Nosocomial infections:  prospective survey of incidence  in five French intensive care units

Legras, Annick; Malvy, Denis; Quinioux, A. I.; Villers, D.; Bouachour, G.; Robert, René; Thomas, Ronald G.

doi:10.1007/s001340050713

Cited by 133 publications

(85 citation statements)

References 20 publications

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“…Studies searching pulmonary infections in ICUs show that NI is seen in most patients who are intubated, and in the vast majority of patients who are linked to mechanical ventilators (20,21,22,23). Pulmonary infection is the second most frequently seen infection in the NICU as in other ICUs with a rate of 31.4% (24).…”

Section: Discussionmentioning

confidence: 99%

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

Eren¹,

Öngün²,

Ural³

et al. 2017

tnd

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Objective: Nosocomial infections (NI) are serious threats for patients, especially those treated in intensive care units (ICU), which have high risk. Therefore, determining the infectious agents in this area and treating the infections are crucial for both the prognosis of primary disease and the time of stay in hospital. In this study, we aimed to perform an active infection surveillance in the neurological ICU (NICU). Materials and Methods:Two hundred ninety-one patients who stayed in NICU over a twelve-month period were included in the study. Data obtained by infection control committee of our faculty according to "Centres for Disease Control and Prevention" diagnostic criteria were used for the diagnosis of NI. Isolated microorganisms and their systemic involvement were examined. Results:The infections in NICU constituted 6.39% of all NI in the hospital. These were skin and soft tissue infections (3.13%), bloodstream infections (9.38%), pneumonia not associated with mechanical ventilator (9.38%), pneumonia associated with mechanical ventilator (6.25%), and urinary tract infections (UTI) (71.88%). Fourteen different microorganisms were determined in the unit over the twelve months. Conclusion:Caution is advised regarding urinary catheter insertion and care because catheters are the most common cause of infection, UTI, in the ICU. Also, diagnosis of NI and determining the antibiotic sensitivity of the causal microorganisms are very important for the determination of empiric treatment and reducing mortality and morbidity.Keywords: Nosocomial infection, neurological intensive care unit, surveillance Amaç: Hastane enfeksiyonları (HE) özellikle yoğun bakım üniteleri (YBÜ) gibi yüksek riskli alanlarda yatan hasta gruplarında ciddi tehdit oluşturmaktadır. Bu alanlardaki enfeksiyon etkenlerinin tanınması ve bu enfeksiyonların tedavisi hem primer hastalığın prognozu hem de hastanede kalış süresi üzerinde etkilidir. Bu çalışmada nöroloji YBÜ'de (NYBÜ) aktif enfeksiyon surveyans değerlendirmesi yapmayı planladık.Gereç ve Yöntem: NYBÜ'de on iki aylık sürede 291 hasta çalışmaya dahil edilmiştir. Fakültemiz enfeksiyon kontrol komitesi tarafından tutulan kayıtlar "Hastalık Kontrol ve Önleme Merkezi" (Centers for Disease Control and Prevention) tanı kriterlerine göre incelenmiş ve HE tanısı konulmuştur. İzole edilen mikroorganizmalar ve sistemik tutulumları incelenmiştir. Bulgular: NYBÜ'deki enfeksiyonlar tüm HE'lerin %6,39'unu oluşturmaktadır. Bunlar; deri ve yumuşak doku enfeksiyonları (%3,13), kan dolaşımı enfeksiyonları (%9,38), mekanik ventilatörden bağımsız pnömoniler (%9,38), ventilatör ile ilişkili pnömoniler (%6,25) ve üriner sistem enfeksiyonlarıdır (ÜSE) (%71,88). Bu ünitede on iki ayda on dört farklı mikroorganizma tespit edilmiştir. Hospital Infection Rates in a Neurology

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Section: Discussionmentioning

confidence: 99%

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

Eren¹,

Öngün²,

Ural³

et al. 2017

tnd

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“…They are usually isolated in nosocomial infections, particularly in intensive care units [46]. However, the frequency of these species is very variable depending on regions, the structure and intensive care unit types [24,42,46,47].…”

Section: Discussionmentioning

confidence: 99%

“…The VAP causative agents varies according to the population of patients in the ICU, the durations of hospital and ICU stays, and the specific diagnostic method(s) used [5,[24][25][26][27][28]. Pseudomonas aeruginosa, Acinetobacter baumannii, Enterobacteriaceae producing extended-spectrum beta-lactamase (ESBL) and methicillin-resistant Staphylococcus aureus (MRSA) are the species most frequently isolated [24,29,30].…”

Section: Introductionmentioning

confidence: 99%

“…Pseudomonas aeruginosa, Acinetobacter baumannii, Enterobacteriaceae producing extended-spectrum beta-lactamase (ESBL) and methicillin-resistant Staphylococcus aureus (MRSA) are the species most frequently isolated [24,29,30]. In developping countries, Gram-negative bacilli were responsible for the majority of VAP episodes (41-92%) followed by Gram-positive cocci (6-58%) [31][32][33][34][35].…”

Section: Introductionmentioning

confidence: 99%

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Bacteriological Aspects of Late Pneumonia in Ventilated Patient in Intensive Care Units: A Single Center Study in Morocco

Frikh¹,

Lemnouer²,

Alem³

et al. 2017

J Aging Sci

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“…(Garnes et al, 1988) Patients admitted to the ICU are mostly susceptible to nosocomial infections in view of significant risk factors such as central venous catheterization, urinary catheterization, mechanical ventilation, stress ulcer prophylaxis and increasing length of ICU stay. (Vincent et al, (1995), Ak et al, (2011), Esen et al, (2004, Legras et al, (1998).…”

Section: Introductionmentioning

confidence: 99%

A Study on the Prevalence and Microbiological Profile of Nosocomial Infections in the ICU of a Tertiary Care Hospital in Eastern India

Chakraborty¹,

Mukherjee²

2016

Int.J.Curr.Res.Aca.Rev.

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Nosocomial infections: prospective survey of incidence in five French intensive care units

Abstract: This prospective study using standardised collection of data on the ICU-acquired infection rate in five ICUs identified six risk factors. It also emphasized the difficulty of achieving truly standardised definitions and methods of diagnosis of such infections.

Cited by 133 publications

References 20 publications

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

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

Bacteriological Aspects of Late Pneumonia in Ventilated Patient in Intensive Care Units: A Single Center Study in Morocco

A Study on the Prevalence and Microbiological Profile of Nosocomial Infections in the ICU of a Tertiary Care Hospital in Eastern India

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