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

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 and Attila Nagy ()
Additional contact information
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

IJERPH, 2022, vol. 19, issue 23, 1-16

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.

Keywords: community-acquired infections; gastroenteritis; enteric pathogen; respiratory infections; influenza; multidrug-resistant bacteria; length of hospital stay; mortality; Hungary (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/23/15935/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/23/15935/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:23:p:15935-:d:988152

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().