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A Five Years’ Survey of Device-Associated Nosocomial Infections in Adult Intensive Care Units of Mugla Sitki Koçman University Faculty of Medicine Training and Research Hospital
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Original Article
VOLUME: 12 ISSUE: 1
P: 13-24
April 2014

A Five Years’ Survey of Device-Associated Nosocomial Infections in Adult Intensive Care Units of Mugla Sitki Koçman University Faculty of Medicine Training and Research Hospital

J Turk Soc Intens Care 2014;12(1):13-24
DOI: 10.4274/tybdd.54254
Ayşe Ferhan Akgül 1
Medine Karataş 2
Biray Öztürk 2
1. Mugla Sitki Koçman Üniversitesi Tip Fakültesi Egitim Ve Arastirma Hastanesi, Enfeksiyon Hastaliklari Ve Klinik Mikrobiyoloji Anabilim Dali, Mugla, Türkiye
2. Mugla Sitki Koçman Üniversitesi Tip Fakültesi Egitim Ve Arastirma Hastanesi, Enfeksiyon Kontrol Komitesi, Mugla, Türkiye
No information available.
No information available
Received Date: 30.12.2013
Accepted Date: 02.04.2014
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ABSTRACT

Objective:

In this survey weaimed to assess the investigation results of our hospital’s infection control committee and to compare our results with national and international data by assessing invasive device associated nosocomial infection (IDANI) rates, invasive-device utilization ratios (IDUR), types of IDANIs, distribution of causative microorganisms in intensive care units (ICUs) of Muğla Sıtkı Koçman University Medical Faculty Training and Research Hospital between years 2008 and 2012.

Material and Method:

All patients admitted to ICUs were taken under examination using active prospective surveillance method. Centers for Disease Control criteria were used for establishing healthcare associated infections (HAI). IDANI rates and IDUR were calculated according to National Nosocomial Surveillance System and National Surveillance Net established by Ministry of Health.

Results:

In both of the ICUs (medical and 14 surgical, urinary catheter associated-urinary tract infections (UCA-UTI) and ventilator-associated pneumonia (VAP) were the most frequently seen infection types. Central line-associated bloodstream infection (CLA-BSI) occurrence was low in both ICU services. In medical ICU, HAI incidence density was calculated as 11.48, UCA-UTI, VAP and CLA-BSI rates were 9.88, 7.20 and 1.63, respectively, while in surgical-reanimation ICU, HAI incidence density was 6.68, UCA-UTI, VAP and CLA-BSI rates were 5.17, 2.39 and 1.90, respectively for the five years period. Candida spp. and Gram-negative bacilli were the frequently isolated microorganisms in both units. In Acinetobacter and pseudomonas strains, carbapenem resistance was lower than the average of Turkey. There was no resistance to vancomycin for Gram-positive cocci.

Conclusion:

Infection control measurements such as hand washing, limitation of invasive device utilization, strict application of antisepsi especially catheter using, improving the environmental conditions and prudent use of antibiotics are necessary for minimizing IDANIs.

Keywords: Intensive care unit, healthcare associated infection, invasive device utilization, ventilator associated pneumonia

References

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