TRENDS OF NOSOCOMIAL INFECTIONS IN A PRIVATE HOSPITAL OF SURAT, GUJARAT

Abstract

Background: Nosocomial infection or hospital acquired infection refers to the infection occurring in patients after admission at the hospital that was neither present nor incubating at the time of admission. Infection occurring more than 48 hours after admission is usually considered nosocomial. These nosocomial infections (NI) occur among 7-12% of the hospitalized patients globally with more than 1.4 million people suffering from the infectious complications acquired in the hospital.

Methodology: The current study was done in a multi speciality hospital of Surat, Gujarat. This hospital is having Surgery, Obs & Gynec, Medicine, Orthopedic speciality under one roof. All patients admitted in the hospital from January 2015 to June 2015 were analysed for Nosocomial Infections. CDC (Centre for disease control & prevention) guidelines were used to identify nosocomial infections. Total 125 patients were enrolled in the study.

Result: In our study, total 125 patients were diagnosed as having nosocomial infections in two years. Out of these, 58 (46.4%) were female and 67 (53.6%) were male. Thus, male predominance was observed. We observed that Urinary tract infection (UTI) was the most common Nosocomial infection. Out of total 125 patients, 48 (38.4%) were having UTI. Surgical site infection (SSI) was the second most common culprit. SSI was observed in 32 (25.6%) patients. It was followed by sepsis (20%). It was observed that E.Coli was the most common micro-organism isolated from UTI and SSI patients. Whereas, Staph. Aureus and Klebsiella were the most common micro-organism isolated from patients of Sepsis and LRTI respectively. In patients of UTI and SSI, Psedomonas and Klebsiella were other common organisms isolated. From many samples, more than 1 micro-organism was isolated.