Prevalence of Hospital Acquired Pneumonia in Intensive Care Units in Khartoum State (From April 2019 to September 2019)
DOI:
https://doi.org/10.47363/JCBR/2021(3)130Keywords:
Epidemiology, Gram Negative Bacteria, Intensive Care Units, Drug ResistanceAbstract
Objectives: To determine the prevalence of nosocomial infections in intensive care unit (ICU), we performed a hospital-based study.
Materials and Methods: Consecutive patients were enrolled and details of risk factors and bacteriological data were obtained. Statistical analyses were performed using spss version 24.
Results: seventy six patients were admitted during the study period (minimum 10 years and maximum 91 years, men 69.7%, females 30.3%). Most important comorbidities were renal tubular acidosis (23.7%), cerebro vascular accidents (15.8%), and acute kidney injury (9.2%). Antibiotics were administered in 40.8%. Bacteriological cultures were positive in 42.1% (n=32). Gram negative bacteria were common–Klebsiella pneumoniae (27.6%), pseudomonas aerogenisa (7.95%), and Streptococcus pyogenes (2.6%) Escherichia coli (1.3%), Staphylococcus aurous (1.3%) and candida (1.3%). There a high prevalence of resistance to common antibiotics.
Conclusions: There is high prevalence of infections in patients in a medical ICU in Khartoum – Sudan. Gram negative bacteria are the most prevalent and resistance to antibiotics is high. Risk factors are age and multiple comorbidities.