open access

Vol 45, No 2 (2013 Apr-Jun)
Original and clinical articles
Submitted: 2013-07-05
Accepted: 2013-07-05
Get Citation

Health-care associated infection in the newly-opened intensive care unit

Katarzyna Rutkowska, Maciej Przybyła, Hanna Misiołek
DOI: 10.5603/AIT.2013.0014
·
Anaesthesiol Intensive Ther 2013;45(2):62-66.

open access

Vol 45, No 2 (2013 Apr-Jun)
Original and clinical articles
Submitted: 2013-07-05
Accepted: 2013-07-05

Abstract

BACKGROUND: Health-care associated infections (HAI) are common complications in ICU patients as an effect of high invasive device utilization rate. The aim of the study was to analyze the epidemiology of ventilator — associated pneumonia (VAP), blood stream infections (BSI), urinary tract infections (UTI) and surgical site infections (SSI) in newly opened medical-surgical intensive care unit.

METHODS: VAP, BSI, UTI and SSI were detected and registered by hospital Infection Control Team according to CDC criteria during first 12 months following opening of new ICU.

RESULTS: During 12-month period HAI was diagnosed in 44 out of 168 patients (26%). The ventilator utilization rate was 72%. The incidence density of VAP was 15.5/1000 ventilator days. The central line utilization was 100%. The BSI rate was 5/1000 catheter days. The urinary catheter utilization was 95%. The UTI rate was 1.9/1000 catheterization days. In 8 out of 60 surgical patients SSI occurred (13%). The most common isolates were Gram negative bacteria.

CONCLUSIONS: The incidence of VAP was higher than the mean values reported for USA, western Europe and similar to the mean value reported for developing countries. BSI and UTI rate was comparable to those given in NNIS and HELICS programs results. High VAP rate indicates the necessity of introducing an effective preventing program.

Abstract

BACKGROUND: Health-care associated infections (HAI) are common complications in ICU patients as an effect of high invasive device utilization rate. The aim of the study was to analyze the epidemiology of ventilator — associated pneumonia (VAP), blood stream infections (BSI), urinary tract infections (UTI) and surgical site infections (SSI) in newly opened medical-surgical intensive care unit.

METHODS: VAP, BSI, UTI and SSI were detected and registered by hospital Infection Control Team according to CDC criteria during first 12 months following opening of new ICU.

RESULTS: During 12-month period HAI was diagnosed in 44 out of 168 patients (26%). The ventilator utilization rate was 72%. The incidence density of VAP was 15.5/1000 ventilator days. The central line utilization was 100%. The BSI rate was 5/1000 catheter days. The urinary catheter utilization was 95%. The UTI rate was 1.9/1000 catheterization days. In 8 out of 60 surgical patients SSI occurred (13%). The most common isolates were Gram negative bacteria.

CONCLUSIONS: The incidence of VAP was higher than the mean values reported for USA, western Europe and similar to the mean value reported for developing countries. BSI and UTI rate was comparable to those given in NNIS and HELICS programs results. High VAP rate indicates the necessity of introducing an effective preventing program.

Get Citation

Keywords

intensive care, health-care associated infections; health-care associated infections, etiology; health-care associated infections, incidence density

About this article
Title

Health-care associated infection in the newly-opened intensive care unit

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 45, No 2 (2013 Apr-Jun)

Pages

62-66

DOI

10.5603/AIT.2013.0014

Bibliographic record

Anaesthesiol Intensive Ther 2013;45(2):62-66.

Keywords

intensive care
health-care associated infections
health-care associated infections
etiology
health-care associated infections
incidence density

Authors

Katarzyna Rutkowska
Maciej Przybyła
Hanna Misiołek

Important: This website uses cookies.tanya dokter More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

VM Media sp. z o.o. VM Group sp.k., Grupa Via Medica, Świętokrzyska 73 St., 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl