Myanamr Health Research Registration 2024; 36(1-3): 67-74.
DOI:
Common Nosocomial Bacterial Infections in Yangon General Hospital
Mya Mya Aye, Nan Aye Thida Oo, Tay Zar Tun Myint, Aye Aye Maw, Hay Mar Win, Khin Hnin Wint Phyu & Hla Phyo Lin
Myanmar Health Sciences Research Journal, 2024; 36(1-3): 67-74
ABSTRACTNosocomial or hospital-acquired infection is an infection occurring in a patient during hospitalization or other health care facility which was not present or incubating at the time of admission. Most hospital-acquired infection becomes evident 48 hours or more following admission. This study was aimed to detect the etiological identification of nosocomial infections and their antibiotic susceptibility pattern. A cross-sectional descriptive study was carried out from January 0 to February 0 among clinical samples from 00 nosocomial infection patients; 55 from the medical units and 45 from the surgical units of Yangon General Hospital. The bacteriological identification and the antibiotic suscepti -bility patterns of bacterial pathogens were detected by the VITEK compact system. A total of 30 bacterial cultured positive cases were observed from 00 patients. The most common nosocomial infection was lower respiratory tract infection (n=7, 56.7%), followed by urinary tract infection (n=0, 33.3%) and blood stream infection (n=3, 0%). The Gram negative bacteria were the most common isolates (80%) and Gram positive bacteria were detected in 0% of culture positive specimens.
RESULT
INTRODUCTION
Nosocomial infection (NI) which is also known as hospital-acquired or health care-associated infection is a serious public health issue. NI appears in a patient under medical care in the hospital or other health care facility which was absent at the time of admission., World Health Organization (WHO) estimated that it affects hundreds of millions of people worldwide and it is a major global issue for patient safety.3
SUPPLEMENTARY MATERIAL
It was a cross-sectional descriptive study carried out from January 0 to February 0 and clinical specimens from patients with clinical features of infection which developed more than 48 hours after admission to medical units and surgical units of Yangon General Hospital (YGH) were included in this study.
The selection criteria for patients were determined by the clinicians. Patients with fever, chills and rigor, dysuria, frequency, pain in suprapubic area and loin pain were selected as urinary tract infection cases.
DISCUSSION
In this study, 30 bacteriological culture positive cases were observed. The lower respiratory tract infections (56.7%) were the commonest NI followed by urinary tract infection (33.3%) and the blood stream infection (0%) which was resembled with the study done in Mandalay General Hospital in 08 and also consistent with the other studies done in Vietnam and Thailand where the respiratory tract infections were the com- monest hospital acquired infections.7, 0,
ACKNOWLEDGMENT
The authors are thankful to the Ministry of Health for awarding IR grant to perform this research. We would like to thank Dr. Zaw Than Htun, Director General, Department of Medical Research for his guidance and permission to do this research. We would like to extend our heartfelt thanks to Rector/ Senior Medical Superintendent, Yangon General Hospital for giving permission and to all Professors, Consultants and their team members for their kind help in collection of the specimens.
CONFLICT OF INTEREST
The authors declare that they have no competing interests.
1. Wang L, Zhou KH, Chen W, Yu Y & Feng SF. Epidemiology and risk factors for nosocomial infection in the respiratory intensive care unit of a teaching hospital in China: A prospective surveillance during 03 and 05. BMC Infectious Diseases 09; 9():45.4 2. World Health Organization. Prevention of hospital-acquired infection. Available from: http://www.who.int/csr/whocdscreph04 [Accessed February 00]. 3. Yallew WW, Kumie A & Yehuala FM. Risk factors for hospital-acquired infections in teaching hospitals of Amhara regional state, Ethiopia: A matched-case control study. PLoS One 07; (7): e0845. Available from: https://doi.org/0.37/journal.pone.0845