Hospital-acquired infection surveillance in a neurosurgical intensive care unit

Orsi, Giovanni Battista; Scorzolini, Laura; Franchi, Cristiana; Mondillo, V.; Rosa, Gisela De La; Venditti, Mario

doi:10.1016/j.jhin.2006.02.022

Cited by 58 publications

(59 citation statements)

References 23 publications

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“…However, we found that the urinary tract was the second most common site of HAI, while other studies find that surgical wound infection is the second most common site in surgery patients. In accordance with literature, we found that S. aureus and P. aeruginosa were the most common pathogen responsible for HAIs 20,22,23 . Although this was not the primary aim of our study, one future question to be investigated would be the modes of transmission and factors associated with strain-specific HAIs.…”

Section: Responsible Pathogenssupporting

confidence: 90%

“…Medical records were reviewed for hospital acquired infections using the Centers for Disease Control and Prevention Criteria updated in 2008 16,23,27,36 . Patients were considered to have contracted a hospital-acquired infection if symptoms originated from our hospital and were not clinically manifest at the time of admission, with the exception of surgical site infections as they often do not manifest until after discharge 6 .…”

Section: Methodsmentioning

confidence: 99%

“…Patients were considered to have contracted a hospital-acquired infection if symptoms originated from our hospital and were not clinically manifest at the time of admission, with the exception of surgical site infections as they often do not manifest until after discharge 6 . Multi-site infections were considered to be separate infectious incidents 23 .…”

Section: Methodsmentioning

confidence: 99%

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Clinical and economic analysis of hospital acquired infections in patients diagnosed with brain tumor in a tertiary hospital

Undabeitia¹,

Liu²,

Catalan³

et al. 2011

Neurocirugía

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SummaryObjectives. To analyze the relationship between hospital acquired infections and clinical outcomes, duration of stay, and cost per infectious episode in patients diagnosed with brain tumors in our service.Materials and methods. We conducted a retrospective study on patients diagnosed with brain tumors and admitted to the department of neurosurgery in the Cruces Hospital of the University of the Basque Country between January 1st, 2007 and December 31st, 2007. We collected demographics, responsible pathogens, infection location, length of hospitalization, and costs of various medical and surgical procedures performed.Results. We reviewed 139 patients that accumulated 210 hospital visits. We found 34 episodes of hospital acquired infections (16.25% of patients). The most frequent infections were that of the lower respiratory tract, urinary tract, and surgical site. We found that patients with HAIs had a significantly lower final KPS score (sig <0.01), greater mean cost of stay (17097€, sig.<0.01), and longer length of stay (15.45 days, sig<0.01). We did not find a significant difference in mortality.Conclusions. We found significant association between the presence of HAIs and worse clinical outcomes, higher costs, and longer length of stay. The pathogens responsible and infection locations were similar to existing series in the literature. Although variability in study designs in the literature makes interpretation and comparison of results difficult, measures to prevent these complications can improve quality of care and reduce costs.KEY WORDS. Brain neoplasms. Infection. Costs. Análisis clínico económico de las infecciones nosocomiales en los pacientes diagnosticados de tumoración cerebral en un hospital terciario ResumenObjetivos. Analizar la relación entre la presencia de infección nosocomial y el resultado clínico final, la duración de la estancia y el coste del episodio en los pacientes diagnosticados de tumoración cerebral en nuestro servicio. Material y método. Realizamos un estudio retrospectivo incluyendo los pacientes ingresados en el Servicio de Neurocirugía del Hospital Universitario de Cruces con diagnostico de tumoración cerebral en el periodo comprendido entre el 1-1-2007 y el 31-12 del 2007. Recogimos variables demográficas, los microorganismos responsables y la localización de las distintas infecciones, el tiempo de ingreso y los costes de los distintos procedimientos médicos y quirúrgicos realizados.Resultados. Recogimos 139 pacientes, que acumularon un total de 210 episodios. Encontramos la presencia de infecciones nosocomiales en 34 episodios (16,25%). La localización mas frecuente fue la respiratoria, seguida del tracto urinario y la infección de herida quirúr-gica. Encontramos unas diferencias significativas en la situación funcional al alta (sig <0.01), el coste medio de los episodios (17097€, sig.<0.01) y en la estancia media (15.45 días, sig.<0.01). No encontramos diferencias significativas con respecto a la mortalidad.Conclusiones. Encontramos asociaciones significativas entre la...

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Section: Responsible Pathogenssupporting

confidence: 90%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Clinical and economic analysis of hospital acquired infections in patients diagnosed with brain tumor in a tertiary hospital

Undabeitia¹,

Liu²,

Catalan³

et al. 2011

Neurocirugía

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“…Furthermore, among the 195 deaths in the ICU during the study, 77 patients (39.5%) had developed NI. between longer hospitalization and infection (7,9,15) .…”

Section: Demographic Characteristics Of the Samplementioning

confidence: 99%

Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital

Oliveira

Kovner

Silva

2010

Rev. Latino-Am. Enfermagem

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This prospective study aimed to determine the nosocomial infection (NI) incidence in an Intensive Care Unit (ICU), its association with clinical characteristics and occurrence sites. It was carried out among 1.886 patients admitted in an ICU of a University Hospital, from August 2005 to January 2008. Data analysis was done using Fisher’s test and Relative Risk (RR). There were 383 NIs (20.3%). The infections were in the urinary tract (n=144; 37.6%), pneumonia (n=98; 25.6%), sepsis (n=58; 15.1%), surgical site (n=54; 14.1%) and others (n=29; 7.7%). Hospitalization average was 19.3 days for patients with NI and 20.2 days for those with colonization by resistant microorganisms. The mortality was 39.5% among patients with NI (RR: 4.4; 3.4-5.6). The NI was associated with patients originated from other units of the institution/emergency unit, more than 4 days of hospitalization, community infection, colonized by resistant microorganisms, using invasive procedures and deaths resulting from NI.

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“…É de consenso, na literatura, que pacientes que permanecem por períodos mais prolongados em UTI são aqueles que apresentam condições mais instáveis ou complicações, decorrentes de sua doença ou procedimentos invasivos (9) . Também há pesquisas em países latinoamericanos e europeus que demonstraram a relação entre longas internações e o desenvolvimento de infecções, fator que aumenta a probabilidade de óbito (13)(14)(15) .…”

Section: Discussionunclassified

Perfil Epidemiológico E Seguimento Após Alta De Pacientes Internados Em Unidade De Terapia Intensiva

Albuquerque

Silva

Souza³

2017

Cogitare Enferm.

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RESUMO: Descrever o perfil epidemiológico e o seguimento após alta de pacientes internados em uma unidade de terapia intensiva. Pesquisa descritiva, seccional e de abordagem quantitativa, por meio de análise documental dos prontuários eletrônicos de pacientes adultos, internados na unidade de terapia intensiva em um hospital de atenção terciária na cidade do Rio de Janeiro, no período de novembro de 2014 a novembro de 2015. Na amostra (n=573) 73% apresentaram idade igual ou acima de 60 anos, que foi associada a maior risco de morte. A média do tempo de internação na unidade de terapia intensiva foi de 10,7 dias, a taxa de óbito na unidade de terapia intensiva foi de 26% (n= 148), sendo que 56% (n=112) foram a óbito por choque séptico. Foram readmitidos na unidade de terapia intensiva 10% (n= 44) dos pacientes que apresentaram maior risco relativo para óbito (p=0,001). As variáveis sexo feminino, idade acima de 60 anos, internação na unidade de terapia intensiva acima de 30 dias e readmissão na unidade são fatores de risco para óbito. DESCRITORES: Unidades de terapia intensiva; Readmissão do paciente; Mortalidade hospitalar; Choque séptico. PERFIL EPIDEMIOLÓGICO E SEGUIMENTO APÓS ALTA DE PACIENTES INTERNADOS EM UNIDADE DE TERAPIA INTENSIVA EPIDEMIOLOGICAL PROFILE AND MONITORING AFTER DISCHARGE OF PATIENTS HOSPITALIZED AT AN INTENSIVE CARE UNITABSTRACT: To describe the epidemiological profile and monitoring after discharge of patients hospitalized at an intensive care unit. Descriptive and cross-sectional research with a quantitative approach, using documentary analysis of adult patients' electronic histories, who were hospitalized at a tertiary care service in the city of Rio de Janeiro between November 2014 and November 2015.In the sample (n=573), 73% were 60 years of age or older, which was associated with a higher risk of death. The mean length of hospitalization at the intensive care unit was 10.7 days, the death rate at the intensive care unit was 26% (n= 148) and 56% (n=112) died of septic shock. Ten percent (n= 44) of patients with relative death risk (p=0.001) were readmitted to the intensive care unit. The variables female sex, age over 60 years, hospitalized at the intensive care unit for more than 30 days and readmission to the unit are risk factors for death. Investigación descriptiva, seccional y de aproximación cuantitativa, mediante análisis documental de los archivos electrónicos de pacientes adultos, internados en la unidad de terapia intensiva en un hospital de atención terciaria en la ciudad de Rio de Janeiro, entre noviembre del 2014 y noviembre del 2015. En la muestra (n=573), 73% tuvo edad igual o superior a 60 años, que fue asociada a mayor riesgo de muerte. El promedio del tiempo de hospitalización en la unidad de terapia intensiva fue 10.7 días, la tasa de óbito en la unidad de cuidados intensivos fue del 26% (n= 148), siendo que 56% (n=112) fallecieron por choque séptico. Fue readmitido en la unidad de terapia intensiva 10% (n= 44) de los pacientes que presentaron mayor riesgo relativo p...

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Hospital-acquired infection surveillance in a neurosurgical intensive care unit

Cited by 58 publications

References 23 publications

Clinical and economic analysis of hospital acquired infections in patients diagnosed with brain tumor in a tertiary hospital

Clinical and economic analysis of hospital acquired infections in patients diagnosed with brain tumor in a tertiary hospital

Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital

Perfil Epidemiológico E Seguimento Após Alta De Pacientes Internados Em Unidade De Terapia Intensiva

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