Hospital Infection Rates in a Neurology Intensive Care Unit in a One-year Period: Pathogenic and Clinical Evaluation

Eren, Fettah; Öngün, Gözde; Ural, Onur; Öztürk, Şerefnur

doi:10.4274/tnd.59002

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…Ventilatöre bağlı hasta takibi oranı %30, VİP hızı %13,4, üriner kateter kullanım oranı %92, Kİ-İYE hızı %10,6, santral venöz kateter kullanım oranı %15, SKİ-KDE hızı %3,39 olarak bulunmuştur. 13 NYBÜ enfeksiyonlarının değerlendirildiği bir başka çalışmada, en sık SHİE olarak %28,2 oranı ile pnömoni dışında gelişen diğer alt solunum yolu enfeksiyonu saptanmıştır. Çalışmamızdan farklı olarak VİP hızı %1,34, Kİ-İYE hızı %3,45, çalışmamıza benzer şekilde SKİ-KDE hızı %8,61 olarak bulunmuştur.…”

Section: Discussionunclassified

Hospital Infection Rates in Neurology Intensive Care Unit of a University Hospital: Retrospective Study

GÜLEÇ¹,

BENLİCAN²

2022

Turkiye Klinikleri J Med Sci

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Sağlık hizmeti ilişkili enfeksiyonlar (SHİE) tüm dünyada özellikle yoğun bakım ünitesinde (YBÜ) yatan hastalarda önemli bir sorun olarak karşımıza çıkmaktadır. Nörolojik hasta popülasyonu, hastalıklarının şiddeti, uzamış yoğun bakım gereksinimi, invaziv araçlara maruz kalma nedeniyle bu enfeksiyonlara açık bir gruptur. Bu çalışmada, hastanemiz nöroloji YBÜ'de (NYBÜ) SHİE sürveyansının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: NYBÜ'de 1 Ocak 2019-30 Haziran 2020 tarihleri arasında yatan hastalardan SHİE tanısı konan hastalar çalışmaya dâhil edilmiştir. Saptanan enfeksiyonlar, enfeksiyon hızları, invaziv araç ilişkili enfeksiyon oranları, etken mikroorganizmalar ve mortalite oranları retrospektif olarak incelenmiştir. NYBÜ'ye yatıştan sonraki ilk 48 saat içinde ölen ya da 48 saatten daha az yoğun bakımda kalan hastalar değerlendirilme dışında bırakılmıştır. Bulgular: NYBÜ'de yatan 210 hastadan 45 hastada 75 SHİE atağı saptanmıştır. Hastaların 26'sı (%57,8) kadın, 19'u (%42,2) erkektir. Yaş ortalaması 70,37±15,30'dur. NYBÜ'deki enfeksiyonlar tüm hastane enfeksiyonlarının %4,8'ini oluşturmaktadır. En sık saptanan SHİE pnömonidir (%61,3). Ventilatörle ilişkili pnömoni hızı 1.000 araç gününde %12,45 olarak hesaplanmıştır. Bu ünitede 18 ayda SHİE etkeni olarak 17 farklı mikroorganizma tespit edilmiştir. En sık saptanan etken Pseudomonas spp. (%30,4) idi. NYBÜ'de yatan hastalarda mortalite %23,3, SHİE gelişen grupta ise mortalite %46,6 olarak saptanmıştır. Sonuç: Hastanelerin düzenli enfeksiyon sürveyansı yapması ile olası salgınların erken saptanması, ampirik tedavinin ve enfeksiyon kontrol önlemlerinin doğru planlanması sağlanabilir. Hastanemiz NYBÜ için ventilatörle ilişkili pnömoni ve santral kateter ilişkili kan dolaşımı enfeksiyonlarından korunma yöntemlerine öncelik verilmesi önem arz etmektedir. Anah tar Ke li me ler: Sağlık hizmeti ilişkili enfeksiyon; sürveyans; nöroloji yoğun bakım ünitesi ABS TRACT Objective: Healthcare-associated infections (HAI) are a major problem all over the world, especially among patients hospitalized in the intensive care unit (ICU). Neurology patients are vulnerable to HAI because of their own illness, long ICU stay, and invasive devices. In this study, we aimed to evaluate infection surveillance in the neurology ICU (NICU) of our hospital. Material and Methods: Patients who were hospitalized in the NICU between January 1, 2019 and June 30, 2020 and diagnosed with HAI were included in the study. The infection types and rates, invasive device-associated infection rates, causative microorganisms and mortality rates were analyzed retrospectively. Patients who died within the first 48 hours after admission to the NICU or who were in the ICU for less than 48 hours were excluded from the study. Results: Seventy-five HAI attacks were detected in 45 patients out of 210 hospitalized in the NICU. Of the patients, 26 (57.8%) were female and 19 (42.2%) were male. The mean age was 70.37±15.30 years. Infections in the NICU account for 4.8% of all hospital infections. The most common HAI...

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Section: Discussionunclassified

Hospital Infection Rates in Neurology Intensive Care Unit of a University Hospital: Retrospective Study

GÜLEÇ¹,

BENLİCAN²

2022

Turkiye Klinikleri J Med Sci

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“…Another study identified that bacterial load in the ICU medical charts was 2 to 4-fold higher than any other department, Chen et al(2014).Further etiologies were listed by other physicians, in which they found that understaffed NICU puts pressure on the current workers, which results in decreasing the quality of care, increasing the errors and the rates of HI, ventilated patients who require more staffing are more predisposed to these complications, providing the perfect number of nurses can actually decrease the ventilator-associated pneumonia. Eren et al(2017).…”

Section: Discussionmentioning

confidence: 99%

Extent of microbiological contamination among swabs drawn from selected wards and kitchens at AL -Yarmouk Teaching Hospital in Baghdad –Iraq

Alrawi¹,

Mohammed²,

Assi³

et al. 2019

ATMPH

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Objective: To evaluate the level of contamination in different hospital's wards and kitchens in AL-Yarmouk teaching hospital in Baghdad -Iraq. Method:The study was done from the 1 st of January, 2017 to the 30 th of June, 2019. A total of 7742sterile cotton swabs were collected randomly from the following wards: Burns, RCU, CCU, NICU, (Dialysis, Bronchoscopy, Endoscopy) unites and Kitchens. Samples were cultured in different agars and incubated for 24-48 hrs at 25 °C and 37 °C for fungi and bacterial growth, respectively.Results: Out of 7742 sample, 1227 swabs were reported positive. By 2017, Gram-positive bacteria were more prevalent with 59.5%, and Bacillus was the most common isolated .The rates of Gram-negative bacteria became more predominant with 54.9% and 69.4% in 2018 and 2019, respectively and E. coli was the main isolated bacteria with prevalence rates of 32.1% in (2018) and 42.4% in (2019). The most contaminated wards were

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Üçüncü Basamak Bir Yoğun Bakımda Görülen Sağlık Bakımı İlişkili Enfeksiyonların Değerlendirilmesi

Çölkesen

2020

Journal of Contemporary Medicine

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In this study, we aimed to determine the epidemiological characteristics of infections detected in a tertiary ICU of our hospital and to evaluate the transmission routes. Material and Method: A total of 1278 patients who were followed up in the ICU for two years were analyzed retrospectively. Health-care associated infection (HAI) diagnoses were evaluated according to the "Centers for Disease Control and Prevention (CDC)" criteria. Results: Fifty-seven of the patients who were followed up were diagnosed with HAI, and 54 pathogens were detected. The rate of HAI development among patients hospitalized in the ICU was 5.24%. In this unit; mechanical ventilator day was 3483, rate of ventilator utilization was 51%, speed of VAP was 0.86, UC day was 6734, rate of UC utilization was 100%, speed of CR-UTI was 0.89, CVC day was 4327, rate of CVC utilization was 63%, speed of CVCR-BSI was determined as 3.93. Pneumonia with specific laboratory findings was the most common infection in patients with HAI (33.4%). Other infections of the lower respiratory tract (31.6%), CVCR-BSI (14%), CR-UTI (7%), VAP (5.2%), clinically defined pneumonia (5.2%),soft tissue infection (1.8%) and laboratory-proven BSI (1.8%) respectively, were followed. Eleven different microorganisms were determined as the pathogens of HAI. The bacteriological profile causing HAI in the study, Gram-negative and Grampositive pathogens were 87,1% and 12.9%, respectively. Acinetobacter baumanni was the most common pathogen (51.9%). Other pathogens were Pseudomonas aeruginosa (11.1%), Klebsiella pneumoniae (9.3%), Staphylococcus aureus (5.6%), Escherichia coli (5.6%), Stenotrophomonas maltophila (5.6%), Enterococcus faecium (3.7%), Acinetobacter lwoffi (1.9%), Enterococcus faecalis (1,9%), Coagulase-negative staphylococcus (1.9%) and Enterobacter cloacae (1.9%). Conclusion: Each unit should determine its patient profile, flora and resistance patterns by conducting surveillance studies and plan treatment strategies accordingly.

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Hospital Infection Rates in a Neurology Intensive Care Unit in a One-year Period: Pathogenic and Clinical Evaluation

Cited by 6 publications

References 10 publications

Hospital Infection Rates in Neurology Intensive Care Unit of a University Hospital: Retrospective Study

Hospital Infection Rates in Neurology Intensive Care Unit of a University Hospital: Retrospective Study

Extent of microbiological contamination among swabs drawn from selected wards and kitchens at AL -Yarmouk Teaching Hospital in Baghdad –Iraq

Üçüncü Basamak Bir Yoğun Bakımda Görülen Sağlık Bakımı İlişkili Enfeksiyonların Değerlendirilmesi

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