Dr. Sulaiman Al Habib Medical Journal

Volume 3, Issue 3, September 2021, Pages 113 - 119

Hospital-acquired Respiratory-Tract Infections in the Teaching Hospitals of Sfax

Authors
Maissa Ben Jmaa1, *, ORCID, Sourour Yaich2, Houda Ben Ayed1, Maroua Trigui2, Mariem Ben Hmida2, Habib Feki1, Jamel Damak2
1Preventive Medicine and Hygiene Department, Hedi Chaker University Hospital, University of Sfax, Tunisia
2Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Tunisia
*Corresponding author. Email: maissabenjmaa@live.fr
Corresponding Author
Maissa Ben Jmaa
Received 3 March 2021, Accepted 8 July 2021, Available Online 28 July 2021.
DOI
10.2991/dsahmj.k.210719.001How to use a DOI?
Keywords
Infection; intensive care; microorganisms; prevalence; respiratory tract; risk factors
Abstract

Hospital-acquired Respiratory-Tract Infections (HARTIs) are identified as the most frequent type of hospital-acquired infections. They can engender significant morbidity and mortality rates, generating a heavy economic burden, especially in the limited resources countries. In this perspective, this study aimed to determine the prevalence of HARTIs in the University Hospitals (UHs) of Southern Tunisia and to identify their main associated factors. It was a cross-sectional study conducted in the two UHs of Sfax governorate, Tunisia, from July 10 to 24th, 2017, including all hospitalized patients for at least 48 hours. It was a 1-day pass per department and a 1-week survey per UH. In total, 34 cases of HARTIs were notified among 752 surveyed patients, accounting for an overall prevalence of 4.5%. The prevalence of HARTIs in the Intensive Care Units (ICU) was 20.6%. Multivariate logistic regression analysis showed that developing a HARTI in non-ICU was independently associated with tobacco use [Adjusted Odds Ratio (AOR) = 2.83; 95% Confidence Interval (95% CI) = [1.10–7.27]; p = 0.03], central vascular catheter (AOR = 5.70; 95% CI = [1.29–25.15]; p = 0.022) and McCabe Index ≥1 (AOR = 7.38; 95% CI = [2.73–19.97]; p < 0.001). In ICU, only endotracheal tube was independently associated with HARTIs (AOR = 42.5; 95% CI = [4.97–64.13]; p = 0.001). This study illustrated the extent of HARTIs problem threatening the quality of care in Southern Tunisia. Identifying the risk factors of HARTIs in both ICUs and non-ICUs may help healthcare workers to ascertain the avoidability of these infections.

Copyright
© 2021 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Dr. Sulaiman Al Habib Medical Journal
Volume-Issue
3 - 3
Pages
113 - 119
Publication Date
2021/07/28
ISSN (Online)
2590-3349
ISSN (Print)
2666-819X
DOI
10.2991/dsahmj.k.210719.001How to use a DOI?
Copyright
© 2021 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - Maissa Ben Jmaa
AU  - Sourour Yaich
AU  - Houda Ben Ayed
AU  - Maroua Trigui
AU  - Mariem Ben Hmida
AU  - Habib Feki
AU  - Jamel Damak
PY  - 2021
DA  - 2021/07/28
TI  - Hospital-acquired Respiratory-Tract Infections in the Teaching Hospitals of Sfax
JO  - Dr. Sulaiman Al Habib Medical Journal
SP  - 113
EP  - 119
VL  - 3
IS  - 3
SN  - 2590-3349
UR  - https://doi.org/10.2991/dsahmj.k.210719.001
DO  - 10.2991/dsahmj.k.210719.001
ID  - Jmaa2021
ER  -