Clinical and Etiological Structure of Nosocomial Infections in Bulgaria for the Period 2011-2016

Y. Mitova 1 , S. Angelova 1 , V. Doicheva 1 , G. Donkov 1  and Ts. Mincheva 1
  • 1 Department of Epidemiology, Medical University, Sofia, Bulgaria

Abstract

Despite their partial diagnosis and registration, nosocomial infections are widespread in Bulgaria and they are of great healthcare, social and economic importance for the society. Statistical processing of official information for the period 2011-2016 shows that the incidence of registered NI among hospitalized patients in Bulgaria is below 1%. In the clinical structure of NI in the above mentioned period, the infections of the surgical site are leading with a prevailing share of 20.67%. S. aureus (19.74%) and E. coli (19.33%) have the highest incidence in the etiological deciphering of infections of the surgical site. Leading etiological agents of lower respiratory tract infections (including pneumonia) in Bulgaria are Acinetobacter spp. (24.12%) and Pseudomonas spp. (20.18%). Urinary tract infections have a relative share of 15.08% in the clinical structure of NI. They are primarily caused by E. coli (28.95%). In bloodstream infection, coagulase-negative staphylococci (S. epidermidis prevailing) are isolated in 30.58% of the cases.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. Order N 3 of the Ministry of Healthcare for the approval of a medical standard on the prevention and control of nosocomial infections, State Gazette, issue 43 of May 14, 2013

  • 2. European Centre for Disease Prevention and Control Point prevalence survey of healthcare-associated infections and antimicrobial use in European hospitals 2011–2012, Survellance report, Stockholm: ECDC; 2013.

  • 3. Koningstein M, van der Bij AK, de Kraker ME, Monen JC, Muilwijk J, de Greeff SC, Geerlings SE, van Hall MA, ISIS-AR Study Group. Recommendations for the empirical treatment of complicated urinary tract infections using surveillance data on antimicrobial resistance in the Netherlands. PLoS One.; 9(1):e86634. Epub Jan 28, 2014.

  • 4. Lambert M, Suetens C, Savey A, Palomar M, Hiesmayr M, Morales I, et al. Clinical outcomes of healthcare-associated infections and antimicrobial resistance in patients admitted to European intensive-care units: a cohort study. Lancet Infect Dis. 2011;11(1):30-8.

  • 5. Zarb P, Coignard B, Griskeviciene J, Muller A. The European Centre for Disease Prevention and Control (ECDC) pilot point prevalence survey of healthcare-associated infections and antimicrobial use, Eurosurveillance, 2012;17(46):pii 20316.

OPEN ACCESS

Journal + Issues

Search