APACHE II and ISS scores as predictors of nosocomial infections in trauma patients

Hurr, Huda; Hawley, H. Bradford; Czachor, John S.; Markert, Ronald J.; McCarthy, Mary C.

doi:10.1016/s0196-6553(99)70085-4

Cited by 47 publications

(40 citation statements)

References 16 publications

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“…hospital overall and per service area) range from 2 -49% (Montefiore et al, 1979;Ojeigbe et al, 1990;Ogunsola et al,1995;Onipede et al, 2004). Studies from various locations showed that significantly high figures of 21.2 -35.6% of ICU (a very critical unit in the hospital) patients develop an infection during their stay in healthcare facility (Hurr et al, 1999;Burke, 2003). What is more worrisome is the appearance (including emerging and re-emerging agents, Table 1) of multidrug-resistant strains of infectious agents in the hospitals which compound chemotherapy and care resulting in poor prognosis and fatal outcome (Rubino, 2001;Stevens, 2004;Blot et al,2007).…”

Section: Epidemiology Of Nosocomial Infectionsmentioning

confidence: 99%

Emerging and re-emerging infectious agents of nosocomial diseases – The need for review of hospital policy and control strategies

Akande¹

2013

Bayero J. Pure App. Sci.

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Nosocomial infections (NIs, now referred to as Healthcare-associated infections, HCAIs) are diseases that essentially originate from the hospital and may be disseminated via biologic or inanimate agents in the healthcare center. They occur globally and constitute major hazards in healthcare institutions resulting in significant morbidity, mortality and increased hospital stay, and high socio-economic cost. Between 3 and 21 percent (average range, 5 -9%) of all hospitalized patients are affected by HCAIs each year in various communities worldwide; while critically ill, trauma or immunocompromised patients (e.g. those requiring multiple life -saving invasive procedures or immunosuppressive therapy) are hardest hit. The increasing involvement of multiple drug-resistant strains of a large spectrum of emerging and re-emerging infectious agents of NIs complicate morbidity, management and impose serious burden on the patients and relations. Hospital workers, patients, materials or equipments and hospital procedures constitute major factors of transmission mechanism of HCAIs. However, the incidence and socioeconomic impact of NIs (though estimated to be high) are rarely investigated in sub-Saharan Africa (including Nigeria) due to poor healthcare facility and low capacity. There is need for increased awareness on HCAIs and adoption of enduring hospital policy and effective control measures that will take cognizance of emerging trends of nosocomial agents and transmission mechanism to reduce morbidity, mortality and socio-economic impact associated with HCAIs.

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Section: Epidemiology Of Nosocomial Infectionsmentioning

confidence: 99%

Emerging and re-emerging infectious agents of nosocomial diseases – The need for review of hospital policy and control strategies

Akande¹

2013

Bayero J. Pure App. Sci.

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“…Entretanto, a necessidade de ventilação mecânica está diretamente associada à ocorrência de infecção. Pesquisa que investigou processos infecciosos em vítimas de trauma em tratamento intensivo mostrou que a pneumonia foi a infecção mais comum (49%) e que, dos 40 pacientes que desenvolveram infecção nosocomial, 90% foram submetidos à ventilação mecânica em algum momento da internação na UTI (89) .…”

Section: % Esses Resultados Validam O Uso Desses íNdices Em Vítimaunclassified

“…A maioria dos estudos que analisam especificamente vítimas de trauma admitidas em UTI aplica os índices APACHE II e SAPS II nesta população, com o objetivo de avaliar a capacidade discriminatória do índice em estimar a mortalidade (74)(75)(76)(77)(78)(79)(80)(81) , identificar a performance de índices de gravidade do paciente de UTI combinados a indicadores de gravidade do trauma na predição de mortalidade (74,(81)(82) , realizar análise comparativa entre os grupos de sobreviventes e não sobreviventes (74,79,(83)(84) ou daqueles que apresentaram sepse grave (85) , fibrilação atrial (86) , lesão pulmonar aguda (85,87) , falência múltipla de órgãos (85,88) ou infecção nosocomial (89) .…”

Section: Miranda E Colaboradores Autores Do Tiss-28 Publicaram Em 1unclassified

“…Os valores médios encontrados corroboram com resultados na literatura de estudos que enfocaram pacientes em UTI (86,(88)(89)96,101,104,130) . Vale salientar que a maioria das vítimas (59,0%) apresentou ISS superior a 16 pontos e, portanto, sofreu um trauma importante.…”

Section: Esses Achados Reforçam Que O Trauma é Uma Doença Cirúrgica Eunclassified

“…A média do escore APACHE II encontra-se no intermédio de outros estudos sobre trauma na UTI, que mostram valores que oscilam de 12,2 a 16 (76,(88)(89)114) .…”

Section: Esses Achados Reforçam Que O Trauma é Uma Doença Cirúrgica Eunclassified

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Vítimas de trauma admitidas em unidade de terapia intensiva: características e fatores associados à carga de trabalho de enfermagem

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Increases in Mortality, Length of Stay, and Cost Associated With Hospital-Acquired Infections in Trauma Patients

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APACHE II and ISS scores as predictors of nosocomial infections in trauma patients

Cited by 47 publications

References 16 publications

Emerging and re-emerging infectious agents of nosocomial diseases – The need for review of hospital policy and control strategies

Emerging and re-emerging infectious agents of nosocomial diseases – The need for review of hospital policy and control strategies

Vítimas de trauma admitidas em unidade de terapia intensiva: características e fatores associados à carga de trabalho de enfermagem

Increases in Mortality, Length of Stay, and Cost Associated With Hospital-Acquired Infections in Trauma Patients

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