Introduction: At departments of urology, as well as other hospital departments, hospital infections represent an important problem. The objective of this work was to determine the frequency and the most common localizations of hospital infections at the Department of urology.
Material and methods: All the patients hospitalized for longer than 48 hours at the Department of Urology, General hospital, Sabac were included in a prospective study of incidence in the period of 12 months. The everyday epidemiological surveillance was carried out, as well as the inspection of the existing medical files. The diagnosis of hospital infections was made on the basis of known definitions.
Results: Ninety-four out of 554 hospitalized patients included in the research had 122 hospital infections. One hospital infection was recorded in 64 of those included in the research, whereas two and three infections were recorded in 26 and 2 patients, respectively. The incidence rate of the patients with hospital infections was 17.3%, and the rate of the incidence of the infections 22.4%. The incidence rate by 1,000 patients-hospitalization days was 12.4. Out of the total number of infections, 69.7% were urinary tract infections, 27% surgical site infections and 3.3% sepses. The incidence rate of the patients with urinary infections was 14.7% and the incidence rate of urinary infections 15.6%. The rate of urinary infections in the patients with urinary catheter (19.6%) was significantly higher than in those patients without urinary catheter (p < 0.001). The rate of incidence of surgical site infections was 6.1% and the incidence rate of blood infections was 0.7%.
Conclusion: The most common hospital infections in our work were urinary infections and surgical site infections. The rates recorded in our study are similar to those in the hospitals that have only started the surveillance of hospital infections.