Volume 5, Issue 2-1, March 2016, Page: 6-10
Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study
Hossein Asgar Pour, Surgical Nursing Department, Aydın School of Health, Adnan Menderes Universitesi, Aydın, Turkey
Büşra Tipirdamaz, Surgical Nursing Department, Aydın School of Health, Adnan Menderes Universitesi, Aydın, Turkey
Dilara Kunter, Surgical Nursing Department, Aydın School of Health, Adnan Menderes Universitesi, Aydın, Turkey
Havva Yönem, Surgical Nursing Department, Aydın School of Health, Adnan Menderes Universitesi, Aydın, Turkey
Hatice Özsoy, Surgical Nursing Department, Aydın School of Health, Adnan Menderes Universitesi, Aydın, Turkey
Received: Nov. 2, 2015;       Accepted: Nov. 2, 2015;       Published: Jan. 20, 2016
DOI: 10.11648/j.cmr.s.2016050201.12      View  2920      Downloads  66
Abstract
Introduction: Hospital-acquired infections cause the length of stay in hospital, morbidity, mortality, and increase the cost of treatment. The aim of this study was to determine the incidence of hospital-acquired infections in adult internal-surgical intensive care unit patients, distribution of infections according to the intensive care units, the types, diagnosis and causative microorganisms of infections. Method: In this retrospective study, the archive documents of the patients diagnosed with a hospital-acquired infection and staying in the internal-surgical intensive care units of a university hospital in Turkey between 2013 and 2014 were evalauted. From 9547 patient’s documents that stayed in the adult and pediatrics intensive care units, 448 of them were diagnosed with hospital-acquired infections. From 448 patient’s documents 102 pediatrics intensive care units documents were excluded. In total, 346 adult internal-surgical intensive care unit patients' files were evaluated. Results: The mean age of the patients was 67,91±14,76, 58.9% of them were male, the mean length of stay in intensive care unit was 27,02±25,68 days, 60.7% of the patients stayed in internal intensive care units, and 39.3% of the patients stayed in the surgical intensive care units. The incidence of the hospital-acquired infection in the internal-surgical intensive care units was 4.16%. It was determined that 46% of the patients had a bacteremia infection, 31.8% VIP, 5.8% fungemia, and 4.9% organ-space surgical site infection. 16.8% of the causative microorganisms of the hospital-acquired infections were Acinetobacter SPP, 11.3% had no causative microorganism, 7.2% were E-Coli, 5.8% Acinnobacter Baumanii, 5,5% Stenotrophomanas Maltophilia, 5,2% Psedomanas Spp.IBL+, 4,3% Candida Albicans, 3,8% Klebsialla Pneumoniae, 3,5% Psedomanas Aeriginosa. Conclusion: The incidence of the hospital-acquired infections was low, and most of the infections were associated with blood and respiration. As the rate of the hospital-acquired infections is the most important indicator in the quality of patient care, it becomes important for the intensive care nurses to use their roles as a caregiver and as an educator in the prevention of the hospital-acquired infections. Also, the determination of the agents of the hospital-acquired infections in intensive care units becomes important in the determination of the treatment process.
Keywords
Intensive Care Units, Hospital-Acquired Infection
To cite this article
Hossein Asgar Pour, Büşra Tipirdamaz, Dilara Kunter, Havva Yönem, Hatice Özsoy, Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study, Clinical Medicine Research. Special Issue:Fever: Incidence, Clinical Assessment, Management Choices & Outcomes. Vol. 5, No. 2-1, 2016, pp. 6-10. doi: 10.11648/j.cmr.s.2016050201.12
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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