Article Sidebar

Published: 2022-01-06
Abstract Views: 721
DOI: https://doi.org/10.52163/yhc.v63i1.265
Issue
Vol. 63 No. 1 (2022)
Section
Articles
How to Cite
Thành, C. T. ., Thư, T. A. ., Thăng, C. V. ., Vĩnh, N. Đại ., Dung, T. T. ., Sơn, Đỗ N. ., Thạch, P. T. ., Toàn, V. X. ., & Tuấn, N. Q. . (2022). HOSPITAL-ACQUIRED INFECTIONS IN COVID-19 PATIENTS AT HOA VANG DISTRICT FIELD HOSPITAL, 2020. Vietnam Journal of Community Medicine, 63(1). https://doi.org/10.52163/yhc.v63i1.265

HOSPITAL-ACQUIRED INFECTIONS IN COVID-19 PATIENTS AT HOA VANG DISTRICT FIELD HOSPITAL, 2020

Chu Tien Thanh1, Truong Anh Thu1, Chu Van Thang2, Nguyen Dai Vinh3, Tran Thi Dung1, Do Ngoc Son1, Pham The Thach1, Vuong Xuan Toan1, Nguyen Quang Tuan1
1 Bach Mai Hospital
2 Ha Noi Medical University
3 Hoa Vang District Medical Center

Main Article Content

Abstract

Objective: To determine the rate, distribHAIson, agents and  some related factors of hospital-acquiered infection in patients with COVID-19.


Method: A cross-sectional study was conducted on 254 COVID-19 patients.


Results: Among 254 patients who were eligible for the research, the rate of hospital-acquiered infection was 7.1%. In which, lung infections accounted for the highest rate (78.3%), followed by sepsis (13.1%), surgical site infections (4.3%), and other infections (4.3%). The most of causative agent is K.pneumoniae (29.6%), followed by A.baumannii (14.8%). In the logistic regression analysis, risk factors of HAIs in COVID-19 patients were blood disease (OR = 1.1; p < 0.05), intensive care (OR = 972.6; p < 0 ,05) and central venous catheter (OR = 19.1; p < 0.05). There was a statistically significant difference (p <0,01) in mortality in the group of patients with HAIs and the group of patients with no HAIS, whereby the group of patients with HAIS (77,8%) had a higher mortality rate than the group of patients without HAIS (1,3%) (OR = 271,8; KTC 95: 554 - 13345).


Conclusion: Lung infection is the most common hospital-acquiered infection in patients with COVID-19. Most of the pathogens that cause hospital-acquired infections are multi-antibiotic resistant Gram (-) bacteria such as K.pneumoniae and A.baumannii. Mortality was the highest in patients with nosocomial pneumonia. Further studies are needed to research the risk factors and prevention of nosocomial pneumonia in patients with COVID-19.

Article Details

Keywords

Hospital-acquiered infection, COVID-19.

References

1. WHO Coronavirus (COVID-19) Dashboard, https://covid19.who.int. Accessed 20 September 2021
2. Weekly epidemiological update - 27 January 2021, https://www.who.int/publications/m/item/weekly-epidemiological-update---27-january-2021. Accessed 10 September 2021
3. Carter B, Collins JT, Barlow-Pay F et al., Nosocomial COVID-19 infection: examining the risk of mortality. The COPE-Nosocomial Study (COVID in Older PEople). Journal of Hospital Infection, 2020; 106(2): 376-384
4. Minister of Health, Guidelines for surveillance of hospital-acquired infections. QĐ 3916/QD-BYT, 2017.
5. He Y, Li W, Wang Z, et al., Nosocomial infection among patients with COVID-19: A retrospective data analysis of 918 cases from a single center in Wuhan, China. Infection Control & Hospital Epidemiology, 2020;41(8): 982-983.
6. Víctor MT, Carmen DM, Sara DLF et al., Bacterial infections in patients hospitalized with COVID‑19, Internal and Emergency Medicine, 2021.
7. Garcia-Vidal C, Sanjuan G, Moreno-García E et al., Incidence of co-infections and superinfections in hospitalized patients with COVID-19: a retrospective cohort study. Clin Microbiol Infect, 2021; 27(1): 83-88.
8. Cheng K, He M, Shu Q et al., Analysis of the Risk Factors for Nosocomial Bacterial Infection in Patients with COVID-19 in a Tertiary Hospital. RMHP, 2020; 13:2593-2599.