Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study

Hossein Asgar Pour; Büşra Tipirdamaz; Dilara Kunter; Havva Yönem; Hatice Özsoy

doi:doi:10.11648/j.cmr.s.2016050201.12

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Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study

Hossein Asgar Pour, Büşra Tipirdamaz, Dilara Kunter, Havva Yönem, Hatice Özsoy

Published in Clinical Medicine Research (Volume 5, Issue 2-1)

Received: 2 November 2015 Accepted: 2 November 2015 Published: 20 January 2016

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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.

Published in	Clinical Medicine Research (Volume 5, Issue 2-1) This article belongs to the Special Issue Fever: Incidence, Clinical Assessment, Management Choices & Outcomes
DOI	10.11648/j.cmr.s.2016050201.12
Page(s)	6-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Intensive Care Units, Hospital-Acquired Infection

References

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[2]	Ak, O., Batirel, A., Ozer, S., Çolakoğlu, S. (2011). Nosocomial infections and risk factors in the intensive care unit of a teaching and research hospital: a prospective cohort study. Med Sci Monit, 17(5): 29-34.
[3]	Alatrouny, A. M., Amin, M. A. H., Shabana, H. S. (2013). Nosocomial infection with acinetobacter spp. in intensive care unit patients. 10 (2): 273-283.
[4]	Amazian, K., Rossello, J., Castella, A., Sekkat, S., Terzaki, S., Dhidah, L., Fabry, J. (2010). Prevalence of nosocomial infections in 27 hospitals in the mediterranean region. Eastern Mediterranean Health Journal. 16(10): 1070-1078.
[5]	Baghaei, R., Mikaili, P., Nourani, D., Khalkhali, H. R. (2011). An epidemiological study of nosocomial infections in the patients admitted in the intensive care unit of Urmia Imam Reza Hospital: An etiological investigation.Annals of Biological Res. 2(5): 172-78.
[6]	Dereli, N., Ozayar, E., Degerli, S., Sahin, S., Koç, F. (2013). Three-year evaluation of nosocomial infection rates of the ICU. Revista Brasileira de Anestesiologia. 63(1): 79-84.
[7]	Erbay, H., Yalcin, A. N., Serin, S., Turgut, H., Tomatir, E., Cetin, B., Zencir, M. (2003). Nosocomial infections in intensive care unit in a Turkish university hospital: a 2-year survey. Intensive care medicine, 29(9): 1482-1488.
[8]	Ertek, M. (2008). Hastane enfeksiyonları: Türkiye verileri. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri 9-14.
[9]	Farzianpour, F., Sokhanvar, M. Ashrafi, E. (2015). The 3-year trend of nosocomial infections in intensive care unit: a case study in Iran. Indian Journal of Applied Research, 5(3): 152-154.
[10]	Khan, M.S., Kundra, P., Cherian, A., Noyal M.J. Sistla, S. (2015). Epidemiology of nosocomial infections in an intensive care unit at a tertiary care hospital in southern India: a retrospective study. International Journal of Infection Control. 11(2): 1-5.
[11]	Kölgeliler, S., Küçük, A., Demir, N. A., Özçimen, S., Demir, L. S. Yoğun bakımlardaki hastane enfeksiyonları: etiyoloji ve predispozan faktörler. Kafkas Journal Medical Sciences. 2(1): 1-5.
[12]	Kujur, S. P., Lakra, D. (2015). Incidence of nosocomial infection in intensive care unit: an experıence at a teaching hospital. Journal of Evolution of Medical and Dental Sciences. 4(59): 10367-10373.
[13]	Luna, C. M., Rodriguez-Noriega, E., Bavestrello, L., Guzmán-Blanco, M. (2014). Gram-negative infections in adult intensive care units of Latin America and the Caribbean. Critical Care Research and Practice. 1-12.
[14]	Meric, M., Willke, A., Caglayan, C., Toker, K. (2005). Intensive care unit-acquired infections: incidence, risk factors and associated mortality in a Turkish university hospital. Japanese journal of infectious diseases. 58(5): 297.
[15]	Oliveira, A. C. D., Kovner, C. T., Silva, R. S. D. (2010). Nosocomial infection in an intensive care unit in a Brazilian university hospital. Revista latino-americana de enfermagem. 18(2): 233-239.
[16]	Özer, B., Tatman-Otkun, M., Memis, D., Otkun, M. (2010). Nosocomial infections and risk factors in intensive care unit of a university hospital in Turkey. Open Medicine. 5(2): 203-208.
[17]	Pradhan, N. P., Bhat, S. M., Ghadage, D. P. (2014). Nosocomial infections in the medical ICU: a retrospective study highlighting their prevalence, microbiological profile and impact on ICU stay and mortality. The Journal of the Association of Physicians of India. 62(10): 18-21.
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[20]	Yenilmez E, Ülçay A, Görenek L, Diktaş H. (2015). Yoğun bakım ünitelerinde gelişen sağlık bakımı ile ilişkili enfeksiyonların güncel tanımları. Journal of Clinical and Analytical Medicine. 6(3): 401-404.

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APA Style

Hossein Asgar Pour, Büşra Tipirdamaz, Dilara Kunter, Havva Yönem, Hatice Özsoy. (2016). Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study. Clinical Medicine Research, 5(2-1), 6-10. https://doi.org/10.11648/j.cmr.s.2016050201.12

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ACS Style

Hossein Asgar Pour; Büşra Tipirdamaz; Dilara Kunter; Havva Yönem; Hatice Özsoy. Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study. Clin. Med. Res. 2016, 5(2-1), 6-10. doi: 10.11648/j.cmr.s.2016050201.12

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AMA Style

Hossein Asgar Pour, Büşra Tipirdamaz, Dilara Kunter, Havva Yönem, Hatice Özsoy. Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study. Clin Med Res. 2016;5(2-1):6-10. doi: 10.11648/j.cmr.s.2016050201.12

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@article{10.11648/j.cmr.s.2016050201.12,
  author = {Hossein Asgar Pour and Büşra Tipirdamaz and Dilara Kunter and Havva Yönem and Hatice Özsoy},
  title = {Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study},
  journal = {Clinical Medicine Research},
  volume = {5},
  number = {2-1},
  pages = {6-10},
  doi = {10.11648/j.cmr.s.2016050201.12},
  url = {https://doi.org/10.11648/j.cmr.s.2016050201.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.s.2016050201.12},
  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.},
 year = {2016}
}

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TY  - JOUR
T1  - Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study
AU  - Hossein Asgar Pour
AU  - Büşra Tipirdamaz
AU  - Dilara Kunter
AU  - Havva Yönem
AU  - Hatice Özsoy
Y1  - 2016/01/20
PY  - 2016
N1  - https://doi.org/10.11648/j.cmr.s.2016050201.12
DO  - 10.11648/j.cmr.s.2016050201.12
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.s.2016050201.12
AB  - 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.
VL  - 5
IS  - 2-1
ER  -

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Author Information

Hossein Asgar Pour

Surgical Nursing Department, Ayd?n School of Health, Adnan Menderes Universitesi, Ayd?n, Turkey
Büşra Tipirdamaz
Dilara Kunter

Surgical Nursing Department, Ayd?n School of Health, Adnan Menderes Universitesi, Ayd?n, Turkey
Havva Yönem
Hatice Özsoy

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APA Style

Hossein Asgar Pour, Büşra Tipirdamaz, Dilara Kunter, Havva Yönem, Hatice Özsoy. (2016). Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study. Clinical Medicine Research, 5(2-1), 6-10. https://doi.org/10.11648/j.cmr.s.2016050201.12

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ACS Style

Hossein Asgar Pour; Büşra Tipirdamaz; Dilara Kunter; Havva Yönem; Hatice Özsoy. Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study. Clin. Med. Res. 2016, 5(2-1), 6-10. doi: 10.11648/j.cmr.s.2016050201.12

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AMA Style

Hossein Asgar Pour, Büşra Tipirdamaz, Dilara Kunter, Havva Yönem, Hatice Özsoy. Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study. Clin Med Res. 2016;5(2-1):6-10. doi: 10.11648/j.cmr.s.2016050201.12

Copy | Download

@article{10.11648/j.cmr.s.2016050201.12,
  author = {Hossein Asgar Pour and Büşra Tipirdamaz and Dilara Kunter and Havva Yönem and Hatice Özsoy},
  title = {Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study},
  journal = {Clinical Medicine Research},
  volume = {5},
  number = {2-1},
  pages = {6-10},
  doi = {10.11648/j.cmr.s.2016050201.12},
  url = {https://doi.org/10.11648/j.cmr.s.2016050201.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.s.2016050201.12},
  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.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - Hospital-Acquired Infections in Internal-Surgical Intensive Care Unit Patients: A Retrospective Study
AU  - Hossein Asgar Pour
AU  - Büşra Tipirdamaz
AU  - Dilara Kunter
AU  - Havva Yönem
AU  - Hatice Özsoy
Y1  - 2016/01/20
PY  - 2016
N1  - https://doi.org/10.11648/j.cmr.s.2016050201.12
DO  - 10.11648/j.cmr.s.2016050201.12
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.s.2016050201.12
AB  - 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.
VL  - 5
IS  - 2-1
ER  -

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