Laboratory confirmed health care-associated bloodstream infections: A Jordanian study

Omar M. Al-Rawajfah*, Jehanzeb Cheema, Issa M. Hweidi, Jeanne Beauchamp Hewitt, Eyad Musallam

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Background: Few studies have been conducted in Jordan related to health care associated bloodstream infections (HCABSIs). This study aims to examine epidemiology of HCABSIs among hospitalized adult patients in Jordan. Methods: A cohort study (N=570; 445 confirmed HCABSIs, 125 uninfected patients) with a nested 1:1 matched case-control design (n=125 in each group) was used based on data from one large referral hospital in Jordan over a period of 5 years. HCABSI cases were determined based on confirmed positive blood culture after 48. h of admission. The case-control analyses (n=250 per group) matched on gender, age, same admission month and unit. Results: The overall incidence and mortality rates were 8.1 and 5.8 per 1000 admissions, respectively. Four-variable and three-variable multivariate models were proposed to explain the risk of HCABSIs in the matched analyses .The four-variable model consists of blood product (OR=24.5), invasive procedures (OR=4.3), renal failure (OR=9.2), and presence of other infections (OR=21.6). The three-variable model consists of recipient of blood product (OR=19.7), invasive procedures (OR=4.5), and renal failure (OR=9.4). Conclusions: This study is a pioneer study that examined risk factors, the associated HCABSIs in Jordan. Results from this study can be used to influence infection control plans in Jordan.

Original languageEnglish
Pages (from-to)403-411
Number of pages9
JournalJournal of Infection and Public Health
Volume5
Issue number6
DOIs
Publication statusPublished - Dec 2012

Keywords

  • Bloodstream infections
  • Charges
  • Healthcare acquired
  • Healthcare costs
  • Length of stay
  • Risk factors

ASJC Scopus subject areas

  • Infectious Diseases
  • Public Health, Environmental and Occupational Health

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