Ankara Üniversitesi Tıp Fakültesi Hastaneleri Yoğun Bakım Ünitelerinde 2012-2013 Yılı İnvazif Alet İlișkili Enfeksiyon Hızlarının Değerlendirilmesi
Abstract
Objectives: ‘Nosocomial infections’, recently expanded as ‘healthcare associated infections’ (HAI), are one of the most important factors determining the quality of services in healtcare settings. In this study, surveillance results of intensive care units (ICU) in 2012 – 2013 were presented.
Material-Methods: Invasive device related infection (IDRI) surveillance data of ICUs in Ankara University Faculty of Medicine Hospitals, which was performed by Infection Control Committee, in 2012 and 2013 was evaluated.
Results: The nosocomial infection incidence was 21.49 per 1000 days in 2012 and 18,12 per 1000 days in 2013. Device utilization rates in both years were; 0,023 and 0,032 for ventilator, 0,010 and 0,0069 for central catheter and 0,0054 and 0,0067 for urinary catheter, respectively. Ventilator associated pneumonia (VAP) rate was 23,80 and 32,71, central venous catheter related bacteremia (CVCRB) rate 10,4 and 6,95 and urinary catheter related infection (UCRI) rate 5,43 and 6,75 in 2012 and 2013, respectively. Although the incidence of VAP increased, there was a significant decrease in the rates of CVCRB. The rates of gram negative microorganisms causing HAI were higher than the gram negatives, Acinetobacter spp was the most common pathogen even panresistant isolates were reported.
Conclusion: The most important steps of success in health care associated infections are being a good team and providing continous-safe surveillance data by coming together with your team and assesing them effectively by feedbacks
Keywords
Hospital acquired infection, health care associated infection, invasive device related infection, surveillance, intensive care unit
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