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Comparison of Length of Hospital Stay for Community-Acquired Infections Due to Enteric Pathogens, Influenza Viruses and Multidrug-Resistant Bacteria: A Cross-Sectional Study in Hungary

Author

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  • Nikolett Orosz

    (Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary)

  • Tünde Tóthné Tóth

    (Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary)

  • Gyöngyi Vargáné Gyuró

    (Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary)

  • Zsoltné Tibor Nábrádi

    (Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary)

  • Klára Hegedűsné Sorosi

    (Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary)

  • Zsuzsa Nagy

    (Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary)

  • Éva Rigó

    (Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary)

  • Ádám Kaposi

    (Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary)

  • Gabriella Gömöri

    (Department of Hospital Hygiene, University of Debrecen Clinical Centre, 4032 Debrecen, Hungary)

  • Cornelia Melinda Adi Santoso

    (Department of Health Informatics, Faculty of Health Sciences, University of Debrecen, 4028 Debrecen, Hungary)

  • Attila Nagy

    (Department of Health Informatics, Faculty of Health Sciences, University of Debrecen, 4028 Debrecen, Hungary)

Abstract

Community-acquired infections (CAI) can affect the duration of care and mortality of patients. Therefore, we aimed to investigate these as well as factors influencing the length of hospital stay in patients with CAI due to enteric pathogens, influenza viruses and multidrug-resistant (MDR) bacteria. We obtained data on 531 patients with CAI from the medical databases of a Hungarian university hospital and analyzed their characteristics using a regression model. Patients with MDR bacterial infection had the highest mortality (26.24%) and they stayed significantly longer in the hospital than cases with other CAIs. Our results showed that infection by Clostridioides difficile (odds ratio (OR): 6.98, 95% confidence interval (CI): 1.03–47.48; p = 0.047), MDR Escherichia coli (OR: 7.64, 95% CI: 1.24–47.17; p = 0.029), MDR Klebsiella spp. (OR: 7.35, 95% CI: 1.15–47.07; p = 0.035) and hospitalization in the department of pulmonology (OR: 5.48, 95% CI: 1.38–21.76; p = 0.016) and surgery (OR: 4.19, 95% CI: 1.18–14.81; p = 0.026) significantly increased, whereas female sex (OR: 0.62, 95% CI: 0.40–0.97; p = 0.037) and hospitalization in the department of pediatrics (OR: 0.17, 95% CI: 0.04–0.64; p = 0.009) decreased the odds of staying in the hospital for more than 6 days. Our findings provide new information on the epidemiology of CAI and can contribute to the development of public health programs that decrease the burden of infections acquired in the community.

Suggested Citation

  • Nikolett Orosz & Tünde Tóthné Tóth & Gyöngyi Vargáné Gyuró & Zsoltné Tibor Nábrádi & Klára Hegedűsné Sorosi & Zsuzsa Nagy & Éva Rigó & Ádám Kaposi & Gabriella Gömöri & Cornelia Melinda Adi Santoso & A, 2022. "Comparison of Length of Hospital Stay for Community-Acquired Infections Due to Enteric Pathogens, Influenza Viruses and Multidrug-Resistant Bacteria: A Cross-Sectional Study in Hungary," IJERPH, MDPI, vol. 19(23), pages 1-16, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15935-:d:988152
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    References listed on IDEAS

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