Evaluation of Nosocomial Infections Developing in Neurology Intensive Care Unit

Eroğlu, Esma

doi:10.5336/intermed.2019-72948

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Healthcare associated infections (HAIs) are infections that are not present or incubating at the time of admission, and they may sometimes be acquired in the hospital and occur after discharge 1 . HAIs are particularly more common in immunocompromised patients or patients with comorbid conditions admitted to intensive care units, and management of these patients represents a major therapeutic challenge.…”

Section: Introductionmentioning

confidence: 99%

“…The most common infections appear to be urinary tract infections, pneumonia, and primary bloodstream infections5. Currently, HAIs represent a major health problem for inpatient care, particularly in facilities such as ICUs where high-risk patients are admitted 1 . In the study, it was aimed to evaluate the causes and distributions of healthcareassociated infections, which developed in patients followed up in the Internal Medicine Intensive Care Unit (ICU), to reveal the current status of the hospital by comparing the surveillance data related to the invasive device use days, infection rate and rates, and the results of the national data study.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Healthcare Associated Infections in a Medical Intensive Care Unit

BALASAR,

ERGÜN,

ERGÜN

et al. 2023

Dicle Tıp Dergisi

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Objective: This study was undertaken to assess the current status of healthcare associated infections (HAIs) in our institution during a 2-year period in relation to causative agents and their distribution, use and duration of invasive mechanical ventilation, and infection rate and incidence in comparison with national data. Methods: Patients admitted to Medical ICUs of Meram State Hospital between 1st Jan 2019 and 31st Dec 2020 wereincluded. During a 2-year period a total of 47 patients were diagnosed with HAIs based on Centers for Disease Control and Prevention (CDC) and National Nosocomial Infection Surveillance Network (NNISN) criteria. Results: During 6041 follow-up days for 922 patients admitted to ICU, a total of 47 HAIs cases were detected. The most common types of HAIs included healthcare-associated pneumonia in 21 patients (45.6%) and other infections of the respiratory system in 12 patients (26.1%). The most common causative agent was Acinetobacter baumannii, which was found in 27 patients (50.9%). Conclusion: HAIs is an unavoidable condition in ICUs owing to a number of factors such as frequent use of invasive devices, prolonged length of admission, and increased number of complications. One of the major health targets in healthcare facilities is to control an manage HAIs. Avoidance from unnecessary catheterizations, timely removal of invasive catheters, increased adherence to infection control measures, prevention of inappropriate antibiotic use, compliance with isolation procedures, and initiation of appropriate antibiotherapy based on documentation of causative organisms will significantly reduce HAIs incidence.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of Healthcare Associated Infections in a Medical Intensive Care Unit

BALASAR,

ERGÜN,

ERGÜN

et al. 2023

Dicle Tıp Dergisi

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Meram Devlet Hastanesi genel yoğun bakım ünitesinde gelişen sağlık hizmeti ilişkili enfeksiyonlarının değerlendirilmesi

2022

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Aim: Healthcare-associated infections are a major source of concern in all areas of hospitals, particularly in intensive care units. The goal of our study was to look at the current situation and evaluate the measures that can be taken based on the data obtained by examining the rates and factors of healthcare-associated infections in the general intensive care units of our hospital over a one-year period. Materials and Methods: Between January 2020 and December 2020, 665 patients who were followed up and treated in the general intensive care unit of Meram State Hospital were followed up in terms of healthcare-associated infections, and their outcomes were evaluated. Results: 5354 hospitalization days of 665 patients who were followed up in the general intensive care units for a year were evaluated, and it was determined that 53 of the patients developed healthcare-associated infections. Twenty-two (41.5%) of patients with healthcare-associated infections were female, while 31 (58.5%) were male. It was discovered that the patients' mean age was 71,7±14 (19-94). The infection rate was calculated to be 5.86 and the density to be 7.28. Furthermore, the rates of invasive device-associated nosocomial infection are as follows: 1.02 for central line-associated bloodstream infections, 0.56 for catheter-associated urinary tract infections, and 0 for ventilator-associated pneumonia. Conclusion: Healthcare-associated infections are a significant cause of mortality and morbidity in intensive care units. Due to the improvement in medical care and the increase in life expectancy in parallel with this, effective surveillance practices are of critical importance.

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Erişkin ve Çocuk Yoğun Bakım Ünitelerinde Santral Sinir Sistemi, Kan ve Santral Venöz Kateterle ilişkili Hastane Enfeksiyonu Etkenlerinin Beş Yıllık Analizi

Şamlıoğlu

Atalay

2021

Journal of Biotechnology and Strategic Health Research

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Amaç Hastane enfeksiyonları (HE) yüksek morbidite ve mortalite ile seyretmesi nedeniyle özellikle yoğun bakım ünitelerinde (YBÜ) önem kazanmış enfeksiyonlardır. Hastanede yatış süresinin uzaması ve tedavi maliyetini arttırması açısından da önemli sağlık sorunlarından biri haline gelmiştir. Hayat kurtarmak amacıyla yapılan invaziv işlemler (santral venöz kateter vb.) hastane enfeksiyonu gelişim oranlarını artırmaktadır. Bu çalışmada hastanemiz erişkin ve çocuk yoğun bakım ünitelerinde yatan hastalarda santral sinir sistemi, kan ve santral venöz kateterle ilişkili enfeksiyonlara neden olan etkenlerin dağılımının incelenmesi amaçlanmıştır. Materyal ve MetodOcak 2016-Aralık 2020 tarihleri arasında hastanemiz yoğun bakımlarında yatan hastalarda gelişen ve hastane enfeksiyonu olarak değerlendirilen Santral sinir sistemi, kan ve santral venöz kateterle ilişkili kan enfeksiyonları , kültüre dayalı surveyans yöntemi ile retrospektif olarak incelendi. Hastane enfeksiyonlarının takibi, kaydı ve incelenmesi enfeksiyon kontrol komitesi tarafından yürütüldü. Bulgular Beş yıllık sürede Erişkin Yoğun Bakımlarda 25105, Yenidoğan Yoğun Bakım' da 6066 , Çocuk Yoğun Bakım' da 1745 olmak üzere toplam 32916 hasta retrospektif olarak incelenmiştir. Hastalardan 186 (%0,6)'sına laboratuvar tarafından doğrulanmış kan kültür enfeksiyonu, 474 (%1.44)'üne santral venöz kateter enfeksiyonu, 18 (%0.05)'ine menenjit tanısı konulmuştur. Santral venöz kateter enfeksiyon etkeni olarak sırasıyla C.parapsilosis 116 (%24.5), K.pneumoniae 98 (%20.7), Koagülaz Negatif Sta okoklar 48 (%10.1) saptanmıştır. Menenjit etkeni olarak en sık K.pneumoniae 11 (%61.1) daha sonra KNS'ler 2(%11,1) bulunmuştur. Hastane enfeksiyonu olarak değerlendirilen kan kültür sonuçlarında ise sıklık sırasıyla KNS 40 (%21.7) , K.pneumoniae 34 (%18.5) ve C.parapsilosis 18 (%9.8) bulunmuştur.Sonuç HE önlemek ç n düzenl surveyans çalışmaları yapılmalı, gereks z nvaz v şlemlere z n ver lmemel d r. Hastane genel nde el h jyen uyumunun arttırılması, uygunsuz ant b yot k kullanımının önüne geç lmel , zolasyon önlemler n n alınmasına d kkat ed lmel , ve asept k uygulamalara özen göster lmel d r. Ayrıca enfeks yon sebeb olan etkenler n zole ed lerek uygun ant b yot k başlanması ve gereks z ant b yot k kullanımının önlenmes gerek r. Anahtar KelimelerHastane enfeks yonu, Santral venöz katater, Kan dolaşım enfeks yonu, Santral s n r s stem enfeks yonu Özet Aim Nosocom al nfect ons (NI) are most commonly seen n ntens ve care un ts (ICUs), w th h gh morb d ty and mortal ty. It has become one of the mportant health problems n terms of prolong nghosp tal stay and ncreas ng the cost of treatment. Invas ve procedures performed to save l ves (central venous catheters, etc.) ncrease the rate of nosocom al nfect on development. In th s study, t was a med to exam ne the d str but on of the causat ve agents of central nervous system, blood and central venous catheter-related nfect ons n pat ents hosp tal zed n adult and ped atr c ntens ve care un ts of our hosp tal. Material and Method s study was re...

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Evaluation of Nosocomial Infections Developing in Neurology Intensive Care Unit

Cited by 3 publications

References 4 publications

Assessment of Healthcare Associated Infections in a Medical Intensive Care Unit

Assessment of Healthcare Associated Infections in a Medical Intensive Care Unit

Meram Devlet Hastanesi genel yoğun bakım ünitesinde gelişen sağlık hizmeti ilişkili enfeksiyonlarının değerlendirilmesi

Erişkin ve Çocuk Yoğun Bakım Ünitelerinde Santral Sinir Sistemi, Kan ve Santral Venöz Kateterle ilişkili Hastane Enfeksiyonu Etkenlerinin Beş Yıllık Analizi

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