Prevalence of nosocomial infections in intensive care units and the role of the infection prevention and control team in implementing protective measures - a case study of a university hospital in Morocco

重症监护病房院内感染的流行情况及感染预防与控制团队在实施防护措施中的作用——以摩洛哥一家大学医院为例

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Abstract

INTRODUCTION: Despite their small number of beds, intensive care units are major reservoirs of multidrug-resistant bacteria (MDRO) and experience a high frequency of nosocomial infections. This study aims to estimate their prevalence, identify risk factors, determine the microorganisms responsible, and highlight the preventive measures taken to control these risks. METHODS: A cross-sectional questionnaire-based survey of the prevalence of nosocomial infections in all intensive care units in three university hospital centers, including all patients hospitalized for at least 24 hours. RESULTS: Among the 50 patients included, 30% had a nosocomial infection, the most common of which was pneumonia. Of the 18 bacteria species isolated in 15 patients, 66.7% were MDRO. The most frequently isolated species was Acinetobacter baumannii (44.4%), with a resistance rate of 100% against imepenem. CONCLUSION: The survey identified the frequency, risk factors and microorganisms responsible for nosocomial infections. This approach helped to guide preventive measures and prioritize efforts, making it a pragmatic and appropriate solution for enhancing the efforts against these infections in contexts where resources are limited.

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