RESUMO
A cross-sectional hospital-based study of 259 children aged < 5 years was carried out in Tikrit, Iraq, to identify the prevalence of nosocomial diarrhoea and sources of contamination in the ward environment. Nosocomial diarrhoea was diagnosed in 84 children (32.4%). Children with diarrhoea were more likely than unaffected children to be bottle-fed, given unboiled water, to have unclean food containers and contaminated bed sheets. Three out of 5 brands of formula milk (unopened cans) were contaminated. Three-quarters of medical staff and employees had contaminated hands. Enterobacter spp., Pseudomonas aeruginosa and Citrobacter spp. were the most commonly identified microorganisms. A greater emphasis on personal hygiene, improved care practices and promotion of breastfeeding is recommended.
Assuntos
Infecção Hospitalar/epidemiologia , Infecção Hospitalar/etiologia , Diarreia/epidemiologia , Diarreia/etiologia , Controle de Infecções/organização & administração , Saneamento , Roupas de Cama, Mesa e Banho/microbiologia , Alimentação com Mamadeira/efeitos adversos , Distribuição de Qui-Quadrado , Pré-Escolar , Infecção Hospitalar/prevenção & controle , Estudos Transversais , Diarreia/prevenção & controle , Monitoramento Ambiental , Monitoramento Epidemiológico , Fezes/microbiologia , Microbiologia de Alimentos , Mãos/microbiologia , Desinfecção das Mãos , Ambiente de Instituições de Saúde , Humanos , Lactente , Iraque/epidemiologia , Prevalência , Fatores de Risco , Microbiologia da ÁguaRESUMO
A cross-sectional hospital-based study of 259 children aged < 5 years was carried out in Tikrit, Iraq, to identify the prevalence of nosocomial diarrhoea and sources of contamination in the ward environment. Nosocomial diarrhoea was diagnosed in 84 children [32.4%]. Children with diarrhoea were more likely than unaffected children to be bottle-fed, given unboiled water, to have unclean food containers and contaminated bed sheets. Three out of 5 brands of formula milk [unopened cans] were contaminated. Three-quarters of medical staff and employees had contaminated hands. Enterobacter spp., Pseudomonas aeruginosa and Citrobacter spp. were the most commonly identified microorganisms. A greater emphasis on personal hygiene, improved care practices and promotion of breastfeeding is recommended
Assuntos
Infecção Hospitalar , Saneamento , Estudos Transversais , Prevalência , Aleitamento Materno , DiarreiaRESUMO
A cross-sectional hospital-based study was carried out at Tikrit teaching hospital, Iraq, from October 2004 to September 2005, to identify the prevalence and etiology of nosocomial infectious diarrhoea among children under 5 years of age. Of 259 children admitted to the paediatric ward for reasons other than diarrhoea and hospitalized for more than 3 days, clinical and laboratory analysis of stool samples showed nosocomial diarrhoea in 84 children (32.4%). The most common causative agents were enteropathogenic Escherichia coli (25.9%), Clostridium difficile (21.0%) and rotavirus (18.5%). Single infectious agents caused 63.1% of the cases, while mixed infections were detected in 16.7%; in 20.2% of children the cause remained unknown.
Assuntos
Infecções por Clostridium/complicações , Infecção Hospitalar , Diarreia , Infecções por Escherichia coli/complicações , Hospitais de Ensino , Infecções por Rotavirus/complicações , Distribuição por Idade , Causalidade , Pré-Escolar , Clostridioides difficile , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/etiologia , Infecção Hospitalar/microbiologia , Estudos Transversais , Diarreia/epidemiologia , Diarreia/microbiologia , Escherichia coli Enteropatogênica , Feminino , Humanos , Lactente , Controle de Infecções , Iraque/epidemiologia , Tempo de Internação/estatística & dados numéricos , Masculino , Prevalência , Distribuição por SexoRESUMO
A cross-sectional hospital-based study was carried out at Tikrit teaching hospital, Iraq, from October 2004 to September 2005, to identify the prevalence and etiology of nosocomial infectious diarrhoea among children under 5 years of age. Of 259 children admitted to the paediatric ward for reasons other than diarrhoea and hospitalized for more than 3 days, clinical and laboratory analysis of stool samples showed nosocomial diarrhoea in 84 children [32.4%]. The most common causative agents were enteropathogenic Escherichia coli [25.9%], Clostridium difficile [21.0%] and rotavirus [18.5%]. Single infectious agents caused 63.1% of the cases, while mixed infections were detected in 16.7%; in 20.2% of children the cause remained unknown