Leading Types Of Healthcare-Associated Infections (HAIS) By Hospital Wards In The University Hospital Of Ruse For The Period 2014-2016

Abstract

Introduction: Improving the quality and safety of healthcare through decrease of healthcare-associated infections (HAIs) and limitation of antibiotic resistance is an essential aim of every healthcare facility.

Aim: The aim of this article is to study the most frequent sites of HAIs in the different types of wards in the University Hospital of Ruse for the period 2014-2016.

Materials and Methods: We have used protocols, investigations, reports, public access information from the Regional Health Inspectorate (RHI) of Ruse, data from the microbiological laboratory of the RHI of Ruse. The methods implemented were documental, epidemiological analysis, graphics, and statistics.

Results: Surgical site infections were the leading type of HAI in the wards of surgery, urology, orthopedics and traumatology, and anesthesiology and reanimation in 2015.

Conclusion: 1. Surgical site infections are the leading type of HAI - 33% in 2015, 18.35% in 2016, and 49.38% in 2014. 2. Infections of the eye, ear, nose, throat and oral cavity range between 13.92% and 17.04% and were registered in 4 departments: neonatology, physiotherapy and rehabilitation, neurosurgery and neurology. 3. The percentage of nosocomial sepsis was 3.01% of the HAIs in 2014, reported in 4 wards: intensive care unit for surgical diseases, intensive care unit for non-surgical diseases, neurosurgery, neonatology. 4. Intubation related pneumonia was found in 8.15% of all HAIs in 2015 and 14.23% in 2016 in 3 departments. Of them, the intensive care unit for non-surgical diseases registered 75.49% of all intubation related pneumonias for both years.