{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T04:25:09Z","timestamp":1758860709816,"version":"3.30.1"},"reference-count":13,"publisher":"CAIRN","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2006,6,1]]},"abstract":"<jats:p>R\u00e9sum\u00e9 L\u2019infection nosocomiale (IN) occupe une place grandissante aujourd\u2019hui, en Tunisie tout comme \u00e0 l\u2019\u00e9tranger. Sa survenue est responsable d\u2019une surmorbidit\u00e9 et parfois d\u2019une surmortalit\u00e9. Le but de ce travail est de d\u00e9terminer la pr\u00e9valence des IN dans un h\u00f4pital r\u00e9gional et d\u2019en appr\u00e9cier l\u2019impact. Il s\u2019agissait d\u2019une \u00e9tude transversale men\u00e9e dans l\u2019h\u00f4pital r\u00e9gional de K\u00e9bili qui comprenait 124 lits r\u00e9partis sur 6 services. Tous les malades hospitalis\u00e9s depuis plus de 48 heures et pr\u00e9sents \u00e0 l\u2019h\u00f4pital pendant la p\u00e9riode d\u2019enqu\u00eate ont \u00e9t\u00e9 inclus. Soixante-quatre malades \u00e9taient pr\u00e9sents le jour de l\u2019\u00e9tude dont 45 hospitalis\u00e9s depuis plus de 48 heures. Parmi ces derniers, 6 patients (soit 13 %) pr\u00e9sentaient une IN, 2 infections du site op\u00e9ratoire, 2 infections urinaires, 1 pneumonie et 1 infection cutan\u00e9e. La documentation microbiologique n\u2019a \u00e9t\u00e9 retrouv\u00e9e chez aucun des 6 patients. L\u2019intervention chirurgicale, l\u2019abord veineux, la sonde v\u00e9sicale (ou l\u2019urodrop), l\u2019intubation trach\u00e9ale et l\u2019hospitalisation prolong\u00e9e \u00e9taient des facteurs d\u2019IN. Cinquante deux pour cent des patients pr\u00e9sents b\u00e9n\u00e9ficiaient d\u2019une antibioth\u00e9rapie \u00e0 l\u2019admission. En conclusion, nous avons montr\u00e9 que la pr\u00e9valence des IN dans cet h\u00f4pital \u00e9tait de 13 %. Ce type d\u2019\u00e9tude est important pour le d\u00e9veloppement et l\u2019am\u00e9lioration de la qualit\u00e9 des soins. Il est par ailleurs utile de rappeler que la majorit\u00e9 de ces infections pourrait \u00eatre pr\u00e9venue en suivant les recommandations de contr\u00f4le de l\u2019infection et d\u2019hygi\u00e8ne hospitali\u00e8re.<\/jats:p>","DOI":"10.3917\/spub.062.0187","type":"journal-article","created":{"date-parts":[[2009,4,10]],"date-time":"2009-04-10T15:48:01Z","timestamp":1239378481000},"page":"187-194","source":"Crossref","is-referenced-by-count":3,"title":["Pr\u00e9valence de l'infection nosocomiale dans un h\u00f4pital r\u00e9gional tunisien"],"prefix":"10.3917","volume":"Vol. 18","author":[{"given":"E.","family":"Dridi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Chetoui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Zaoui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1Dhidah L, Dhidah M, Miladi M. Hospital infections. study of positive bacterial case prevalence : University Hospital center of Sahloul (1992-1996) Sousse-Tunisia. Tunis Med 1998 ; 76 (1) : 996-1000."},{"key":"rb2","unstructured":"2Dhidah L, Dhidah M, Miladi M. Place de la plaie op\u00e9ratoire dans les infections nosocomiales \u2013 \u00e9tude de pr\u00e9valence au CHU Sahloul \u2013 Sousse \u2013 Tunisie. Tunisie Med 1998 ; 76 (11)."},{"key":"rb3","doi-asserted-by":"crossref","unstructured":"3Emmerson AM, Eonstone JE. The second national prevalence survey of infection in hospitals-overview of the results. J Hosp Infect 1996 ; 32 (3) : 175-90.","DOI":"10.1016\/S0195-6701(96)90144-9"},{"key":"rb4","unstructured":"4Ennigro S, Zouari B. L\u2019infection nosocomiale : un nouveau probl\u00e8me de sant\u00e9 publique en Tunisie. Microbiol Hyg Alimentaire 2002 ; 14 (41) : 41-6."},{"key":"rb5","unstructured":"5Hugonnet S, Pittet D. Infections nosocomiales : r\u00e9alit\u00e9 et impact. Med Hyg s.d. ; 2298 (20465)."},{"key":"rb6","unstructured":"6Jourdan R. Le service d\u2019hygi\u00e8ne hospitali\u00e8re : sa contribution \u00e0 la r\u00e9duction des co\u00fbts de l\u2019h\u00f4pital public. [M\u00e9moire de doctorat de 3e cycle en \u00e9conomie de sant\u00e9] octobre 1975 : 5."},{"key":"rb7","doi-asserted-by":"crossref","unstructured":"7Kallel H, Bahloul M, Ksibi H et al. Prevalence of hospital-acquired Infection in a Tunisian hospital. J Hosp Infect 2005 ; 59 (4) : 343-7.","DOI":"10.1016\/j.jhin.2004.09.015"},{"key":"rb8","unstructured":"8Khadhraoui M. Surveillance des infections nosocomiales. Enqu\u00eate de pr\u00e9valence pour passages r\u00e9p\u00e9t\u00e9s : CHU. Sahloul (1992-1995) Sousse, Tunisie. [Th\u00e8se de M\u00e9decine]. Sousse : Facult\u00e9 de M\u00e9decine, 1996 : 77 p."},{"key":"rb9","doi-asserted-by":"crossref","unstructured":"9McLaws ML, Gold J. The prevalence and community-acquired infections in Australian hospitals. Med J Aust 1998 ; 149 (11-12) : 582-90.","DOI":"10.5694\/j.1326-5377.1988.tb120795.x"},{"key":"rb10","unstructured":"10Njah M, Nouira A, Hani K. Estimation des co\u00fbts associ\u00e9es aux infections Hospitali\u00e8res. Microbiol Hyg Alimentaire 2002 ; 14 (39) : 33-6."},{"key":"rb11","unstructured":"11Njah M, Nouira A, Naija O. Le risque infectieux aux cours des gestes de soins. Rev Tunis Sante Militaire 2001 ; 3 (4) : 316-21."},{"key":"rb12","unstructured":"12Skxd H, DmDah L, Kacem K. Changement de pansement et risque infectieux des plaies op\u00e9ratoires. \u00c9tude prospective dans un service de chirurgie cardio-vasculaire. (Non publi\u00e9)."},{"key":"rb13","unstructured":"13Tohme A, Karam-Sarkis D, El-rassi R. Agents and conseqences of nosocomial Infections in a Lebanese University Hospital. Retrospective study over a two \u2013 year period. Ann Med Interne (Paris) 2001 ; 152 (2) : 77-83."}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T13:30:36Z","timestamp":1702647036000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cairn.info\/revue-sante-publique-2006-2-page-187.htm?ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2006,6,1]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006,6,1]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.062.0187","relation":{},"ISSN":["0995-3914"],"issn-type":[{"type":"print","value":"0995-3914"}],"subject":[],"published":{"date-parts":[[2006,6,1]]}}}