Device-Associated Nosocomial Infection Rates in Turkish Medical-Surgical Intensive Care Units

İnan, Dilara; Saba, Rabin; Yalcin, Ata Nevzat; Yılmaz, Murat; Öngüt, Gözde; Ramazanoğlu, Atilla; Mamikoglu, Latife

doi:10.1086/503344

Cited by 39 publications

(28 citation statements)

References 12 publications

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“…6 The percentage distribution of CLABSI among HAI was (6.15%) which was lower than INICC overall CLABSI (30%) 6 and (61.3%) by A. Mehta et al, 6 The overall rate of CLABSI was 0.31% or 14.64 per 1000 device days. This is quite high in comparison to other Indian, US and Turkish studies, 6,15,17 while the rate is comparable with the overall INICC rate of 12.5 per 1000 device days. 6 Antimicrobial resistance is a worldwide problem that needs urgent attention.…”

Section: Observationssupporting

confidence: 60%

Phenotypic Characterization and Susceptibility Pattern of Gram Negative Bacterial Isolates from Cases of Central Line Associated Blood Stream Infections in a Tertiary Care Institute

Tomar¹,

Shah²

2017

Int.J.Curr.Microbiol.App.Sci

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Section: Observationssupporting

confidence: 60%

Phenotypic Characterization and Susceptibility Pattern of Gram Negative Bacterial Isolates from Cases of Central Line Associated Blood Stream Infections in a Tertiary Care Institute

Tomar¹,

Shah²

2017

Int.J.Curr.Microbiol.App.Sci

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“…Regarding diastolic pressure in group 1, decreased diastolic pressure was observed at all time points after suctioning compared with its initial value, while in group 1, in which the usual suctioning of the ward was 4 Crit Care Nurs J. 2016; 9(2):e6619.…”

Section: Discussionmentioning

confidence: 91%

Comparing the Effects of Suction and Routine Methods on Vital Signs, Arterial Blood Oxygen Saturation and Pain Level of Patients Hospitalized at the Intensive Care Unit

Keykha¹,

Hasan²,

Abbaszadeh³

et al. 2016

Crit Care Nurs J

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“…During an outbreak of A. baumannii bacteremia in an NICU in Taiwan, multiple A. baumannii isolates were recovered from hand washing samples, and some of them were epidemiologically related to those recovered from patients' blood, suggesting that the hospital environment was the potential reservoir and that transmission was possibly via the hands of health care workers (17). Higher device-associated infection rates and higher device utilization ratios in an ICU were reported in Turkey (20). In our event, all five patients had placement of central venous catheters and had received total parenteral nutrition before the onset of bacteremia.…”

Section: Vol 46 2008mentioning

confidence: 99%

Acinetobacter septicus sp. nov. Association with a Nosocomial Outbreak of Bacteremia in a Neonatal Intensive Care Unit

Kılıç¹,

Li²,

Mellmann³

et al. 2008

J Clin Microbiol

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Acinetobacter species other than Acinetobacter baumannii have rarely been reported to be associated with nosocomial outbreaks of bloodstream infections. Within a period of 1 week, seven Acinetobacter-like isolates were recovered from peripheral blood and catheter specimens of five patients at a neonatal intensive care unit (NICU) in a tertiary hospital in Turkey. All five patients had placement of central venous catheters and had received total parenteral nutrition before the onset of bacteremia. Two of the five patients died. Medical devices, tap water, aerators, water samples, various surfaces, intravenous fluids, and the hands of health care workers in the NICU were sampled and were culture negative for the bacterium. All seven of the isolates had identical biochemical reactions, antimicrobial susceptibility results, and pulsed-field gel electrophoresis patterns, indicating a clonal nosocomial outbreak. A panel of standard biochemical reaction profiles and three phenotypic commercial identification systems failed to identify these isolates. Phenotypically, the isolate differed from Acinetobacter ursingii by its hemolysis on sheep blood agar and its negative citrate utilization. Sequences of the full 16S rRNA gene, which contained at least three different gene copies with polymorphic sequences between nucleotide positions 70 and 206, were determined from the first recovered isolate. The complete 1,529-to 1,531-bp 16S rRNA gene sequences and partial 801-bp rpoB gene sequences had similarities of 99.5% and 97.2%, respectively, to an A. ursingii isolate. The DNA-DNA similarities of the strain against the type strain of A. ursingii were 64.7 and 68.7%, which were lower than the recommended threshold value of 70% for the definition of bacterial species. These data indicate that a novel Acinetobacter organism caused the nosocomial outbreak of bacteremia in the NICU unit. We propose the designation of Acinetobacter septicus sp. nov. for these isolates, with isolate AK001 as the type strain.

show abstract

Device-Associated Nosocomial Infection Rates in Turkish Medical-Surgical Intensive Care Units

Cited by 39 publications

References 12 publications

Phenotypic Characterization and Susceptibility Pattern of Gram Negative Bacterial Isolates from Cases of Central Line Associated Blood Stream Infections in a Tertiary Care Institute

Phenotypic Characterization and Susceptibility Pattern of Gram Negative Bacterial Isolates from Cases of Central Line Associated Blood Stream Infections in a Tertiary Care Institute

Comparing the Effects of Suction and Routine Methods on Vital Signs, Arterial Blood Oxygen Saturation and Pain Level of Patients Hospitalized at the Intensive Care Unit

Acinetobacter septicus sp. nov. Association with a Nosocomial Outbreak of Bacteremia in a Neonatal Intensive Care Unit

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