European Journal of Molecular & Clinical Medicine

Abstract

Background and Objectives:Health Care associated infections impose a burden on the primary, secondary, tertiary health care sectors, the patient themselves and those who care for them. The study was conceptualized to study the contribution of health care associated infections to infectious morbidity in obstetrics and gynecology in-patients and to determine the various factors contributing to the same and also to determine complications/interventions required in patients with health care associated infections.
Material and methodsThe study included 2315 patients admitted in obstetrics and gynecology ward over a period of Three  year at a tertiary care centre.
Conclusion: The incidence of Health Care associated infections in a study period of Three  year at Department of Obstetrics and Gynecology of a Tertiary care centre was found to be 3.75 per 100 patients admitted in the ward. The occurrence of Health Care associated infections was 3.8 and 3.5 per 100 patients in obstetric and gynecology set of patients. The incidence of CAUTI, SSI, CRBSI, Puerperal Pyrexia and Hospital Acquired Pneumonia was found to be 7.8, 5.01, 0.18, 0.45 and 0.043 per 100 patients developing Health Care associated infections. Various factors emerged as independent risk factors for the development of Health Care associated infections such as diabetes and obesity. The presence of other co morbidities such as age>70 years, malignancy, Bronchial Asthma, Anemia and History of previous surgery also posed an additional risk towards development of Health Care associated infections.