Are Invasive Procedures and a Longer Hospital Stay Increasing the Risk of Healthcare-Associated Infections among the Admitted Patients at Hiwot Fana Specialized University Hospital, Eastern Ethiopia?
Background. Healthcare-associated infection is a major public health problem, in terms of mortality, morbidity, and costs. Majorities of the cause of these infections were preventable. Understanding the potential risk factors is important to reduce the impact of these avoidable infections. The study...
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| Veröffentlicht in: | Advances in preventive medicine 2020, Vol.2020 (2020), p.1-7 |
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| creator | Dheresa, Merga Abate, Degu Marami, Dadi Tolera, Moti |
| description | Background. Healthcare-associated infection is a major public health problem, in terms of mortality, morbidity, and costs. Majorities of the cause of these infections were preventable. Understanding the potential risk factors is important to reduce the impact of these avoidable infections. The study was aimed to identify factors associated with healthcare-associated infections among patients admitted at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia. Methods. A cross-sectional study was carried out among 433 patients over a period of five months at Hiwot Fana Specialized University Hospital. Sociodemographic and clinical data were obtained from a patient admitted for 48 hours and above in the four wards (surgical, medical, obstetrics/gynecology, and pediatrics) using a structured questionnaire. A multivariate logistic regression model was applied to identify predictors of healthcare-associated infections. A p value |
| doi_str_mv | 10.1155/2020/6875463 |
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| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7150733</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A624690635</galeid><sourcerecordid>A624690635</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4143-76c4dfc0cf565fca040d4efecc543259d45a200631de1bbccf57f6384c802c3f3</originalsourceid><addsrcrecordid>eNqNkk1vEzEQhlcIRKvSG2dkCQkh0bT-2q8LKKpSUikSFaVny_WOsy67drC9qcIf5G_hNCFtEAfsgy3P876esSfLXhN8Skien1FM8VlRlTkv2LPskOIajxiv6-e7fYUPsuMQ7nAaOcZ1wV5mB4zSmhaYH2a_xh7QpV3KYJaArrxT0AweApK2QRLNnJ2DR1MXFibKDl1HuUq48pAEdo5iC-irCd-R02gKsoutkh5G4xCcMjJCk2ANKhpnk2XvtpJx05u4jl7JaMDGFItoau5dRBfSSnS9gCTvzM-E3NiUmQ8mrnZpnKCJDBG8RZPYGrcw8tOr7IWWXYDj7XqU3VxMvp1PR7Mvny_Px7OR4oSzUVko3miFlc6LXCuJOW44pAxVzhnN64bnkmJcMNIAub1ViSt1wSquKkwV0-wo-7jxXQy3PTQqJe9lJxbe9NKvhJNG7EesacXcLUVJclwylgzebw28-zFAiKI3QUHXSQtuCIKyGpOc1iVN6Nu_0Ds3eJvKS1RVFTUrK_JIzWUHwljt0r1qbSrGBeVFnarJE3X6DyrNBnqjnAVt0vme4N0TQfvwt8F1w8NX7oMnG1B5F4IHvXsMgsW6ScW6ScW2SRP-5ukD7uA_LZmADxugNbaR9-Y_7SAxoOUjTRjGpGS_AQci-eY</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2388693781</pqid></control><display><type>article</type><title>Are Invasive Procedures and a Longer Hospital Stay Increasing the Risk of Healthcare-Associated Infections among the Admitted Patients at Hiwot Fana Specialized University Hospital, Eastern Ethiopia?</title><source>Wiley Online Library Open Access</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>PubMed Central Open Access</source><creator>Dheresa, Merga ; Abate, Degu ; Marami, Dadi ; Tolera, Moti</creator><contributor>Cho, William C.</contributor><creatorcontrib>Dheresa, Merga ; Abate, Degu ; Marami, Dadi ; Tolera, Moti ; Cho, William C.</creatorcontrib><description>Background. Healthcare-associated infection is a major public health problem, in terms of mortality, morbidity, and costs. Majorities of the cause of these infections were preventable. Understanding the potential risk factors is important to reduce the impact of these avoidable infections. The study was aimed to identify factors associated with healthcare-associated infections among patients admitted at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia. Methods. A cross-sectional study was carried out among 433 patients over a period of five months at Hiwot Fana Specialized University Hospital. Sociodemographic and clinical data were obtained from a patient admitted for 48 hours and above in the four wards (surgical, medical, obstetrics/gynecology, and pediatrics) using a structured questionnaire. A multivariate logistic regression model was applied to identify predictors of healthcare-associated infections. A p value <0.05 was considered statistically significant. Results. Fifty-four (13.7%) patients had a history of a previous admission. The median length of hospital stay was 6.1 days. Forty-six (11.7%) participants reported comorbid conditions. Ninety-six (24.4%) participants underwent surgical procedures. The overall prevalence of healthcare-associated infection was 29 (7.4%, 95% CI: 5.2–10.6). Cigarette smoking (AOR: 5.18, 95% CI: 2.15–20.47), staying in the hospital for more than 4 days (AOR: 4.29, 95% CI: 2.31–6.15), and undergoing invasive procedures (AOR: 3.58, 95% CI: 1.11–7.52) increase the odds of acquiring healthcare-associated infections. Conclusion. The cumulative prevalence of healthcare-associated infections in this study was comparable with similar studies conducted in developing countries. Cigarette smoking, staying in the hospital for more than 4 days, and undergoing invasive procedures increase the odds of healthcare-associated infections. These factors should be considered in the infection prevention and control program of the hospital.</description><identifier>ISSN: 2090-3480</identifier><identifier>ISSN: 2090-3499</identifier><identifier>EISSN: 2090-3499</identifier><identifier>DOI: 10.1155/2020/6875463</identifier><identifier>PMID: 32292604</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Comorbidity ; Developing countries ; Ethiopia ; Gynecology ; Health aspects ; Health care ; Hospital patients ; Hospitals ; Infection ; Infections ; LDCs ; Medical personnel ; Medical research ; Medical technology ; Medicine, Experimental ; Mortality ; Obstetrics ; Patient safety ; Pediatrics ; Prevalence studies (Epidemiology) ; Prevention ; Risk factors ; Smoking</subject><ispartof>Advances in preventive medicine, 2020, Vol.2020 (2020), p.1-7</ispartof><rights>Copyright © 2020 Moti Tolera et al.</rights><rights>COPYRIGHT 2020 John Wiley & Sons, Inc.</rights><rights>Copyright © 2020 Moti Tolera et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Moti Tolera et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4143-76c4dfc0cf565fca040d4efecc543259d45a200631de1bbccf57f6384c802c3f3</citedby><cites>FETCH-LOGICAL-c4143-76c4dfc0cf565fca040d4efecc543259d45a200631de1bbccf57f6384c802c3f3</cites><orcidid>0000-0002-4739-1390 ; 0000-0002-4793-3575</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150733/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150733/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32292604$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Cho, William C.</contributor><creatorcontrib>Dheresa, Merga</creatorcontrib><creatorcontrib>Abate, Degu</creatorcontrib><creatorcontrib>Marami, Dadi</creatorcontrib><creatorcontrib>Tolera, Moti</creatorcontrib><title>Are Invasive Procedures and a Longer Hospital Stay Increasing the Risk of Healthcare-Associated Infections among the Admitted Patients at Hiwot Fana Specialized University Hospital, Eastern Ethiopia?</title><title>Advances in preventive medicine</title><addtitle>Adv Prev Med</addtitle><description>Background. Healthcare-associated infection is a major public health problem, in terms of mortality, morbidity, and costs. Majorities of the cause of these infections were preventable. Understanding the potential risk factors is important to reduce the impact of these avoidable infections. The study was aimed to identify factors associated with healthcare-associated infections among patients admitted at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia. Methods. A cross-sectional study was carried out among 433 patients over a period of five months at Hiwot Fana Specialized University Hospital. Sociodemographic and clinical data were obtained from a patient admitted for 48 hours and above in the four wards (surgical, medical, obstetrics/gynecology, and pediatrics) using a structured questionnaire. A multivariate logistic regression model was applied to identify predictors of healthcare-associated infections. A p value <0.05 was considered statistically significant. Results. Fifty-four (13.7%) patients had a history of a previous admission. The median length of hospital stay was 6.1 days. Forty-six (11.7%) participants reported comorbid conditions. Ninety-six (24.4%) participants underwent surgical procedures. The overall prevalence of healthcare-associated infection was 29 (7.4%, 95% CI: 5.2–10.6). Cigarette smoking (AOR: 5.18, 95% CI: 2.15–20.47), staying in the hospital for more than 4 days (AOR: 4.29, 95% CI: 2.31–6.15), and undergoing invasive procedures (AOR: 3.58, 95% CI: 1.11–7.52) increase the odds of acquiring healthcare-associated infections. Conclusion. The cumulative prevalence of healthcare-associated infections in this study was comparable with similar studies conducted in developing countries. Cigarette smoking, staying in the hospital for more than 4 days, and undergoing invasive procedures increase the odds of healthcare-associated infections. These factors should be considered in the infection prevention and control program of the hospital.</description><subject>Comorbidity</subject><subject>Developing countries</subject><subject>Ethiopia</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Hospital patients</subject><subject>Hospitals</subject><subject>Infection</subject><subject>Infections</subject><subject>LDCs</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medical technology</subject><subject>Medicine, Experimental</subject><subject>Mortality</subject><subject>Obstetrics</subject><subject>Patient safety</subject><subject>Pediatrics</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Prevention</subject><subject>Risk factors</subject><subject>Smoking</subject><issn>2090-3480</issn><issn>2090-3499</issn><issn>2090-3499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk1vEzEQhlcIRKvSG2dkCQkh0bT-2q8LKKpSUikSFaVny_WOsy67drC9qcIf5G_hNCFtEAfsgy3P876esSfLXhN8Skien1FM8VlRlTkv2LPskOIajxiv6-e7fYUPsuMQ7nAaOcZ1wV5mB4zSmhaYH2a_xh7QpV3KYJaArrxT0AweApK2QRLNnJ2DR1MXFibKDl1HuUq48pAEdo5iC-irCd-R02gKsoutkh5G4xCcMjJCk2ANKhpnk2XvtpJx05u4jl7JaMDGFItoau5dRBfSSnS9gCTvzM-E3NiUmQ8mrnZpnKCJDBG8RZPYGrcw8tOr7IWWXYDj7XqU3VxMvp1PR7Mvny_Px7OR4oSzUVko3miFlc6LXCuJOW44pAxVzhnN64bnkmJcMNIAub1ViSt1wSquKkwV0-wo-7jxXQy3PTQqJe9lJxbe9NKvhJNG7EesacXcLUVJclwylgzebw28-zFAiKI3QUHXSQtuCIKyGpOc1iVN6Nu_0Ds3eJvKS1RVFTUrK_JIzWUHwljt0r1qbSrGBeVFnarJE3X6DyrNBnqjnAVt0vme4N0TQfvwt8F1w8NX7oMnG1B5F4IHvXsMgsW6ScW6ScW2SRP-5ukD7uA_LZmADxugNbaR9-Y_7SAxoOUjTRjGpGS_AQci-eY</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Dheresa, Merga</creator><creator>Abate, Degu</creator><creator>Marami, Dadi</creator><creator>Tolera, Moti</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7XB</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PADUT</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PKEHL</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4739-1390</orcidid><orcidid>https://orcid.org/0000-0002-4793-3575</orcidid></search><sort><creationdate>2020</creationdate><title>Are Invasive Procedures and a Longer Hospital Stay Increasing the Risk of Healthcare-Associated Infections among the Admitted Patients at Hiwot Fana Specialized University Hospital, Eastern Ethiopia?</title><author>Dheresa, Merga ; Abate, Degu ; Marami, Dadi ; Tolera, Moti</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4143-76c4dfc0cf565fca040d4efecc543259d45a200631de1bbccf57f6384c802c3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Comorbidity</topic><topic>Developing countries</topic><topic>Ethiopia</topic><topic>Gynecology</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Hospital patients</topic><topic>Hospitals</topic><topic>Infection</topic><topic>Infections</topic><topic>LDCs</topic><topic>Medical personnel</topic><topic>Medical research</topic><topic>Medical technology</topic><topic>Medicine, Experimental</topic><topic>Mortality</topic><topic>Obstetrics</topic><topic>Patient safety</topic><topic>Pediatrics</topic><topic>Prevalence studies (Epidemiology)</topic><topic>Prevention</topic><topic>Risk factors</topic><topic>Smoking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dheresa, Merga</creatorcontrib><creatorcontrib>Abate, Degu</creatorcontrib><creatorcontrib>Marami, Dadi</creatorcontrib><creatorcontrib>Tolera, Moti</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Research Library China</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Advances in preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dheresa, Merga</au><au>Abate, Degu</au><au>Marami, Dadi</au><au>Tolera, Moti</au><au>Cho, William C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Are Invasive Procedures and a Longer Hospital Stay Increasing the Risk of Healthcare-Associated Infections among the Admitted Patients at Hiwot Fana Specialized University Hospital, Eastern Ethiopia?</atitle><jtitle>Advances in preventive medicine</jtitle><addtitle>Adv Prev Med</addtitle><date>2020</date><risdate>2020</risdate><volume>2020</volume><issue>2020</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>2090-3480</issn><issn>2090-3499</issn><eissn>2090-3499</eissn><abstract>Background. Healthcare-associated infection is a major public health problem, in terms of mortality, morbidity, and costs. Majorities of the cause of these infections were preventable. Understanding the potential risk factors is important to reduce the impact of these avoidable infections. The study was aimed to identify factors associated with healthcare-associated infections among patients admitted at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia. Methods. A cross-sectional study was carried out among 433 patients over a period of five months at Hiwot Fana Specialized University Hospital. Sociodemographic and clinical data were obtained from a patient admitted for 48 hours and above in the four wards (surgical, medical, obstetrics/gynecology, and pediatrics) using a structured questionnaire. A multivariate logistic regression model was applied to identify predictors of healthcare-associated infections. A p value <0.05 was considered statistically significant. Results. Fifty-four (13.7%) patients had a history of a previous admission. The median length of hospital stay was 6.1 days. Forty-six (11.7%) participants reported comorbid conditions. Ninety-six (24.4%) participants underwent surgical procedures. The overall prevalence of healthcare-associated infection was 29 (7.4%, 95% CI: 5.2–10.6). Cigarette smoking (AOR: 5.18, 95% CI: 2.15–20.47), staying in the hospital for more than 4 days (AOR: 4.29, 95% CI: 2.31–6.15), and undergoing invasive procedures (AOR: 3.58, 95% CI: 1.11–7.52) increase the odds of acquiring healthcare-associated infections. Conclusion. The cumulative prevalence of healthcare-associated infections in this study was comparable with similar studies conducted in developing countries. Cigarette smoking, staying in the hospital for more than 4 days, and undergoing invasive procedures increase the odds of healthcare-associated infections. These factors should be considered in the infection prevention and control program of the hospital.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>32292604</pmid><doi>10.1155/2020/6875463</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4739-1390</orcidid><orcidid>https://orcid.org/0000-0002-4793-3575</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Comorbidity Developing countries Ethiopia Gynecology Health aspects Health care Hospital patients Hospitals Infection Infections LDCs Medical personnel Medical research Medical technology Medicine, Experimental Mortality Obstetrics Patient safety Pediatrics Prevalence studies (Epidemiology) Prevention Risk factors Smoking |
| title | Are Invasive Procedures and a Longer Hospital Stay Increasing the Risk of Healthcare-Associated Infections among the Admitted Patients at Hiwot Fana Specialized University Hospital, Eastern Ethiopia? |
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