Risk Factors of Nosocomial Infections in a Neurosurgery Clinic

Yıl 2017, Cilt: 6 Sayı: 3, 114 - 119, 01.09.2017

Deniz Borcak Aygül Doğan Çelik Gül Durmuş

https://doi.org/10.5505/abantmedj.2017.38233

Öz

INTRODUCTION: Nosocomial infections are acquired during hospital care which were not present or incubating at the time of the patients admission to the hospital. They occur more than 48 to 72 hours after admission and up to 10 days after hospital discharge. The aim of the present study was to determine Neurosurgery Clinics nosocomial infection rates, infecting microorganisms, and their resistance patterns to achieve standardization and make comparisons among other Turkish and developed country hospitals. METHODS: In this study risk factors for nosocomial infection development in neurosurgery patients were analyzed by reviewing patient cards retrospectively, and recording microbiological culture results. RESULTS: Seventy eight nosocomial infection attacks were defined in 57 patients and the incidence of nosocomial infection attacks were 10.34. Of the nosocomial infection attacks 53.8 was pneumonia, 15.4 was urinary tract infection, 12.8 was surgical site infection, 11.5 was central nervous system infection and 6.4 was catheter related blood stream infection. Acinetobacter baumanii, Pseudomonas aeruginosa and Methicillin sensitive Staphylococcus aureus remained the most common pathogens isolated from nosocomial infections. Factors significantly associated with hospital acquired infection were as follows: age 65 years , smoking cigarette, faecal incontinence, malignity and recurrent operation.DISCUSSION AND CONCLUSION: Its important to determine the risk factors for nosocomial infection development and to identify the causative microorganisms to improve infection control and preventive programs.

Anahtar Kelimeler

Nosocomial infections, neurosurgery

Beyin e Sinir Cerrahisi Kliniğinde Hastane Kökenli Enfeksiyonların Risk Faktörleri

Öz

GİRİŞ ve AMAÇ: Hastane enfeksiyonları hastanın hastaneye başvurusu esnasında bulunmayan veya inkübasyon döneminde olmayan, hastaneye başvurduktan 48-72 saat sonra veya hastaneden taburcu olduktan sonraki 10 gün içinde gelişen enfeksiyonlardır. Standardizasyonu sağlamak, Türkiye ve gelişmiş ülkelerin hastaneleri ile karşılaştırma yapabilmek için Beyin Cerrahisi Kliniğindeki hastane enfeksiyonu oranlarını, enfeksiyon etkeni mikroorganizmaları ve direnç kalıplarını belirlemek amaçlanmıştır. YÖNTEM ve GEREÇLER: Bu çalışmada beyin cerrahisi hastalarında hastane enfeksiyonu gelişimindeki risk faktörleri hasta kayıtları gözden geçirilerek ve hasta bilgileri ile mikrobiyoloji kültür sonuçları kaydedilerek analiz edilmiştir. BULGULAR: alışmada 57 hastada 78 hastane enfeksiyonu atağı belirlendi ve hastane enfeksiyonu hızı 10,34 olarak tespit edildi. Hastane enfeksiyon ataklarının 53,8i pnömoni, 15.4ü üriner sistem enfeksiyonu, 12,8i cerrahi alan enfeksiyonu, 11.5i merkezi sinir sistemi enfeksiyonu, 6.4ü kateter ilişkili kan dolaşım enfeksiyonuydu. Hastane enfeksiyonlarından en sık izole edilen etkenler Acinetobacter baumanii 16,4 , Pseudomonas aeruginosa 16,4 ve Metisilin duyarlı Staphylococcus aureus 16,4 idi. Yaşın 65 üzerinde olması, sigara kullanımı, fekal inkontinans, malignite, birden fazla cerrahi girişim varlığının hastane enfeksiyonu gelişiminde risk faktörü olduğu saptanmıştır. TARTIŞMA ve SONUÇ: Hastane enfeksiyonu gelişiminde rol oynayan risk faktörlerinin tanımlanması, etken mikroorganizmaların belirlenmesi enfeksiyon kontrol ve önleme programlarını geliştirilmesi, beyin cerrahisi hastasının değerlendirilmesi, tanı ve tedavisine yaklaşımda önemlidir.

Anahtar Kelimeler

Nozokomiyal enfeksiyonlar, beyin ve

Kaynakça

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