invasive devices and 277 (21.1%) both. Sixty-six developed HAIs (incidence = 5/100 patient admissions, 95% CI 3.9-6.3). Individuals with HAIs had a 5.5-fold higher risk of longer hospital stays (⩾7 days) and a 6.9-fold risk of being in intensive care compared to the surgical ward. Unfavourable hospital exit outcomes were higher in those with HAIs (4.5%) than in those without (0.9%, = 0.02). The most common HAI bacteria ( = 70) were (44.3%), spp. (22.9%) and spp. (11.4%). Of 98 CAIs with 41 isolates, (36.6%), (22.0%) and methicillin-resistant (14.6%) were common.
Conclusion: We found relatively low incidence of HAIs, which reflects good infection prevention and control standards. This study serves as a baseline for future monitoring and action.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8575378 | PMC |
| http://dx.doi.org/10.5588/pha.21.0039 | DOI Listing |
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