open access

Vol 44, No 1 (2012 Jan-Mar)
Original and clinical articles
Published online: 2012-03-30
Submitted: 2012-03-30
Accepted: 2012-03-30
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Factors influencing the occurence of nosocomial bloodstream infections observed in thoracic and cardiosurgical postoperative care units

Jadwiga Wójkowska-Mach, Magda Baran, Rafał Drwiła, Mirosław Ziętkiewicz, Ewelina Foryciarz, Edyta Synowiec, Dorota Romaniszyn, Piotr B. Heczko
Anaesthesiol Intensive Ther 2012;44(1):16-20.

open access

Vol 44, No 1 (2012 Jan-Mar)
Original and clinical articles
Published online: 2012-03-30
Submitted: 2012-03-30
Accepted: 2012-03-30

Abstract

BACKGROUND: The aim of this study was to analyse the epidemiology and aetiology of laboratoryconfirmed bloodstream infections (LC-BSI) and central line-associated bloodstream infections (CLABSI) after pulmonary and coronary surgery, in postoperative intensive care units in 2009.

METHODS: Sources of infections were identified by the hospital Infection Control Team in cooperation with ITU personnel using the CDC definitions.

RESULTS: A total of 37 LC-BSI and 21 CLA-BSI cases in 3.096 patients were detected. Central line device utilization ratio was 0.50. The total cumulative LC-BSI incidence rate was 1.2% and CLA-BSI rate 8.7 per 1,000 central line days. The most common causes of LC-BSI were Gram-positive cocci (Staphylococcus aureus – 5.9%, CNS – 50.0%, Enterococcus faecium – 5.9%).

CONCLUSIONS: We found that in those units in which surveillance of CLA-BSI had been conducted since 2002, BSI incidence rates were higher than those reported in the NHSN programme.

Abstract

BACKGROUND: The aim of this study was to analyse the epidemiology and aetiology of laboratoryconfirmed bloodstream infections (LC-BSI) and central line-associated bloodstream infections (CLABSI) after pulmonary and coronary surgery, in postoperative intensive care units in 2009.

METHODS: Sources of infections were identified by the hospital Infection Control Team in cooperation with ITU personnel using the CDC definitions.

RESULTS: A total of 37 LC-BSI and 21 CLA-BSI cases in 3.096 patients were detected. Central line device utilization ratio was 0.50. The total cumulative LC-BSI incidence rate was 1.2% and CLA-BSI rate 8.7 per 1,000 central line days. The most common causes of LC-BSI were Gram-positive cocci (Staphylococcus aureus – 5.9%, CNS – 50.0%, Enterococcus faecium – 5.9%).

CONCLUSIONS: We found that in those units in which surveillance of CLA-BSI had been conducted since 2002, BSI incidence rates were higher than those reported in the NHSN programme.

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Keywords

cannulation, intravenous; complications, infections, nosocomial; surgery, cardiothoracic

About this article
Title

Factors influencing the occurence of nosocomial bloodstream infections observed in thoracic and cardiosurgical postoperative care units

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 44, No 1 (2012 Jan-Mar)

Pages

16-20

Published online

2012-03-30

Bibliographic record

Anaesthesiol Intensive Ther 2012;44(1):16-20.

Keywords

cannulation
intravenous
complications
infections
nosocomial
surgery
cardiothoracic

Authors

Jadwiga Wójkowska-Mach
Magda Baran
Rafał Drwiła
Mirosław Ziętkiewicz
Ewelina Foryciarz
Edyta Synowiec
Dorota Romaniszyn
Piotr B. Heczko

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