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Review Article
Management of Hospital Infection Control in Iran: A Need for Implementation of Multidisciplinary Approach
Setareh Mamishi, Babak Pourakbari, Mostafa Teymuri, Abdolreza Babamahmoodi, Shima Mahmoudi
Osong Public Health Res Perspect. 2014;5(4):179-186.   Published online August 31, 2014
DOI: https://doi.org/10.1016/j.phrp.2014.06.001
  • 3,169 View
  • 19 Download
  • 13 Crossref
AbstractAbstract PDF
Nosocomial, or hospital-acquired, infections are considered the most common complications affecting hospitalized patients. According to results obtained from studies conducted in the Children Medical Center Hospital, a teaching children's hospital and a tertiary care referral unit in Tehran, Iran, improvements in infection control practices in our hospital seem necessary. The aim of this study was to identify risk management and review potential hospital hazards that may pose a threat to the health as well as safety and welfare of patients in an Iranian referral hospital. Barriers to compliance and poor design of facilities, impractical guidelines and policies, lack of a framework for risk management, failure to apply behavioral-change theory, and insufficient obligation and enforcement by infection control personnel highlight the need of management systems in infection control in our hospital. In addition, surveillance and early reporting of infections, evaluation of risk-based interventions, and production of evidence-based guidelines in our country are recommended.

Citations

Citations to this article as recorded by  
  • Hospital design principles implementation: Reflections from practitioners in Thailand
    Traiwat Viryasiri, Vikrom Laovisutthichai, Kullathida Sangnin, Kawin Dhanakoses, Pakwan Roopkaew, Pundharee Viryasiri
    Journal of Asian Architecture and Building Enginee.2024; 23(1): 43.     CrossRef
  • Antimicrobial susceptibility and genotyping of microorganisms isolated from sputum culture of children with cystic fibrosis in an Iranian referral children’s hospital
    Setareh Mamishi, Arezu Akhlaghi, Babak Pourakbari, Mohammadreza Modaresi, Mohammad Taghi Haghi Ashtiani, Reihaneh Hosseinpour Sadeghi, Rohola Shirzadi, Zohreh Shalchi, Shima Mahmoudi
    Wiener Medizinische Wochenschrift.2023; 173(7-8): 182.     CrossRef
  • Linezolid and vancomycin for nosocomial infections in pediatric patients: a systematic review
    Bruno Russo Porchera, Carolina Moraes da Silva, Rayssa Pinheiro Miranda, Antônio Rafael Quadros Gomes, Pedro Henrique dos Santos Fernandes, Camili Giseli Oliveira de Menezes, Paula do Socorro de Oliveira da Costa Laurindo, Maria Fani Dolabela, Heliton Pat
    Jornal de Pediatria.2023;[Epub]     CrossRef
  • Three-year evaluation of the nosocomial infections in pediatrics: bacterial and fungal profile and antimicrobial resistance pattern
    Mehrnoush Afsharipour, Shima Mahmoudi, Hojatollahh Raji, Babak Pourakbari, Setareh Mamishi
    Annals of Clinical Microbiology and Antimicrobials.2022;[Epub]     CrossRef
  • SARS-CoV-2 Transmission Among Healthcare Workers in Iran: An Urgent Need for Early Identification and Management
    Mohammad Reza Abdolsalehi, Shima Mahmoudi, Reza Shervin Badv, Babak Pourakbari, Kayvan Mirnia, Yasmine Mahmoudieh, Setareh Mamishi
    Infectious Disorders - Drug Targets.2022;[Epub]     CrossRef
  • Prevalence of methicillin-resistant Staphylococcus aureus in Iranian children: a systematic review and meta-analysis
    Farhad Sarrafzadeh, Seyed Mojtaba Sohrevardi, Hamid Abousaidi, Hossein Mirzaei
    Clinical and Experimental Pediatrics.2021; 64(8): 415.     CrossRef
  • Antimicrobial Resistance and Genotyping of Bacteria Isolated from Urinary Tract Infection in Children in an Iranian Referral Hospital


    Setareh Mamishi, Zohreh Shalchi, Shima Mahmoudi, Reihaneh Hosseinpour Sadeghi, Mohammad Taghi Haghi Ashtiani, Babak Pourakbari
    Infection and Drug Resistance.2020; Volume 13: 3317.     CrossRef
  • An Outbreak of ESBL-producing Klebsiella pneumoniae in an Iranian Referral Hospital: Epidemiology and Molecular Typing
    Shima Mahmoudi, Babak Pourakbari, Aliakbar Rahbarimanesh, Mohammad Reza Abdosalehi, Keyghobad Ghadiri, Setareh Mamishi
    Infectious Disorders - Drug Targets.2019; 19(1): 46.     CrossRef
  • Model of Healthcare-Associated Infection Control in Primary Health Care Institutions: A Structural Equation Modeling
    Zi-nan Zhang, Xin-ping Zhang, Xiao-quan Lai
    Current Medical Science.2019; 39(1): 153.     CrossRef
  • Prevalence of methicillin-resistant Staphylococcus aureus isolated from burn patients in Iran: A systematic review and meta-analysis
    Mohammad Emaneini, Reza Beigverdi, Willem B. van Leeuwen, Hosseinali Rahdar, Morteza Karami-Zarandi, Faride Hosseinkhani, Fereshteh Jabalameli
    Journal of Global Antimicrobial Resistance.2018; 12: 202.     CrossRef
  • Health care-associated infections in Iran: A national update for the year 2015
    Babak Eshrati, Hossein Masoumi Asl, Shirin Afhami, Zahra Pezeshki, Arash Seifi
    American Journal of Infection Control.2018; 46(6): 663.     CrossRef
  • Molecular epidemiology of Staphylococcus aureus nasal colonization among patients and their parents /guardian in an Iranian referral hospital
    Babak Pourakbari, Mahmoud Khodabandeh, Shima Mahmoudi, Farah Sabouni, Alireza Aziz-Ahari, Abbas Bahador, Sepideh Keshavarz Valian, Reihaneh Hosseinpour Sadeghi, Setareh Mamishi
    Microbial Pathogenesis.2017; 107: 75.     CrossRef
  • Prevalence of vancomycin-resistant Enterococcus in Iran: a systematic review and meta-analysis
    M. Emaneini, F. Hosseinkhani, F. Jabalameli, M. J. Nasiri, M. Dadashi, R. Pouriran, R. Beigverdi
    European Journal of Clinical Microbiology & Infect.2016; 35(9): 1387.     CrossRef
Article
Early Detection of Nosocomial Outbreaks Caused by Rare Pathogens: A Case Study Employing Score Prediction Interval
Hiroshi Nishiura
Osong Public Health Res Perspect. 2012;3(3):121-127.   Published online June 30, 2012
DOI: https://doi.org/10.1016/j.phrp.2012.07.010
  • 2,806 View
  • 17 Download
  • 8 Crossref
AbstractAbstract PDF
Objectives
Nosocomial outbreaks involve only a small number of cases and limited baseline data. The present study proposes a method to detect the nosocomial outbreaks caused by rare pathogens, exploiting score prediction interval of a Poisson distribution.
Methods
The proposed method was applied to three empirical datasets of nosocomial outbreaks in Japan: outbreaks of (1) multidrug-resistant Acinetobacter baumannii (n = 46) from 2009 to 2010, (2) multidrug-resistant Pseudomonas aerginosa (n = 18) from 2009 to 2010, and (3) Serratia marcescens (n = 226) from 1999 to 2000.
Results
The proposed method successfully detected all three outbreaks during the first 2 months. Both the model-based and empirically derived threshold values indicated that the nosocomial outbreak of rare infectious disease may be declared upon diagnosis of index case(s), although the sensitivity and specificity were highly variable.
Conclusion
The findings support the practical notion that, upon diagnosis of index patient(s), one should immediately start the outbreak investigation of nosocomial outbreak caused by a rare pathogen. The proposed score prediction interval can permit easy computation of outbreak threshold in hospital settings among healthcare experts.

Citations

Citations to this article as recorded by  
  • Lean back and wait for the alarm? Testing an automated alarm system for nosocomial outbreaks to provide support for infection control professionals
    Christin Schröder, Luis Alberto Peña Diaz, Anna Maria Rohde, Brar Piening, Seven Johannes Sam Aghdassi, Georg Pilarski, Norbert Thoma, Petra Gastmeier, Rasmus Leistner, Michael Behnke, Surbhi Leekha
    PLOS ONE.2020; 15(1): e0227955.     CrossRef
  • Time series non-Gaussian Bayesian bivariate model applied to data on HMPV and RSV: a case of Dadaab in Kenya
    Raymond Nyoka, Thomas N. O. Achia, Jimmy Omony, Samuel M. Musili, Anthony Gichangi, Henry Mwambi
    BMC Public Health.2019;[Epub]     CrossRef
  • Neural Network-Based Uncertainty Quantification: A Survey of Methodologies and Applications
    H. M. Dipu Kabir, Abbas Khosravi, Mohammad Anwar Hosen, Saeid Nahavandi
    IEEE Access.2018; 6: 36218.     CrossRef
  • Automated detection of hospital outbreaks: A systematic review of methods
    Brice Leclère, David L. Buckeridge, Pierre-Yves Boëlle, Pascal Astagneau, Didier Lepelletier, Andre Scherag
    PLOS ONE.2017; 12(4): e0176438.     CrossRef
  • Journal Publishing: Never Ending Saga
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2014; 5(1): 1.     CrossRef
  • Roll the Dice
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2014; 5(5): 243.     CrossRef
  • Summing Up Again
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2014; 5(4): 177.     CrossRef
  • Sample Size Considerations for One-to-One Animal Transmission Studies of the Influenza A Viruses
    Hiroshi Nishiura, Hui-Ling Yen, Benjamin J. Cowling, Maciej F. Boni
    PLoS ONE.2013; 8(1): e55358.     CrossRef

PHRP : Osong Public Health and Research Perspectives