A Descriptive Study of Nosocomial Infections in an Adult Intensive Care Unit in Fiji: 2011-12

Naidu, K.C. Karthik; Nabose, Ilisapeci; Ram, Sharan; Viney, Kerri; Graham, Stephen M.; Bissell, Karen

doi:10.1155/2014/545160

Cited by 36 publications

(41 citation statements)

References 18 publications

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“…This was similar to study conducted in Brazil . 6 Gram negative aerobes were the predominant organisms isolated in this study which was found to be similar in a study conducted by Keshni Naidu et al 7 Gram negative aerobes were the predominant organisms isolated in this study and appropriate antibiotic were substituted on Culture sensitivity reports. The mean age of the patients was 46.22 years ranging from (21 to 80 years), there were 66 males (66%) and 34 females (34%) in this study.…”

Section: Discussionsupporting

confidence: 87%

Prevalence of nosocomial infections in the intensive care unit

Durgad¹,

Varadarajan²

2015

Int J Res Med Sci

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Section: Discussionsupporting

confidence: 87%

Prevalence of nosocomial infections in the intensive care unit

Durgad¹,

Varadarajan²

2015

Int J Res Med Sci

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“…19 25% in the EPIC II study 14 and 33% in a study by Naidu et al 20 In this study, 15% of patients (who were severely ill) opted to get discharged against medical advice, because of financial constraints and the guarded prognosis offered. The non-recovery rate of 37% was comparable to previous studies.…”

Section: Discussionmentioning

confidence: 65%

Clinico-microbiological profile and outcomes of nosocomial sepsis in an Indian tertiary care hospital – a prospective cohort study

Saravu

Prasad

Eshwara

et al. 2015

Pathogens and Global Health

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Background: Nosocomial infections are linked to rising morbidity and mortality worldwide. We sought to investigate the pattern of nosocomial sepsis, device usage, risk factors for mortality and the antimicrobial resistance pattern of the causative organisms in medical intensive care units (ICUs) in an Indian tertiary care hospital. Methods: We conducted a single-centre based prospective cohort study in four medical ICUs and patients who developed features of sepsis 48 hours after admission to the ICUs were included. Patients' demographics, indwelling device usage, microbiological culture reports, drug resistance patterns and the outcomes were recorded. The Acute Physiology and Chronic Health Evaluation (APACHE) III score and the relative risk of variables contributing towards non recovery were calculated. Results: Pneumonia (49%) was the commonest nosocomial infection resulting in sepsis, followed by urosepsis (21.8%), bloodstream infection (BSI) (10.3%) and catheter-related bloodstream infection (CRBSI) (5%). Sixty three percent of the Acinetobacter baumannii and 64.4% of the Pseudomonas aeruginosa were multidrug-resistant (MDR). Seventy percent of the Klebsiella pneumoniae were extended spectrum beta-lactamase producers and 7.4% were resistant to carbapenems. Forty three percent of the Staphylococcus aureus were methicillin-resistant S. aureus. Resistance to carbapenems was 35.2% in this study. High APACHE III scores (P 5 0.006 by unpaired t-test) and chronic kidney disease (P 5 0.023) were significantly associated with non-recovery. Conclusions: A high degree of multidrug resistance was observed among both Gram-positive and -negative organisms in nosocomial sepsis patients. Carbapenem resistance was a common occurrence. Chronic kidney disease and high APACHE III scores were significantly associated with non-recovery. Male gender and sepsis leading to cardiovascular failure were the independent predictors of mortality.

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“…Another study in a hospital in Fiji about nosocomial infections in an adult intensive care unit [16] contributed to the strengthening of infection surveillance within the facility: Yes, the surveillance system at the infection control department has improved. …”

Section: Resultsmentioning

confidence: 99%

Does the Structured Operational Research and Training Initiative (SORT IT) continue to influence health policy and/or practice?

Tripathy

Kumar

Guillerm

et al. 2018

Global Health Action

Self Cite

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Background: The Structured Operational Research and Training Initiative (SORT IT) is a successful model of integrated operational research and capacity building with about 90% of participants completing the training and publishing in scientific journals. Objective: The study aims at assessing the influence of research papers from six SORT IT courses conducted between April 2014 and January 2015 on policy and/or practice. Methods: This was a cross-sectional mixed-method study involving e-mail based, self-administered questionnaires sent to course participants coupled with telephone/Skype/in-person responses from participants, senior facilitators and local co-authors of course papers. A descriptive content analysis was performed to generate themes. Results: Of 71 participants, 67 (94%) completed the course. A total of 67 papers (original research) were submitted for publication, of which 61 (91%) were published or were in press at the censor date (31 December 2016). Among the 67 eligible participants, 65 (97%) responded to the questionnaire. Of the latter, 43 (66%) research papers were self-reported to have contributed to a change in policy and/or practice by the course participants: 38 to a change in government policy or practice (26 at the national level, six at the subnational level and six at the local/hospital level); four to a change in organisational policy or practice; and one study fostered global policy development. Conclusion: Nearly two-thirds of SORT IT course papers contributed to a change in policy and/or practice as reported by the participants. Identifying the actual linkage of research to policy/practice change requires more robust methodology, in-depth assessment and independent validation of the reported change with all concerned stakeholders.

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A Descriptive Study of Nosocomial Infections in an Adult Intensive Care Unit in Fiji: 2011-12

Cited by 36 publications

References 18 publications

Prevalence of nosocomial infections in the intensive care unit

Prevalence of nosocomial infections in the intensive care unit

Clinico-microbiological profile and outcomes of nosocomial sepsis in an Indian tertiary care hospital – a prospective cohort study

Does the Structured Operational Research and Training Initiative (SORT IT) continue to influence health policy and/or practice?

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