Nosocomial infections and risk factors in intensive care unit of a university hospital

Yeşilbağ, Zuhal; Karadeniz, Aslı; Başaran, Seniha; Kaya, Fatih Öner

doi:10.5799/ahinjs.01.2015.03.0525

Cited by 4 publications

(4 citation statements)

References 25 publications

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“…The logistic regression for risk factors revealed that the most independent predictors of HAI were multiple devices and length of stay >20 days. These results agreed with previous findings from different countries [ [19] , [20] , [21] , [22] ]. Invasive procedures and poor compliance of staff to infection control guidelines expose patients to increase HAI [ 23 ].…”

Section: Discussionsupporting

confidence: 94%

An overview of healthcare-associated infections in a tertiary care hospital in Egypt

Hassan¹,

El‐Gilany

El-Aal

et al. 2020

Infection Prevention in Practice

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Summary Background Healthcare-associated infection (HAI) is a major problem in healthcare facilities and is associated with increased morbidity and mortality and prolonged hospital stay. This study aims to determine the incidence rate, risk factors, and bacterial aetiology of HAI in a tertiary care hospital in Mansoura, Egypt. Methods This is a prospective observational study carried out over 12 months in different departments of Mansoura New General Hospital (MNGH). Data were collected from patient's records and laboratory results of the ongoing HAI surveillance program. Results The incidence of HAI was 3.7% among 6912 patients studied. The independent predictors of HAI were multiple devices (AOR=88.1), central venous catheter (CVC) (AOR=34), urinary catheter (AOR=28.9) and length of stay >20 days (AOR=3.1). Surgical site infections (SSI) were the most frequent (24%) followed by catheter associated urinary tract infections (CAUTI) (20%). The most frequently isolated pathogens were Klebsiella spp . (27.2%), and E. coli (18%). Conclusions HAI is a significant problem in MNGH. Klebsiella spp. were the predominant causative organisms of HAI, as has been described in other studies from developing countries.

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Section: Discussionsupporting

confidence: 94%

An overview of healthcare-associated infections in a tertiary care hospital in Egypt

Hassan¹,

El‐Gilany

El-Aal

et al. 2020

Infection Prevention in Practice

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“…Yoğun bakım üniteleri (YBÜ); invaziv işlemlerin daha sık uygulanması, uzun yatış süreleri, yatan hastaların sıklıkla immünosüpresif, yaşlı, yenidoğan veya operasyon geçirmiş hastalar olması nedeniyle hastane enfeksiyonları ve dirençli mikroorganizmalar ile en sık karşılaşılan birimlerdir (1)(2)(3)(4). Acinetobacter baumannii ve Pseudomonas aeruginosa, YBÜ'de hastane enfeksiyonu etkeni olarak en sık karşılaşılan mikroorganizmalardır (5)(6)(7)(8).…”

Section: Introductionunclassified

Three Year Resistance Profile of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> Strains Isolated from Intensive Care Units

Uğur¹,

Genç²

2019

tybd

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ÖZ Amaç: Bu çalışmada, yoğun bakım ünitesi (YBÜ) örneklerinden izole edilen Pseudomonas aeruginosa ve Acinetobacter baumannii suşlarının üç yıllık antibiyotik duyarlılıklarının incelenerek direnç oranlarındaki değişimin araştırılması amaçlanmıştır. Gereç ve Yöntem: Ocak 2015-2018 arasında YBÜ örneklerinden izole edilen Pseudomonas aeruginosa ve Acinetobacter baumannii suşlarının direnç profilleri retrospektif olarak incelendi ve yıllık direnç oranları değerlendirildi. Bulgular: Üç yıllık süre içinde YBÜ örneklerinin 609'unda Acinetobacter baumannii, 420'sinde Pseudomonas aeruginosa izole edilmiştir. İzolatların en sık Genel YBÜ'den izole edildiği saptanmıştır. Acinetobacter baumanni'nin kolistin, amikasin, gentamisin, imipenem, meropenem, siprofloksasin, seftazidim, piperasilin/tazobaktama 3 yıllık ortalama direnci sırasıyla %0,5, %79, %86, %96, %96, %97, %98, %99, Pseudomonas aeruginosa'nın ise sırasıyla %5, %21, %25, %35, %38, %40, %42, %45, %49, %53 olarak tespit edilmiştir. Acinetobacter baumannii ve Pseudomonas aeruginosa suşlarında en etkili antibiyotiklerin sırasıyla kolistin (%99,5, %95) ve amikasin (%21, %79) olduğu görülmüştür. Sonuç: Hastanemiz YBÜ'lerinden izole edilen Acinetobacter baumannii izolatlarının birçok antibiyotiğe dirençli olduğu, Pseudomonas aeruginosa izolatlarının daha duyarlı olduğu saptanmıştır. Bu veriler, Acinetobacter baumannii kaynaklı enfeksiyonların tedavisinde yeni antibiyotiklere ihtiyaç duyulduğunun kanıtı niteliğindedir. Her hastanenin kendi direnç oranlarındaki değişimleri takip etmesi ve ampirik tedavi ilkelerinin güncellemesinin uygun olacaktır. Anahtar Kelimeler: Acinetobacter baumannii, Pseudomonas aeruginosa, antimikrobiyal direnç, yoğun bakım ünitesi ABSTRACT Objective: The objective of the study was to investigate the three-year antibiotic susceptibility of Pseudomonas aeruginosa and Acinetobacter baumannii strains isolated from intensive care unit (ICU) specimens and to evaluate the changes in resistance rates. Materials and Methods: The resistance profiles of Pseudomonas aeruginosa and Acinetobacter baumannii strains isolated from ICU specimens between January 2015-2018 were analyzed retrospectively and the annual resistance rates were evaluated. Results: Acinetobacter baumannii was isolated in 609 and Pseudomonas aeruginosa was isolated in 420 of the ICU specimens over a three-year period. Strains were most frequently isolated from general ICU. The three-year mean resistance of Acinetobacter baumannii and Pseudomonas aeruginosa to colistin, amikacin, gentamycin, imipenem, meropenem, ciprofloxacin, ceftazidime, piperacillin / tazobactam was 0.5%, 79%, 86%, 96%, 96%, 97% 98%, 99% and 5%, 21%, 25%, 35%, 38%, 40%, 42%, 45%, 49% and 53%, respectively. The most effective antibiotics were for Acinetobacter baumannii and Pseudomonas aeruginosa were colistin (99.5% vs 95%) and amikacin (21% vs 79%), respectively. Conclusion: It was found that Acinetobacter baumannii strains isolated from ICUs were resistant to many antibiotics and that Pseudomonas aeruginosa isolates were ...

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“…Verilere göre bu 80 hastanın 56'sında hastane enfeksiyonu tespit edilmiştir. 56 hastada tespit edilen enfeksiyonlar sıklık sırasına göre; Pnömoni (n=26, %50), kan dolaşımı enfeksiyonu (n=15, %28.8), üriner sistem enfeksiyonu (n=6, %11.5) şeklinde sıralanmıştır (Yesilbağ, Karadeniz, Başaran, ve Kaya, 2015).…”

Section: Türkiye'de Yoğun Bakım Enfeksiyonları İle İlgili Literatürunclassified

A Comparison of the Development of Nozocomial Infections Occurring in Intensive Care Units in Turkey

Çelik¹,

Özel

2020

Sağlık Akademisi Kastamonu

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Hospital infections are infections that develop at least 48 hours after hospital admission in patients who do not have any incubation during the time of hospital admission. Hospital infections cause prolonged hospital stay and health care costs. Additionally, hospital infections nowadays are considered as a major cause of morbidity and mortality. The rate of hospital infections are important as it is seen as an indicator of service quality of inpatient institutions. It is known that nosoinfections occur more in intensive care units than other clinics. When looking at the most common hospital infections; urinary system infections, pneumonias, bacteremia, catheter infections and surgical wound infections are seen. There are many studies on intensive care and hospital infections in literature. In this article, it is aimed Sağlık Akademisi Kastamonu 159

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Nosocomial infections and risk factors in intensive care unit of a university hospital

Cited by 4 publications

References 25 publications

An overview of healthcare-associated infections in a tertiary care hospital in Egypt

An overview of healthcare-associated infections in a tertiary care hospital in Egypt

Three Year Resistance Profile of <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> Strains Isolated from Intensive Care Units

A Comparison of the Development of Nozocomial Infections Occurring in Intensive Care Units in Turkey

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