Nosocomial Infections And Agents Determined By Consultations In Intensive Care Unit

Büyüktuna, Seyit Ali; Turhan, Özge; Cengiz, Melike; Ramazanoğlu, Atilla; Yalcin, Ata Nevzat

doi:10.5174/tutfd.2008.01343.1

Cited by 4 publications

(5 citation statements)

References 16 publications

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“…However, as previously shown and reaffirmed in the INICC report, which includes our ICU data, ICUs in developing countries have rates of CLABSI, VAP, and CAUTI three to five times higher than the rates reported in North American ICUs (15)(16)(17)33). Although our survey showed a decreasing trend in the CLABSI rate, we must show a more concerted effort to reduce this rate.…”

Section: Discussionsupporting

confidence: 77%

Impact of Education and Process Surveillance on Device-Associated Health Care-Associated Infection Rates in a Turkish ICU: Findings of the International Nosocomial Infection Control Consortium (INICC)

Dilek¹,

Ülger²,

Esen³

et al. 2012

Balkan Med J

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Objective: The aim of this study was to analyze the impact of process and outcome surveillance on rates of device-associated health care-associated infections (DA-HAI) in an intensive care unit (ICU) in Turkey over a four-year period. Material and Methods:An open label, prospective cohort, active DA-HAI surveillance study was conducted on 685 patients admitted to the ICU of a university hospital in Turkey from January 2004 to December 2007, implementing the methodology developed by the International Nosocomial Infection Control Consortium. DA-HAI rates were recorded according to Centers for Disease Control and Prevention (CDC), National Healthcare Safety Network (NHSN) definitions. We analyzed the rates of DA-HAI, mechanical ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CLA-BSI), and catheter-associated urinary tract infection (CAUTI), as well as microorganism profile, extra length of stay, and hand hygiene compliance. Pooled DA-HAI rates were calculated and compared by year.Results: The DA-HAI rate per 100 patients declined as follows: for 2004, the DA-HAI rate was 58.4%; for 2005, it was 38.9%; for 2006, it was 34.8%; and for 2007, it was 10.9%. The DA-HAI rate per 1,000 bed-days also declined: for 2004, it was 42.8, and for 2007 it was 10.7. The rates decreased from 25.8 to 13.4 for VAP; from 29.9 to 25.0 for CLA-BSI; and from 9.2 to 6.2 for CAUTI cases per 1,000 device-days during the study period.Conclusion: Process and outcome surveillance of DA-HAI significantly reduced DA-HAI.

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Section: Discussionsupporting

confidence: 77%

Impact of Education and Process Surveillance on Device-Associated Health Care-Associated Infection Rates in a Turkish ICU: Findings of the International Nosocomial Infection Control Consortium (INICC)

Dilek¹,

Ülger²,

Esen³

et al. 2012

Balkan Med J

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“…Staphylococcus aureus (S. aureus) was the most commonly isolated bacteria among the GP bacteria. Again, in a study conducted by Büyüktuna et al, [21] P. aeruginosa ranked first in GN, followed by A. baumannii and K. pneumoniae. Staphylococcus aureus was the most commonly isolated bacteria among the GP bacteria.…”

Section: Discussionmentioning

confidence: 91%

The efficacy of empirical antibiotic treatment and resistance on mortality in an internal medicine intensive care unit

et al. 2021

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Objectives: This study aimed to determine the efficacy and resistance of empirical antibiotics (EA) in patients admitted to the Internal Medicine Intensive Care Unit (ICU) due to community-acquired infections according to the infectious agents in the follow-up of patients and to determine its relationship on mortality. Patients and methods: A total of 162 patients (78 males, 84 females; mean age 74.7±13.5 years; range 22 to 98 years) with community-acquired infections, followed in Medeniyet University, Göztepe Training and Research Hospital Internal Medicine Intensive Care Unit between March 2015 and March 2017, were included in this study. The patients’ age, sex, comorbidities, diagnoses, EA, culture antibiogram, and mortality outcomes were all recorded retrospectively. Results: The most common (50%) comorbidity was hypertension. The common diagnosis on admission was pneumonia (46.2%). Acinetobacter Baumannii was the most isolated bacterium. The most frequently used group of EA was carbapenems (46.9%). Culture antibiogram results showed resistance to the EA in 42.6% of the patients. Empirical antibiotics were replaced with other antibiotics in 46.9% of the patients. When compared to the susceptible group, mortality was higher in the resistant group to the EA. Conclusion: In this study; antibiotic resistance was found to affect mortality in patients admitted to the Internal Medicine ICU for community-acquired infections.

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“…Büyüktuna et al (2010) have demonstrated that one of the pathogens of nosocomial infections was Staphylococcus spp. (16.7%) in an intensive care unit (24).…”

Section: Discussionmentioning

confidence: 99%

“…Büyüktuna et al (2010) have demonstrated that one of the pathogens of nosocomial infections was Staphylococcus spp. (16.7%) in an intensive care unit (24). The choice of drugs to be used against MRSA is shrinking day by day, as susceptibility of MRSA to drugs is decreasing by target site alteration, enzyme modification and permeability changes (25).…”

Section: Discussionmentioning

confidence: 99%

Effects of Fermented Sumach on the Formation of Slime Layer of Staphylococcus aureus

Kırmusaoğlu¹,

Yurdugül²,

Koçoğlu³

2012

Balkan Med J

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Objective: Staphylococcus aureus (S. aureus) is one of the most commonly isolated bacterial pathogens in hospitals, and the most frequent cause of nosocomial infections. Nosocomial staphylococcal foreign-body infections related to biofilm formation are a serious threat, demanding new therapeutic and preventive strategies. Implantation of intravenous catheters and surgical implantation of prosthetic implants carry a risk of infection. In order to prevent all these effects of biofilms, a study was designed to observe the possible antibacterial effect of sumach (Rhus coriaria) on the biofilm formation of S. aureus. Material and Methods:The influence of varying concentrations of sumach on the formation of biofilms by 13 strains of Staphylococcus aureus was tested by a microelisa assay.Results: The significant differences between varying concentrations of sumach (0.1, 0.2, 0.5 and 1.0 µl/ml) were observed in four methicillin resistant Staphylococcus aureus (MRSA) and nine methicillin sensitive Staphylococcus aureus (MSSA) (p<0.05). In bacteria, a dose-related decrease in the formation of slime, which is a major virulence factor of staphylococcal infections, was observed.Conclusion: In our study, using 0.1, 0.2, 0.5 and 1.0 µl/ml of sumach, thirteen strains lost, 17%, 22%, 28% and 48% respectively of their capacity to produce biofilms. Sumach, which is a herbal product, can decrease the formation of biofilm, which is a major virulence factor in staphylococcal infections.

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Nosocomial Infections And Agents Determined By Consultations In Intensive Care Unit

Cited by 4 publications

References 16 publications

Impact of Education and Process Surveillance on Device-Associated Health Care-Associated Infection Rates in a Turkish ICU: Findings of the International Nosocomial Infection Control Consortium (INICC)

Impact of Education and Process Surveillance on Device-Associated Health Care-Associated Infection Rates in a Turkish ICU: Findings of the International Nosocomial Infection Control Consortium (INICC)

The efficacy of empirical antibiotic treatment and resistance on mortality in an internal medicine intensive care unit

Effects of Fermented Sumach on the Formation of Slime Layer of Staphylococcus aureus

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