caa a22 4500 388034718 CHVBK 20180307125001.0 cr unu---uuuuu 161130e199802 xx s 000 0 eng 10.1086/647781 doi S0195941700000370 pii (NATIONALLICENCE)cambridge-10.1086/647781 Nosocomial Infections in a Rural Regional Hospital in a Developing Country: Infection Rates by Site, Service, Cost, and Infection Control Practices [Elektronische Daten] Abstract Objective: To assess the prevalence of nosocomial infections at a rural government hospital from 1992 to 1995. Design: Retrospective review of data from 1992 to 1995 regarding rates of nosocomial infections, cost to government, and infection control practices. Setting: 653-bed rural hospital providing primary and tertiary care. Patients: Patients admitted to the hospital between 1992 and 1995 who were found with hospital-acquired infections during their stay. Interventions: None. Results: Over the 4-year period, 7,158 nosocomial infections were identified from 72,532 patients (10.0/100 admissions). High nosocomial infection rates were found on the intensive-care unit (67/100 admissions), urology (30/100 admissions), neurosurgery (29.5/100 admissions), and newborn nursery (28.4/100 admissions). Urinary tract infections (4.1/100 admissions) accounted for most nosocomial infections (42%), followed by postoperative wound infections (26.8%) with a rate of 2.6/100 admissions. Nosocomial pneumonias and bloodstream infections also were common with 13.2% and 8.0%, respectively. The highest rates occurred on the intensive-care unit for both pneumonia (26.4/100 admissions) and bloodstream infection (7.0/100 admissions). The cost to the government for nosocomial infections was estimated at US $697,000 annually (US $1=$6 Trinidad and Tobago). Poor infection control practices, inadequate handwashing facilities, lack of supplies, and nonexistent garbage cans on most wards were quite evident. Conclusions: Strict adherence to proper infection control practices, such as handwashing techniques, and improvement of facilities are crucial steps in preventing cross-infections in the hospital environment. Implementing these measures may substantially reduce the massive drain on the hospital budget in treating nosocomial infections. The saved revenue could go toward improvement of ward facilities and reduction of over-crowding, thus further reducing cross-infection. Copyright © The Society for Healthcare Epidemiology of America 1998 Orrett Fitzroy A. Faculty of Medical Services, the Department of Pathology and Microbiology, the University of the West Indies, Republic of Trinidad and Tobago, West Indies Brooks Phyllis J. St Augustine and Infection Control Department, San Fernando General Hospital, Republic of Trinidad and Tobago, West Indies Richardson Elizabeth G. St Augustine and Infection Control Department, San Fernando General Hospital, Republic of Trinidad and Tobago, West Indies Infection Control & Hospital Epidemiology Cambridge University Press 19/2(1998-02), 136-140 0899-823X 19:2<136 1998 19 ICE https://doi.org/10.1086/647781 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1086/647781 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Orrett Fitzroy A. Faculty of Medical Services, the Department of Pathology and Microbiology, the University of the West Indies, Republic of Trinidad and Tobago, West Indies NATIONALLICENCE 700 1- Brooks Phyllis J. St Augustine and Infection Control Department, San Fernando General Hospital, Republic of Trinidad and Tobago, West Indies NATIONALLICENCE 700 1- Richardson Elizabeth G. St Augustine and Infection Control Department, San Fernando General Hospital, Republic of Trinidad and Tobago, West Indies NATIONALLICENCE 773 0- Infection Control & Hospital Epidemiology Cambridge University Press 19/2(1998-02), 136-140 0899-823X 19:2<136 1998 19 ICE CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge