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Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance

Yıl 2020, Cilt: 47 Sayı: 3, 542 - 549, 25.09.2020
https://doi.org/10.5798/dicletip.799633

Öz

Objective: Nosocomial infections (NI) raise costs due to the increased in mortality and long-term hospitalization. There are more NIs in intensive care units (ICU) probably due to invasive procedures. In order to reduce NIs, the most important step in terms of prevention is the identification of the common pathogens with their infection rates among these units. For this purpose, the centers should conduct surveillance studies and often evaluate their data.
Methods: We evaluated the infection rates and ratios, between January 1st, 2014 and August 31st, 2019 in Reanimation Intensive Care Unit (ICU) in our hospital. Method of the surveillance was, prospective, active, laboratory and patient based.
Results: In our reanimation ICU, 1591 patients were followed up during the study period. 192 NIs were observed in 179 patients on 21,840 intensive care days. NI rate was found to be 11.25 and Infection density rate was found to be 8.20 and their change over the years was examined. Analysis regarding the source of infections revealed that ventilator-related pneumonia (27.08%) and central venous catheter-related blood-stream infection (25.52%) was most commonly observed during the study period. The ventilator usage rate was 0.54 (11.859 ventilator days) and the central venous catheter usage rate was 0.94 (20.566 catheter days) in the study period. Acinetobacter baumannii (n = 96, 50%), Pseudomonas aeruginosa (n = 24, 12.5%) and Klebsiella pneumonia (n = 18, 9.38%) were most commonly isolated.

Kaynakça

  • 1.Sheng WH, Wang JT, Lin MS, et al. Risk factorsaffecting inhospital mortality in patients withnosocomial infections. J Formos Med Assoc. 2007;106: 110-8.
  • 2.Akalın H. Infections in intensive care units: riskfactors and epidemiology. Turk J Hosp Infect. 2001;5: 5-16.
  • 3.Eggiman P, Pillet D - Infection control in the ICU.Chest Journal, 2001; 120: 2059-93.
  • 4.Çağatay Atahan A, Özsüt H. Infections andantimicrobial therapy in intensive care unit. YoğunBakım Dergisi. 2001; 1: 21-32.

Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance

Yıl 2020, Cilt: 47 Sayı: 3, 542 - 549, 25.09.2020
https://doi.org/10.5798/dicletip.799633

Öz

Objective: Nosocomial infections (NI) raise costs due to the increased in mortality and long-term hospitalization. There are more NIs in intensive care units (ICU) probably due to invasive procedures. In order to reduce NIs, the most important step in terms of prevention is the identification of the common pathogens with their infection rates among these units. For this purpose, the centers should conduct surveillance studies and often evaluate their data.
Methods: We evaluated the infection rates and ratios, between January 1st, 2014 and August 31st, 2019 in Reanimation Intensive Care Unit (ICU) in our hospital. Method of the surveillance was, prospective, active, laboratory and patient based.
Results: In our reanimation ICU, 1591 patients were followed up during the study period. 192 NIs were observed in 179 patients on 21,840 intensive care days. NI rate was found to be 11.25 and Infection density rate was found to be 8.20 and their change over the years was examined. Analysis regarding the source of infections revealed that ventilator-related pneumonia (27.08%) and central venous catheter-related blood-stream infection (25.52%) was most commonly observed during the study period. The ventilator usage rate was 0.54 (11.859 ventilator days) and the central venous catheter usage rate was 0.94 (20.566 catheter days) in the study period. Acinetobacter baumannii (n = 96, 50%), Pseudomonas aeruginosa (n = 24, 12.5%) and Klebsiella pneumonia (n = 18, 9.38%) were most commonly isolated.

Kaynakça

  • 1.Sheng WH, Wang JT, Lin MS, et al. Risk factorsaffecting inhospital mortality in patients withnosocomial infections. J Formos Med Assoc. 2007;106: 110-8.
  • 2.Akalın H. Infections in intensive care units: riskfactors and epidemiology. Turk J Hosp Infect. 2001;5: 5-16.
  • 3.Eggiman P, Pillet D - Infection control in the ICU.Chest Journal, 2001; 120: 2059-93.
  • 4.Çağatay Atahan A, Özsüt H. Infections andantimicrobial therapy in intensive care unit. YoğunBakım Dergisi. 2001; 1: 21-32.
Toplam 4 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Original Articles
Yazarlar

Berna Kaya Ugur Bu kişi benim

Ayse Ozlem Mete Bu kişi benim

Yayımlanma Tarihi 25 Eylül 2020
Gönderilme Tarihi 8 Kasım 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 47 Sayı: 3

Kaynak Göster

APA Kaya Ugur, B., & Mete, A. O. (2020). Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance. Dicle Medical Journal, 47(3), 542-549. https://doi.org/10.5798/dicletip.799633
AMA Kaya Ugur B, Mete AO. Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance. diclemedj. Eylül 2020;47(3):542-549. doi:10.5798/dicletip.799633
Chicago Kaya Ugur, Berna, ve Ayse Ozlem Mete. “Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance”. Dicle Medical Journal 47, sy. 3 (Eylül 2020): 542-49. https://doi.org/10.5798/dicletip.799633.
EndNote Kaya Ugur B, Mete AO (01 Eylül 2020) Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance. Dicle Medical Journal 47 3 542–549.
IEEE B. Kaya Ugur ve A. O. Mete, “Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance”, diclemedj, c. 47, sy. 3, ss. 542–549, 2020, doi: 10.5798/dicletip.799633.
ISNAD Kaya Ugur, Berna - Mete, Ayse Ozlem. “Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance”. Dicle Medical Journal 47/3 (Eylül 2020), 542-549. https://doi.org/10.5798/dicletip.799633.
JAMA Kaya Ugur B, Mete AO. Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance. diclemedj. 2020;47:542–549.
MLA Kaya Ugur, Berna ve Ayse Ozlem Mete. “Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance”. Dicle Medical Journal, c. 47, sy. 3, 2020, ss. 542-9, doi:10.5798/dicletip.799633.
Vancouver Kaya Ugur B, Mete AO. Evaluation of Nosocomial Infections in Reanimation Intensive Care Unit: Analysis of Six Years Surveillance. diclemedj. 2020;47(3):542-9.