Evidence map›Paper›PMID 36706112›Full record

SynthesisPloS one2023

Global prevalence of nosocomial infection: A systematic review and meta-analysis.

Samira Raoofi, Fatemeh Pashazadeh Kan, Sima Rafiei, Zahra Hosseinipalangi, Zahra Noorani Mejareh, Saghar Khani, Bahare Abdollahi, Fatemeh Seyghalani Talab, Mohaddeseh Sanaei, Farnaz Zarabi and 31 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 5 pooled it
50.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 5 syntheses or guidelines pooled it, 235 citations in OpenAlex.

  1. Pooled it
  2. Nursing Students' Knowledge Among Healthcare-Associated Infections: A Systematic Review.International journal of environmental research and public health · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Observational
  7. Article
  8. Applicability of Nanopore-only whole-genome sequencing forJournal of clinical microbiology · 2026
    Article
  9. Beyond the Reported Numbers:Antibiotics (Basel, Switzerland) · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

67 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

41 authors at 7 institutions in 2 countries.

Samira RaoofiSchool of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-3321-6305
Fatemeh Pashazadeh KanStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Sima RafieiSocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Zahra HosseinipalangiStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Zahra Noorani MejarehStudent Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Saghar KhaniStudent Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Bahare AbdollahiStudent Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Fatemeh Seyghalani TalabSocial Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Mohaddeseh SanaeiStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-9510-7326
Farnaz ZarabiDepartment of Anesthesia, School of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
Yasamin DolatiStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Niloofar AhmadiStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Neda RaoofiCardiovascular Research Center Kermanshah, Kermanshah, Iran.
Yasamin SarhadiStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Maryam MasoumiClinical Research and Development Center, Qom University of Medical Sciences, Qom, Iran.
Batool Sadat HosseiniDepartment of Anesthesia, School of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
Negin ValiShahid AkbarAbadi Clinical Research Development unit (SHACRDU), Iran University of Medical Sciences, Tehran, Iran.
Negin GholamaliStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Saba AsadiHealth Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Saba AhmadiStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Behrooz AhmadiClinical Research Development Center, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Zahra Beiramy ChomaluStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Elnaz AsadollahiStudent Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Mona RajabiSocial Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Dorsa GharagozlooDepartment of Molecular and Cellular Sciences, Faculty of Advanced Sciences and Technology, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Zahra NejatifarSocial Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Rana SoheyliradSocial Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Shabnam JalaliStudent Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Farnaz AghajaniStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Mobina NavidriahyStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Sama DeylamiStudent Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Mahmoud NasiriResearcher at Toward Evidence (http://towardevidence.co.uk/), Glasgow, United Kingdom.
Mahsa ZareeiStudent Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Zahra GolmohammadiStudent Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Hamideh ShabaniStudent Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Fatemeh TorabiStudent Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Hosein ShabaninejadPopulation Health Sciences Institute (PHSI), Newcastle University, Newcastle, United Kingdom.
Ali NematiStudent Research Committee, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Mohammad AmerzadehSocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Aidin AryankhesalDepartment of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Ahmad GhashghaeeSchool of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0002-3607-666X
Iran University of Medical Sciences · IRQazvin University of Medical Sciences · IRIslamic Azad University Medical Branch of Tehran · IRKermanshah University of Medical Sciences · IRNewcastle University · GBQom University of Medical Science and Health Services · IRUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHospital-acquired infections (HAIs) are significant problems as public health issues which need attention. Such infections are significant problems for society and healthcare organizations. This study aimed to carry out a systematic review and a meta-analysis to analyze the prevalence of HAIs globally.

methodsWe conducted a comprehensive search of electronic databases including EMBASE, Scopus, PubMed and Web of Science between 2000 and June 2021. We found 7031 articles. After removing the duplicates, 5430 studies were screened based on the titles/ abstracts. Then, we systematically evaluated the full texts of the 1909 remaining studies and selected 400 records with 29,159,630 participants for meta-analysis. Random-effects model was used for the analysis, and heterogeneity analysis and publication bias test were conducted.

resultsThe rate of universal HAIs was 0.14 percent. The rate of HAIs is increasing by 0.06 percent annually. The highest rate of HAIs was in the AFR, while the lowest prevalence were in AMR and WPR. Besides, AFR prevalence in central Africa is higher than in other parts of the world by 0.27 (95% CI, 0.22-0.34). Besides, E. coli infected patients more than other micro-organisms such as Coagulase-negative staphylococci, Staphylococcus spp. and Pseudomonas aeruginosa. In hospital wards, Transplant, and Neonatal wards and ICU had the highest rates. The prevalence of HAIs was higher in men than in women.

conclusionWe identified several essential details about the rate of HAIs in various parts of the world. The HAIs rate and the most common micro-organism were different in various contexts. However, several essential gaps were also identified. The study findings can help hospital managers and health policy makers identify the reason for HAIs and apply effective control programs to implement different plans to reduce the HAIs rate and the financial costs of such infections and save resources.

Indexed as

Cross InfectionEscherichia coliFemaleHospitalsHumansInfant, NewbornMalePrevalenceStaphylococcus

Identifiers

PMID36706112
PMCPMC9882897
OpenAlexW4318250064

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.