Infection Control and Hospital Epidemiology Publication Info
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Prevalence of Surgical‐Site Infections and Patterns of Antimicrobial Use in a Large Tertiary‐Care Hospital in Ho Chi Minh City, Vietnam
Formats Available in JSTOR: PDF
Abstract(back to top)
BACKGROUND. Few studies have been conducted in Vietnam on the epidemiology of healthcare‐associated infections or antimicrobial use. Thus, we sought to determine the prevalence of and risk factors for surgical‐site infections (SSIs) and to document antimicrobial use in surgical patients in a large healthcare facility in Vietnam.
METHODS. We conducted a point‐prevalence survey of SSIs and antimicrobial use at Cho Ray Hospital, Ho Chi Minh City, a 1,250‐bed inpatient facility. All patients on the 11 surgical wards and 2 intensive care units who had surgery within 30 days before the survey date were included.
RESULTS. Of 391 surgical patients, 56 (14.3%) had an SSI. When we compared patients with and without SSIs, factors associated with infection included trauma (relative risk [RR], 2.65; 95% confidence interval [CI95], 1.60 to 4.37; P < .001), emergency surgery (RR, 2.74; CI95, 1.65 to 4.55; P < .001), and dirty wounds (RR, 3.77; CI95, 2.39 to 5.96; P < .001). Overall, 198 (51%) of the patients received antimicrobials more than 8 hours before surgery and 390 (99.7%) received them after surgery. Commonly used antimicrobials included third‐generation cephalosporins and aminoglycosides. Thirty isolates were identified from 26 SSI patient cultures; of the 25 isolates undergoing antimicrobial susceptibility testing, 22 (88%) were resistant to ceftriaxone and 24 (92%) to gentamicin.
CONCLUSIONS. Our data show that (1) SSIs are prevalent at Cho Ray Hospital; (2) antimicrobial use among surgical patients is widespread and inconsistent with published guidelines; and (3) pathogens often are resistant to commonly used antimicrobials. SSI prevention interventions, including appropriate use of antimicrobials, are needed in this population.
Bibliographic Information(back to top)
- Prevalence of Surgical‐Site Infections and Patterns of Antimicrobial Use in a Large Tertiary‐Care Hospital in Ho Chi Minh City, Vietnam
- Annette H. Sohn , MD, Farah M. Parvez , MD, Tien Vu , MD, Hoang H. Hai , MD, Nguyen N. Bich , MD, Le Thi A. Thu , MD, Le Thi T. Hoa , MD, Nguyen H. Thanh , RN, Truong V. Viet , MD, Lennox K. Archibald , MD, MRCP (UK), DTM&H, Shailen N. Banerjee , PhD and William R. Jarvis , MD
- Infection Control and Hospital Epidemiology
- Vol. 23, No. 7 (July 2002) (pp. 382-387)
Notes and References(back to top)
This item contains 1 note(s).
Notes
Drs. Sohn, Parvez, Vu, Archibald, Banerjee, and Jarvis are from the Division of Healthcare Quality Promotion, National Center for Infectious Diseases; and Drs. Sohn and Parvez are from the Epidemic Intelligence Service, Division of Applied Public Health Training, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia. Drs. Hai, Bich, Thu, Hoa, and Viet and Ms. Thanh are from Cho Ray Hospital, Ho Chi Minh City, Vietnam. Address reprint requests to Annette H. Sohn, MD, Division of Pediatric Infectious Diseases, University of California–San Francisco, 500 Parnassus Avenue, San Francisco, CA 94143‐0136. The authors thank the surgical, nursing, and medical records staff at Cho Ray Hospital who assisted in the prevalence survey; Vo Thi Chi Mai for her assistance with antimicrobial susceptibility data; and T. Grace Emori and Teresa Horan for their advice regarding the NNIS System.
Items Citing this Item (back to top)
5 item(s) in JSTOR cite this item
- Le Thi Anh Thu , MD, PhD; Michael J. Dibley , MBBS, MPH; Vo Van Nho , MD, PhD; Lennox Archibald , MBBS, MD, FRCP, DTM&H; William R. Jarvis , MD; Annette H. Sohn , MDVol. 28, No. 5 (May 2007) pp. 583-588Stable URL: http://www.jstor.org/stable/10.1086/516661
- Samuel M. Brown , MD; Sergey R. Eremin , MD, PhD; Sergey A. Shlyapnikov , MD, PhD; Elena A. Petrova , MD; Ludmila V. Shirokova , MD; Donald Goldmann , MD; Edward J. O’Rourke , MDVol. 28, No. 3 (March 2007) pp. 319-325Stable URL: http://www.jstor.org/stable/10.1086/509849
- Marisa I. Gómez , MSc; Silvia I. Acosta‐Gnass , MSc; Luisa Mosqueda‐Barboza , RN; Juan A Basualdo , MDVol. 27, No. 12 (December 2006) pp. 1358-1365Stable URL: http://www.jstor.org/stable/10.1086/509845
- Le Thi Anh Thu , MD, PhD; Annette H. Sohn , MD; Nguyen Phuc Tien , BS; Vo Thi Chi Mai , MD, PhD; Vo Van Nho , MD, PhD; Tran Nguyen Trinh Hanh , MD; Ben Ewald , MBBS, MSc; Michael Dibley , MBBS, MPHVol. 27, No. 8 (August 2006) pp. 855-862Stable URL: http://www.jstor.org/stable/10.1086/506400
- Achilleas Gikas , MD; Maria Roumbelaki , RN; John Pediaditis , MD; Pavlos Nikolaidis , MD; Stamatina Levidiotou , MD; Sofia Kartali , MD; John Kioumis , MD; Efstratios Maltezos , MD; Symeon Metalidis , MD; Eleftherios Anevlavis , MD; George Haliotis , MD; Hariton Kolibiris , MD; Yiannis Tselentis , MD; theVol. 25, No. 4 (April 2004) pp. 319-324Stable URL: http://www.jstor.org/stable/10.1086/502399