FACTORS INFLUENCING THE OCCURRENCE OF NOSOCOMIAL INFECTIONS AMONG PATIENTS IN THE SURGICAL WARD AT SOROTI REGIONAL REFERRAL HOSPITAL. A CROSS-SECTIONAL STUDY.
DOI:
https://doi.org/10.71020/jwhr.v1i12.9Keywords:
Nosocomial Infections, Patients On A Surgical Ward, Soroti Regional Referral Hospital, Urinary CatheterizationAbstract
Background
Nosocomial infections are acquired by the patient within 48-72 hours or 3 days of admission in the hospital or medical care unit and they affect approximately 15% of all hospitalized patients. This can result in prolonged hospitalization of the patients; therefore, this study aimed to assess the factors influencing the occurrence of nosocomial infections among patients in the surgical ward at Soroti Regional Referral Hospital.
Methodology
A descriptive cross-sectional study design was used employing quantitative methods of data collection. A sample size of 30 was obtained using a simple random sampling method. Data was collected using a structured questionnaire for analysis by SPSS version 24 and then presented in frequency tables, bar graphs, and pie charts.
Results
30 respondents participated in this study and the majority of the respondents were aged 20-30 years while the minority were aged 41-50 years.67% of respondents were females 33% were males, 73% of the respondents worked in male surgical wards whereas 27% worked in female surgical ward. 40% of the respondents washed hands after a procedure or body fluid exposure while 10% before a procedure, 63% of the respondents agreed that old people are most prone to nosocomial infections while 7% agreed that youth are most prone to nosocomial infections. Half of the respondents performed hand sanitizing while 10% performed routine hand washing.
Conclusion
urinary catheterization and inadequate hand washing were the leading causes of nosocomial infections in the elderly and patients nursed in the general ward.
Recommendation
Health workers should adhere to aseptic techniques when performing sterile procedures and observe the five moments of hand washing.
References
Abalkhail, A., & Alslamah, T. (2022). Institutional factors associated with infection prevention and control practices globally during the infectious pandemic in resource-limited settings. Vaccines, 10(11), 1811. https://doi.org/10.3390/vaccines10111811
Abubakar, U., Amir, O., & Rodríguez-Baño, J. (2022). Healthcare-associated infections in Africa: a systematic review and meta-analysis of point prevalence studies. Journal of Pharmaceutical Policy and Practice, 15(1), 99. https://doi.org/10.1186/s40545-022-00500-5
Cassini, A., Plachouras, D., Eckmanns, T., Abu Sin, M., Blank, H. P., Ducomble, T., ... & Suetens, C. (2016). The burden of six healthcare-associated infections on European population health: estimating incidence-based disability-adjusted life years through a population prevalence-based modeling study. Plos medicine, 13(10), e1002150. https://doi.org/10.1371/journal.pmed.1002150
Fürnkranz, U., & Walochnik, J. (2021). Nosocomial infections: Do not forget the parasites! Pathogens, 10(2), 238. https://doi.org/10.3390/pathogens10020238
Joshi, M., Kaur, S., Kaur, H. P., & Mishra, T. (2019). Nosocomial infection: Source and prevention. Int J Pharm Sci Res, 10(4), 1613-1624.
Kassam, M. I., Silago, V., Damiano, P., Wajanga, B., Seni, J., Mshana, S. E., & Kalluvya, S. (2023). Patterns and outcomes of health-care associated infections in the medical wards at Bugando medical center: a longitudinal cohort study. Antimicrobial Resistance & Infection Control, 12(1), 139. https://doi.org/10.1186/s13756-023-01345-6
Khan, H. A., Baig, F. K., & Mehboob, R. (2017). Nosocomial infections: Epidemiology, prevention, control and surveillance. Asian Pacific Journal of Tropical Biomedicine, 7(5), 478-482. https://doi.org/10.1016/j.apjtb.2017.01.019
Melariri, H., Frederick, R., van der Merwe, E., Ten Ham-Baloyi, W., Oyedele, O., Murphy, R. A., ... & Melariri, P. E. (2024). The burden of hospital-acquired infections (HAI) in sub-Saharan Africa: a systematic review and meta-analysis. Clinical medicine, 71. https://doi.org/10.1016/j.eclinm.2024.102571
Mengistu, D. A., Alemu, A., Abdukadir, A. A., Mohammed Husen, A., Ahmed, F., Mohammed, B., & Musa, I. (2023). Global incidence of surgical site infection among patients: systematic review and meta-analysis. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 60, 00469580231162549. https://doi.org/10.1177/00469580231162549
Mo, Y., Eyre, D. W., Lumley, S. F., Walker, T. M., Shaw, R. H., O'Donnell, D., ... & Cooper, B. S. (2021). Transmission of community-and hospital-acquired SARS-cov-2 in hospital settings in the UK: A cohort study. Plos medicine, 18(10), e1003816. https://doi.org/10.1371/journal.pmed.1003816
Muresan, B. T., Núñez‐Abad, M., Artero, A., Rios Rios, J., Cunquero-Tomás, A. J., Iranzo, V., ... & Sánchez Juan, C. J. (2022). Relation of malnutrition and nosocomial infections in cancer patients in hospital: an observational study. Journal of Nutrition and Metabolism, 2022(1), 5232480. https://doi.org/10.1155/2022/5232480
Ozdemir, K., & Dizbay, M. (2015). Nosocomial infection and risk factors in elderly patients in intensive care units. Journal of Microbiology and Infectious Diseases, 5(01), 38-43. https://doi.org/10.5799/ahinjs.02.2015.01.0174
Raoofi, S., Pashazadeh Kan, F., Rafiei, S., Hosseinipalangi, Z., Noorani Mejareh, Z., Khani, S., ... & Ghashghaee, A. (2023). Global prevalence of nosocomial infection: A systematic review and meta-analysis. Plos One, 18(1), e0274248. https://doi.org/10.1371/journal.pone.0274248
Saba, N., & Balwan, W. K. (2023). Study of frequency, epidemiology of nosocomial infections in healthcare centers. Saudi J Pathol Microbiol, 8(7), 160-166. https://doi.org/10.36348/sjpm.2023.v08i07.001
Shang, J., Needleman, J., Liu, J., Larson, E., & Stone, P. W. (2019). Nurse staffing and healthcare-associated infection, unit-level analysis. JONA: The Journal of Nursing Administration, 49(5), 260-265. https://doi.org/10.1097/NNA.0000000000000748
Stiller, A., Salm, F., Bischoff, P., & Gastmeier, P. (2016). Relationship between hospital ward design and healthcare-associated infection rates: a systematic review and meta-analysis. Antimicrobial Resistance & Infection Control, 5, 1-10. https://doi.org/10.1186/s13756-016-0152-1
Suleyman, G., Alangaden, G., & Bardossy, A. C. (2018). The role of environmental contamination in the transmission of nosocomial pathogens and healthcare-associated infections. Current infectious disease reports, 20, 1-11. https://doi.org/10.1007/s11908-018-0620-2
Taye, Z. W., Abebil, Y. A., Akalu, T. Y., Tessema, G. M., & Taye, E. B. (2023). Incidence and determinants of nosocomial infection among hospital admitted adult chronic disease patients in University of Gondar Comprehensive Specialized Hospital, North-West Ethiopia, 2016-2020. Frontiers in Public Health, 11, 1087407. https://doi.org/10.3389/fpubh.2023.1087407
Zhao, X., Wang, L., Wei, N., Zhang, J., Ma, W., Zhao, H., & Han, X. (2020). Epidemiological and clinical characteristics of healthcare-associated infection in elderly patients in a large Chinese tertiary hospital: a 3-year surveillance study. BMC Infectious Diseases, 20, 1-7. https://doi.org/10.1186/s12879-020-4840-3
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Journal of World Health Research

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in any of our journals retain the copyright to their work but agree to grant Burundi Publishing the right of first publication. All articles are published under a Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This promotes transparency and fosters wide dissemination of the research.