title: Prevalence of hospital-acquired infection in a Tunisian hospital.
abstract: In order to estimate the prevalence of hospital-acquired infection (HAI) and research factors associated with its occurrence, a one-day prevalence survey was conducted at the Habib Bourguiba University Hospital, Tunisia. We studied 280 patients who had been present in the same ward for at least 48 h, and who had occupied a hospital bed between 17 April 2002 (midnight) and 18 April 2002 (midnight). The overall prevalence of HAI was 17.9%. The most frequently infected sites were the lungs (32%), surgical wounds (28%) and the urinary tract (20%). Microbiological documentation was available in only 28% of HAIs, and the most frequently isolated organisms were Gram-negative rods (80.8%). Results of multiple logistic regression analysis indicated that HAI is linked to the medical category, the use of intravascular devices and antibiotic prophylaxis. This survey provided information on the prevalence of HAI in Tunisian hospitals, the breakdown of infections, and HAI predisposing factors.
authors.affiliation: Service de Réanimation Médicale, CHU Habib Bourguiba, Route el Ain Km 1, Sfax 3029, Tunisia. kallelhat@yahoo.fr
authors.forename: H
authors.initials: H
authors.lastname: Kallel
authors.forename: M
authors.initials: M
authors.lastname: Bahoul
authors.forename: H
authors.initials: H
authors.lastname: Ksibi
authors.forename: H
authors.initials: H
authors.lastname: Dammak
authors.forename: H
authors.initials: H
authors.lastname: Chelly
authors.forename: C B
authors.initials: CB
authors.lastname: Hamida
authors.forename: A
authors.initials: A
authors.lastname: Chaari
authors.forename: N
authors.initials: N
authors.lastname: Rekik
authors.forename: M
authors.initials: M
authors.lastname: Bouaziz
mesh_terms: D003428:Cross Infection / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology / Q000517:prevention & control; D005260:Female; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D017053:Infection Control; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D015995:Prevalence; D012307:Risk Factors; D018571:Sentinel Surveillance; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000209:etiology / Q000382:microbiology / Q000517:prevention & control; D014416:Tunisia / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000209:etiology / Q000382:microbiology / Q000517:prevention & control