Surveillance of Nosocomial Infections in Icus: Is Postdischarge Surveillance Indispensable?

Geffers, Christine; Gastmeier, Petra; Bräuer, Helga; Daschner, Franz; Rüden, H.

doi:10.1086/501883

Cited by 10 publications

(4 citation statements)

References 13 publications

(2 reference statements)

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“…8 Post-discharge surveillance was not required by KISS after patients left an ICU, but this does not seem to be a significant factor. 9 The ratio of device use is higher in our system. The frequent medical indication for CVC use by physicians in German ICUs may lead to including patients with less severe illnesses and, therefore, lower rates of CVC-associated BSI.…”

Section: Discussionmentioning

confidence: 80%

Reducing Central Venous Catheter–Associated Primary Bloodstream Infections in Intensive Care Units Is Possible: Data From The German Nosocomial Infection Surveillance System

Zuschneid

Schwab

Geffers

et al. 2003

Infect. Control Hosp. Epidemiol.

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Section: Discussionmentioning

confidence: 80%

Reducing Central Venous Catheter–Associated Primary Bloodstream Infections in Intensive Care Units Is Possible: Data From The German Nosocomial Infection Surveillance System

Zuschneid

Schwab

Geffers

et al. 2003

Infect. Control Hosp. Epidemiol.

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“…As far as we know, the cross-transmission rate is approximately 12% of the total NI rate. 12 The ICU personnel and the ICU environment in general may have served as reservoirs for cross-transmission, but no swabs were taken from either the personnel or the environment during the study. Yet another limitation was that not all of the pathogens found in patients with NIs were collected, stored, and typed.…”

Section: Discussionmentioning

confidence: 99%

How Many Nosocomial Infections are Associated with Cross-Transmission? A Prospective Cohort Study in A Surgical Intensive Care Unit

Weist

Pollege

Schulz

et al. 2002

Infect. Control Hosp. Epidemiol.

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100

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Because of the method of this study, the percentage of NIs due to cross-transmission identified for this ICU is an "at least number." In reality, the number of cross-transmissions, and thus the number of avoidable infections, may have been even higher. However, it is difficult to assess whether the percentage of NIs due to cross-transmission determined for this ICU may be the crucial explanation for the relatively high infection rate in comparison to other surgical ICUs.

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“…• In Germany, nosocomial infections were detected in 9.4% of 1860 ICU patients, and after discharge, the rate increased to 10.6% [27]. Without follow-up afterwards, 12% of ICU-associated infections were not recorded [27]. • In Belgium, there were 6500 ICU patients examined in 2010 [28].…”

Section: Nosocomial Infections At Intensivementioning

confidence: 99%

Intensive Patient Treatment

Andersen

2019

Prevention and Control of Infections in Hospitals

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Intensive care units (ICUs) are treating hospital's poorest patients that need medical assistance during the most extreme period of their life. Intensive patients are treated with extensive invasive procedures, which may cause a risk of hospital infections in 10-30% of the cases. More than half of these infections can be prevented. The patients are often admitted directly from outside the hospital or from abroad with trauma after accidents, serious heart and lung conditions, sepsis and other life-threatening diseases. Infection or carrier state of microbes is often unknown on arrival and poses a risk of transmission to other patients, personnel and the environment. Patients that are transferred between different healthcare levels and institutions with unknown infection may be a particular risk for other patients. In spite of the serious state of the patients, many ICUs have few resources and are overcrowded and understaffed, with a lack of competent personnel. ICU should have a large enough area and be designed, furnished and staffed for a good, safe and effective infection control. The following chapter is focused on practical measures to reduce the incidence of infections among ICU patients.

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Surveillance of Nosocomial Infections in Icus: Is Postdischarge Surveillance Indispensable?

Abstract: Since it is very time-consuming to follow patients after their transfer from the ICU, we do not perform a postdischarge follow-up of patients in the course of routine surveillance.

Cited by 10 publications

References 13 publications

Reducing Central Venous Catheter–Associated Primary Bloodstream Infections in Intensive Care Units Is Possible: Data From The German Nosocomial Infection Surveillance System

Reducing Central Venous Catheter–Associated Primary Bloodstream Infections in Intensive Care Units Is Possible: Data From The German Nosocomial Infection Surveillance System

How Many Nosocomial Infections are Associated with Cross-Transmission? A Prospective Cohort Study in A Surgical Intensive Care Unit

Intensive Patient Treatment

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