title: Surveillance of nosocomial infections at a Saudi Arabian military hospital for a one-year period.
abstract: The objectives of the current study are to define how many and what kind of nosocomial infections are occurring, what are the causative microbes and what kind of drugs can be used in treatment of infection at Al-Hada Armed Forces Hospital, Taif, Saudi Arabia during the year 2004. A prospective study was implemented for all cases admitted at Al-Hada Armed Forces Hospital during the period 1(st) January, 2004 till 31(st) December, 2004 and which developed infection. Determination of nosocomial infections was performed using standardized CDC criteria. A total of 1382 patients had developed infection during hospital admission and were included in the study. Of them, 668 (48.3%) had nosocomial infection and 714 (51.7%) had community-acquired infection. Among those who developed nosocomial infections, 216 (32.3%), 172 (25.7%) and 124 (18.6%) had respiratory tract (RTI), urinary tract (UTI) and blood stream infections (BSI) respectively. Surgical site infection (SSI) was reported in 86 cases (12.9%). The overall nosocomial infection rate along the study period was 4.98 per 100 discharged patients. Gram-positive organisms were reported in 31.8%. MRSA (Methicillin-resistant S. aureus) was the commonest (10.2%), followed by coagulase negative staphylococci (8.5%) and MSSA (Methicillin-susceptible S. aureus, 7.4%). While Gram-negative organisms were reported in 66.2%, E. coli was the commonest (22.3%), followed by Pseudomonas aeruginosa (17.6%) and Klebsiella pneumoniae (9.9%). Acinetobacter spp. and MRSA were highly sensitive to Imipenem (88.6%) and Vancomycin (98.5%) respectively. E. coli were highly sensitive to most of the antimicrobial agents except ampicillin (26.6%).
  
  
  CONCLUSIONS
  Pneumonia, urinary tract infections, and blood stream infections made up the great majority of nosocomial infections. There is a need for further risk assessment associated with main types of infection.
authors.affiliation: Epidemiololgy and Research Unit, Preventive Medicine Department, Al-Hada Armed Forces Hospital, Taif, Saudi Arabia. mezo106@hotmail.com
authors.forename: Moataz M
authors.initials: MM
authors.lastname: Abdel-Fattah
references.citation: APMIS. 2002 Feb;110(2):140-7
references.pmid: 12064869
references.citation: Am J Epidemiol. 1985 Feb;121(2):182-205
references.pmid: 4014115
references.citation: JAMA. 1996 Mar 20;275(11):866-9
references.pmid: 8596225
references.citation: Am J Respir Crit Care Med. 1996 May;153(5):1711-25
references.pmid: 8630626
references.citation: J Hosp Infect. 1989 May;13(4):325-36
references.pmid: 2567763
references.citation: Chirurg. 2002 Sep;73(9):924-9
references.pmid: 12297959
references.citation: Infect Control Hosp Epidemiol. 1992 Oct;13(10):606-8
references.pmid: 1334988
references.citation: J Clin Microbiol. 2000 Feb;38(2):918-22
references.pmid: 10655417
references.citation: N Engl J Med. 1997 Aug 14;337(7):491-2
references.pmid: 9250853
references.citation: J Crit Care. 2002 Mar;17(1):50-7
references.pmid: 12040549
references.citation: J Hosp Infect. 1996 Mar;32(3):175-90
references.pmid: 8690881
references.citation: J Hosp Infect. 1998 Sep;40(1):17-26
references.pmid: 9777517
references.citation: Infect Dis Clin North Am. 1997 Jun;11(2):479-96
references.pmid: 9187957
references.citation: Am J Med. 1991 Sep 16;91(3B):72S-75S
references.pmid: 1928195
references.citation: Pediatrics. 1999 Apr;103(4):e39
references.pmid: 10103331
references.citation: Infect Control Hosp Epidemiol. 2004 Nov;25(11):1004-7
references.pmid: 15566040
references.citation: Arch Intern Med. 1995 Jun 12;155(11):1177-84
references.pmid: 7763123
references.citation: Natl Med J India. 1997 Nov-Dec;10(6):270-2
references.pmid: 9481096
references.citation: BMJ. 1998 Sep 5;317(7159):614-5
references.pmid: 9727985
references.citation: Am J Infect Control. 1988 Jun;16(3):128-40
references.pmid: 2841893
references.citation: South Med J. 2001 Jun;94(6):619-20
references.pmid: 11440331
references.citation: J Hosp Infect. 2004 Nov;58(3):242-3
references.pmid: 15501345
references.citation: Clin Microbiol Rev. 1991 Jan;4(1):80-128
references.pmid: 1672263
references.citation: Am Rev Respir Dis. 1989 Apr;139(4):877-84
references.pmid: 2930067
references.citation: J Infect Dis. 1996 Apr;173(4):963-70
references.pmid: 8603978
references.citation: Clin Infect Dis. 1997 Mar;24(3):403-18
references.pmid: 9114192
references.citation: Ann Intern Med. 2000 Apr 18;132(8):621-30
references.pmid: 10766680
references.citation: Emerg Infect Dis. 1998 Jul-Sep;4(3):416-20
references.pmid: 9716961
references.citation: N Engl J Med. 1998 May 7;338(19):1376-8
references.pmid: 9571260
references.citation: Am J Med. 1981 Feb;70(2):393-7
references.pmid: 7468623