Frequency and risk factors of nosocomial infections in a trauma center: a case study from the Beni Suef University Hospital, Egypt

Moaz Beni Melhem; Manal M Yasser; Aya I Tagyan; Shimaa S Khaled; M Sayed Mohamed; Dalal Hussien M Alkhalifah; Wael N Hozzein

doi:10.1007/s10354-024-01059-3

Frequency and risk factors of nosocomial infections in a trauma center: a case study from the Beni Suef University Hospital, Egypt

Wien Med Wochenschr. 2024 Nov 13. doi: 10.1007/s10354-024-01059-3. Online ahead of print.

Authors

Moaz Beni Melhem¹, Manal M Yasser¹, Aya I Tagyan², Shimaa S Khaled³, M Sayed Mohamed⁴, Dalal Hussien M Alkhalifah⁵, Wael N Hozzein¹

Affiliations

¹ Botany and Microbiology Department, Faculty of Science, Beni-Suef University, Beni-Suef, Egypt.
² Botany and Microbiology Department, Faculty of Science, Beni-Suef University, Beni-Suef, Egypt. [email protected].
³ Biochemistry Department, Faculty of Science, Beni-Suef University, Beni-Suef, Egypt.
⁴ Department of Critical Care Medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
⁵ Department of Biology, College of Science, Princess Nourah bint Abdulrahman University, P.O. Box 84428, 11671, Riyadh, Saudi Arabia.

PMID: 39535630
DOI: 10.1007/s10354-024-01059-3

Abstract

Background and objective: Hospital-acquired infections (HAI) cause a significant risk to patient maintenance and wellbeing, particularly within the specialized environment of a trauma center. This study focuses on investigating the frequency of HAI in a trauma center through a comprehensive surveillance and monitoring system.

Methods: This observational study, conducted between January 2023 and June 2023, focused on the 16-bed trauma center. HAI diagnoses were based on the centers for disease control and prevention (CDC) definitions that typically include specific criteria for different types of infections, for example, urinary tract infections, surgical site infections, bloodstream infections, and others.

Results: Among the 160 trauma center-admitted patients, 89 were included in the study. 44 patients contracted HAI, resulting in a frequency of 49.4%. The incidence rates (IR) were 21/1000 central venous catheter (CVC) days for catheter-related bloodstream infections (CRBSI), 10/100 urinary catheter days for catheter-associated urinary tract infections (CAUTI), and 34/1000 ventilator days for ventilator-associated pneumonia (VAP).

Conclusion: The HAI percentages noticed in the trauma center are comparatively lower than those reported in other developing country hospitals. The incidence of VAP aligns with findings from other studies.

Keywords: Bloodstream infections; Hospital-acquired infections; Surgical site infections; Trauma center; Urinary tract infections; Ventilator-associated pneumonia.