IFMSA Research Exchange Report

Nosocomial Infection Report in the ICU department of Ibn Sina Hospital, Rabat within
the period of January 7-21 2019

Authors : Ana Carolina, Sefrina Trisadi

Tutor : Pr. Abidi Khalid

Background
According to the World Health Organization a
Hospital acquired infection is an infection
acquired in hospital by a patient who was
admitted for a reason other than that infection
[1]. In other words nosocomial infections are
those infections which are acquired in hospital
or healthcare service unit that first appear 48
Result
From January 7-21, 2019 we conducted a
quantitative observative study in the Intensive
Care Unit Department of Ibn Sina Hospital
with various characteristic of patients as
shown in the figures below.
Figure 1. Characteristic of all patients

hours or more after hospital admission or Gender

within 30 days after discharge following in-
patient care [2]. ‘Nosocomial’ or ‘healthcare
associated infections’ (HCAI) can occur during
healthcare delivery for other diseases and
50% 50%
even after the discharge of the patients.
The aims of this study were to determine the
nosocomial infections rate in Intensive Care
Unit of Ibn Sina Hospital, Rabat during the
Female Male
certain period of time as well as describe the
pathogens associated with nosocomial
infection and their susceptibility profile to Age (years)
antibiotics.

Materials and Method 10% 10%

The study conducted for the length of three
weeks concerning all patients who had been 20% 20%
admitted to the ICU department for at least 48
hours. Data was collected through patient’s 20%
medical record including bacteria culture
result using the INNIC (International
Nosocomial Infection Control Consortium) <30 30-39 40-49 50-59 >60
standardized form.

1
 tract and Staphylococcus aureus from the
blood to which the antibiogram results are
Figure 2. Risk factor of nosocomial infection
shown in table below.
Risk Factor Table 1. Result of antibiogram
Antibiotics Bacteria
10
K. pneumoniae P.
10
8 aeruginosa
8 Ampicillin R
6 8
3
Amo/Clav S
4
32/2
2
0 0
1
0
Amikacine S S
0 4 ≤4
Risk Factor Aztreonam I
≤1
Use of antibiotics >90 days Cefepime S
Hospitalization >2 days in the past 3 months 8
High proportion of antibiotic resistance in hospital Ceftriaxone S
Current hospitalization >5 days 0.5
Ceftazidime S S
Immunocompromised
0.5 8
Chronic hemodialysis <30 days Cefoxitin S
Family member with antibiotic resistance 4
Chloramphenicole S
Figure 3. Medical devices used by patients 5
Ciplrofloxacin S R
Device 0.25 >2
Colistine S S
10 10
0.25 ≤1
10
9 Ertapenem S
8
7 5 0.125
6
5 Fosfomycin w/G6P S
4 2 2
3 32
2
1 Gentamycin S S
0
2 2
Imipenem S S
0.25 2
Levofloxacine R
>4
Meropenem S S
0.125 0.5
Minocycline R
Out of 10 patients, 1 showed nosocomial >8
Nalidixic Acid S
infection of Klebsiella pneumoniae from
0.5
urinary tract while another 1 developed Nitrofurantoin S
nosocomial infectionsPseudomonas
of 5
aeruginosa and Escherichia coli from urinary Norfloxacin S
0.5
2
 Piperacilin R S Communicable Disease, Surveillance and
16/4 8 Response, 2002.
Pip/Taz S S
[2] Nosocomial infection, Available at
8/2 8/4
Ticarciline R S https://en.wikipedia.org/wiki/Wiki_nosocomia
16 16 l_infe ction. Accessed on June 2009.
Tic/Clav S S
16/2 16/2
TMP/SMX S R
4/76 4/76

Conclusion
Nosocomial infection rate was low in this study.
But the result might not adequately express the
actual nosocomial infection rate due to many
factors such as lack of some data and extremely
short period. Future study on the nosocomial
infection must be conducted for longer period
and focus not only on patients but also the
health professionals attitude towards
nosocomial infection and prescribing of
antibiotics.

Acknowledgment
Authors thank to our tutor Professor Abidi
Khalid and all staff, medical students and
interns in the ICU Department of Centre
Hospitalo-Universitaire Ibn Sina for their
assistance where this study took place.

References
[1] Prevention of hospital-acquired infections.
World Health Organization Department of