Evaluation of healthcare-associated infections in general intensive care unit in Meram State Hospital
Abstract
Aim: Healthcare-associated infections are a major source of concern in all areas of hospitals, particularly in intensive care units. The goal of our study was to look at the current situation and evaluate the measures that can be taken based on the data obtained by examining the rates and factors of healthcare-associated infections in the general intensive care units of our hospital over a one-year period.
Materials and Methods: Between January 2020 and December 2020, 665 patients who were followed up and treated in the general intensive care unit of Meram State Hospital were followed up in terms of healthcare-associated infections, and their outcomes were evaluated.
Results: 5354 hospitalization days of 665 patients who were followed up in the general intensive care units for a year were evaluated, and it was determined that 53 of the patients developed healthcare-associated infections. Twenty-two (41.5%) of patients with healthcare-associated infections were female, while 31 (58.5%) were male. It was discovered that the patients' mean age was 71,7±14 (19-94). The infection rate was calculated to be 5.86 and the density to be 7.28. Furthermore, the rates of invasive device-associated nosocomial infection are as follows: 1.02 for central line-associated bloodstream infections, 0.56 for catheter-associated urinary tract infections, and 0 for ventilator-associated pneumonia.
Conclusion: Healthcare-associated infections are a significant cause of mortality and morbidity in intensive care units. Due to the improvement in medical care and the increase in life expectancy in parallel with this, effective surveillance practices are of critical importance.
References
- Wang W, Zhu S, He Q,et all. Developing a Registry of Healthcare-Associated Infections at Intensive Care Units in West China: Study Rationale and Patient Characteristics. Clinical Epidemiology 2019;11:1035–45.
- Kolpa M, Walaszek M, Gniadek A, Wolak Z, Dobros W. Incidence, Microbiological Profile and Risk Factors of Healthcare-Associated Infections in Intensive Care Units: A 10 Year Observation in a Provincial Hospital in Southern Poland.Int. J. Environ. Res. Public Health 2018; 15: 112-28.
- Vincent JL, Rello J, Marshall J, et al. International study of the prevalence and outcomes of infection in intensive care units. JAMA. 2009; 302 (21): 2323–9.
- Şahin AR, Tuğan Yıldız B, Aktemur A, Topal B, Nazik S, Ateş A. Evaluation of Nosocomial Infections in a Neurological Intensive Care Unit of a University Hospital. J. Contemp. Med. 2019; 9 (1): 43-7.
- Horan TC, Andrus M, Dudeck MA. CDC/NHSN Surveillance Definition of Healt Care-Associated Infection and Criteria for Types of Infections in The Acute Care Settings. Am. J. Infect. Control. 2008; 36 (5): 309-32.
- Sağlık Bakanlığı Ventilatör ile ilşkili Olay Kılavuzu 2020. Erişim adresi: https://hsgm.saglik.gov.tr/depo/birimler/Bulasici-hastaliklar-db/hastaliklar/SHIE/Klavuzlar/Ventilator_Iliskili_Olay_Klavuzu.pdf
- Fortaleza CMCB, Filho SPF, Silva MO, Queiroz SM, Cavalcante RS. Sustained Reduction of Healthcare-Associated Infections After The Introduction of a Bundle for Prevention of Ventilator-Associated Pneumonia in Medical-Surgical Intensive Care Units. Braz J Infect Dis. 2020; 24 (5): 373–9.
- Şen Taş S, Kahveci K. Surveiilance of hospital infections in long-term intensive care unit and palliative care centre: a 3-year analysis. J Contemp Med. 2018; 8 (1): 55-9.
- Kollef MH, Torres A, Shorr AF, Martin-Loeches I, Micek ST. Nosocomial Infection. Crit Care Med. 2021; 49 (2): 169-87.
- Tarakçı A, Eroğlu E. The Evolution of Nosocomial Infections Developing in Intensive Care Units of a Tertiary University Hospital. J Contemp Med. 2021; 11 (2): 198-202.
- Rafa E, Walaszek MZ, Walaszek MJ, Domanski A, Rozanska A. The Incidence of Healthcare-associated Infections, Their Clinical Forms, and Microbiological Agents in Intensive Care Units in Southern Poland in a Multicentre Study from 2016 to 2019. Int. J. Environ. Res. Public Health. 2021; 18: 2238-50.
- Ulusal Sağlık Hizmeti İlişkili Enfeksiyonlar Sürveyans Ağı (USHİESA) Etken Dağılımı ve Antibiyotik Direnç Raporu 2020. Erişim adresi:https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/shie/shie-liste/shie-raporlar.html
- Alp E, Damani N. Healthcare-associated infections in Intensive Care Units: epidemiology and infection control in low-to-middle income countries. J Infect Dev Ctries.2015; 9 (10): 1040-5.
- Altınışık HB, Altınışık U, Çoksak A, Çoksak A, Şimşek T. The Evaluation of Studies on Decreasing Intensive Care Infections with the Data of 8 Years Surveillance. Int J Basic Clin Med. 2015; 3 (3): 117-24.
- Eroğlu E. Nöroloji Yoğun Bakım Ünitesinde Gelişen Hastane Enfeksiyonlarının Değerlendirilmesi. Türkiye Klinikleri J InternMed. 2020:5(2):49-54.
- Yılmaz E. Common infections and evidence-based practices in intensive care units. Yoğun Bakım Hemşireliği.1.Baskı. Ankara. Türkiye Klinikleri. 2019; 1: 27-36.
- Araç E, Kaya Ş, Parlak E, ve ark. Yoğun Bakım Ünitelerindeki Enfeksiyonların Değerlendirilmesi: Çok Merkezli Nokta Prevalans Çalışması. Mikrobiyol Bul. 2019; 53 (4): 364-73.
- Dağlı Ö, Namıduru M. An Analysis From the Past; Evaluation of Nosocomial Infections and Determinating of Risk Factors in Intensive Care Units of Gaziantep University Faculty of Medicine. Sağlık Akademisi Kastamonu. 2018; 32 (3):185-209.
- Baviskar AS, Khatib KI, Rajpal D, Dongare HC. Nosocomial infections in surgical intensive care unit: A retrospective single-center study. Int J Crit Illn Inj Sci. 2019; 9 (1): 16-20.
- Akın A, Esmaoğlu Çoruh A, Alp E, Günay Canpolat D. Anestezi Yoğun Bakım Ünitesinde Beş Yıl İçerisinde Gelişen Nozokomiyal Enfeksiyonlar ve Antibiyotik Direncinin Değerlendirilmesi. Erciyes Med. J. 2011; 33 (1): 7-16.
- Salmanov A, Litus V, Vdovychenko S, Litus O, Davtian L, Ubogov S. Healthcare-associated infections in intensive care units.Wiad Lek. 2019; 72 (5 cz 2): 963-9.
- İnanç Y, İnanç Y. An evaluation of the infection agents and the demographic characteristics of patients followed up on a mechanical ventilator in neurology intensive care: A retrospective, single center, observational study. J Surg Med. 2018; 2 (3): 262-4.
- Liu JY, Dickter JK. Nosocomial Infections: A History of Hospital-Acquired Infections. Gastrointest Endoscopy Clin N Am. 2020; 30: 637–52.
- Gastmeier P, Geffers C, Herrmann M,et al. Nosocomial infections and infections with multidrug resistant pathogenes-frequency and mortality. Dtsch Med Wochen schr. 2016; 141 (6): 421-6.
Meram Devlet Hastanesi genel yoğun bakım ünitesinde gelişen sağlık hizmeti ilişkili enfeksiyonlarının değerlendirilmesi
Abstract
Amaç: Sağlık hizmeti ilişkili enfeksiyonlar, hastanelerin bütün alanlarında özellikle yoğun bakım ünitelerinde ciddi bir endişe kaynağıdır. Çalışmamızda, hastanemiz genel yoğun bakım ünitesinde 1 yıllık süreçteki sağlık hizmeti ilişkili enfeksiyonlar oranları ve etkenlerini inceleyerek elde verilen veriler doğrultusunda mevcut durumun görülmesi ve alınabilecek önlemlerin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Ocak 2020- Aralık 2020 tarihleri arasında Meram Devlet Hastanesi genel yoğun bakım ünitesinde takip ve tedavisi yapılan 665 hasta, sağlık hizmeti ilişkili enfeksiyonlar açısından izlenerek sonuçları değerlendirildi.
Bulgular: Genel yoğun yakım ünitesinde 1 yıllık süre boyunca takip edilmiş olan 665 hastanın 5354 yatış günü değerlendirilmiş ve hastaların 53’ünde sağlık hizmeti ilişkili enfeksiyonlar geliştiği tespit edilmiştir. Sağlık hizmeti ilişkili enfeksiyonlar tanısı alan hastaların 22’si (%41,5) kadın, 31’i (%58,5) erkekti. Hastaların yaş ortalaması 71,74±14,08 (19-94) olarak bulundu. Enfeksiyon hızı 5,86, dansitesi 7,28 olarak hesaplandı. Ayrıca invaziv araç ilişkili hastane enfeksiyonu hızları ise; santral venöz kateter ilişkili kan dolaşımı enfeksiyon hızı 1,02, üriner kateter ilişkili üriner sistem enfeksiyonu hızı 0,56, ventilatör ilişkili pnömoni hızı 0 olarak bulunmuştur.
Sonuç: Sağlık hizmeti ilişkili enfeksiyonlar yoğun bakım ünitelerinde önemli bir mortalite ve morbidite nedenidir. Tıbbi bakımdaki gelişmeler ve buna paralel olarak yaşam beklentisinin artması nedeniyle etkin sürveyans uygulamaları kritik önem taşımaktadır.
References
- Wang W, Zhu S, He Q,et all. Developing a Registry of Healthcare-Associated Infections at Intensive Care Units in West China: Study Rationale and Patient Characteristics. Clinical Epidemiology 2019;11:1035–45.
- Kolpa M, Walaszek M, Gniadek A, Wolak Z, Dobros W. Incidence, Microbiological Profile and Risk Factors of Healthcare-Associated Infections in Intensive Care Units: A 10 Year Observation in a Provincial Hospital in Southern Poland.Int. J. Environ. Res. Public Health 2018; 15: 112-28.
- Vincent JL, Rello J, Marshall J, et al. International study of the prevalence and outcomes of infection in intensive care units. JAMA. 2009; 302 (21): 2323–9.
- Şahin AR, Tuğan Yıldız B, Aktemur A, Topal B, Nazik S, Ateş A. Evaluation of Nosocomial Infections in a Neurological Intensive Care Unit of a University Hospital. J. Contemp. Med. 2019; 9 (1): 43-7.
- Horan TC, Andrus M, Dudeck MA. CDC/NHSN Surveillance Definition of Healt Care-Associated Infection and Criteria for Types of Infections in The Acute Care Settings. Am. J. Infect. Control. 2008; 36 (5): 309-32.
- Sağlık Bakanlığı Ventilatör ile ilşkili Olay Kılavuzu 2020. Erişim adresi: https://hsgm.saglik.gov.tr/depo/birimler/Bulasici-hastaliklar-db/hastaliklar/SHIE/Klavuzlar/Ventilator_Iliskili_Olay_Klavuzu.pdf
- Fortaleza CMCB, Filho SPF, Silva MO, Queiroz SM, Cavalcante RS. Sustained Reduction of Healthcare-Associated Infections After The Introduction of a Bundle for Prevention of Ventilator-Associated Pneumonia in Medical-Surgical Intensive Care Units. Braz J Infect Dis. 2020; 24 (5): 373–9.
- Şen Taş S, Kahveci K. Surveiilance of hospital infections in long-term intensive care unit and palliative care centre: a 3-year analysis. J Contemp Med. 2018; 8 (1): 55-9.
- Kollef MH, Torres A, Shorr AF, Martin-Loeches I, Micek ST. Nosocomial Infection. Crit Care Med. 2021; 49 (2): 169-87.
- Tarakçı A, Eroğlu E. The Evolution of Nosocomial Infections Developing in Intensive Care Units of a Tertiary University Hospital. J Contemp Med. 2021; 11 (2): 198-202.
- Rafa E, Walaszek MZ, Walaszek MJ, Domanski A, Rozanska A. The Incidence of Healthcare-associated Infections, Their Clinical Forms, and Microbiological Agents in Intensive Care Units in Southern Poland in a Multicentre Study from 2016 to 2019. Int. J. Environ. Res. Public Health. 2021; 18: 2238-50.
- Ulusal Sağlık Hizmeti İlişkili Enfeksiyonlar Sürveyans Ağı (USHİESA) Etken Dağılımı ve Antibiyotik Direnç Raporu 2020. Erişim adresi:https://hsgm.saglik.gov.tr/tr/bulasici-hastaliklar/shie/shie-liste/shie-raporlar.html
- Alp E, Damani N. Healthcare-associated infections in Intensive Care Units: epidemiology and infection control in low-to-middle income countries. J Infect Dev Ctries.2015; 9 (10): 1040-5.
- Altınışık HB, Altınışık U, Çoksak A, Çoksak A, Şimşek T. The Evaluation of Studies on Decreasing Intensive Care Infections with the Data of 8 Years Surveillance. Int J Basic Clin Med. 2015; 3 (3): 117-24.
- Eroğlu E. Nöroloji Yoğun Bakım Ünitesinde Gelişen Hastane Enfeksiyonlarının Değerlendirilmesi. Türkiye Klinikleri J InternMed. 2020:5(2):49-54.
- Yılmaz E. Common infections and evidence-based practices in intensive care units. Yoğun Bakım Hemşireliği.1.Baskı. Ankara. Türkiye Klinikleri. 2019; 1: 27-36.
- Araç E, Kaya Ş, Parlak E, ve ark. Yoğun Bakım Ünitelerindeki Enfeksiyonların Değerlendirilmesi: Çok Merkezli Nokta Prevalans Çalışması. Mikrobiyol Bul. 2019; 53 (4): 364-73.
- Dağlı Ö, Namıduru M. An Analysis From the Past; Evaluation of Nosocomial Infections and Determinating of Risk Factors in Intensive Care Units of Gaziantep University Faculty of Medicine. Sağlık Akademisi Kastamonu. 2018; 32 (3):185-209.
- Baviskar AS, Khatib KI, Rajpal D, Dongare HC. Nosocomial infections in surgical intensive care unit: A retrospective single-center study. Int J Crit Illn Inj Sci. 2019; 9 (1): 16-20.
- Akın A, Esmaoğlu Çoruh A, Alp E, Günay Canpolat D. Anestezi Yoğun Bakım Ünitesinde Beş Yıl İçerisinde Gelişen Nozokomiyal Enfeksiyonlar ve Antibiyotik Direncinin Değerlendirilmesi. Erciyes Med. J. 2011; 33 (1): 7-16.
- Salmanov A, Litus V, Vdovychenko S, Litus O, Davtian L, Ubogov S. Healthcare-associated infections in intensive care units.Wiad Lek. 2019; 72 (5 cz 2): 963-9.
- İnanç Y, İnanç Y. An evaluation of the infection agents and the demographic characteristics of patients followed up on a mechanical ventilator in neurology intensive care: A retrospective, single center, observational study. J Surg Med. 2018; 2 (3): 262-4.
- Liu JY, Dickter JK. Nosocomial Infections: A History of Hospital-Acquired Infections. Gastrointest Endoscopy Clin N Am. 2020; 30: 637–52.
- Gastmeier P, Geffers C, Herrmann M,et al. Nosocomial infections and infections with multidrug resistant pathogenes-frequency and mortality. Dtsch Med Wochen schr. 2016; 141 (6): 421-6.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | December 12, 2022 |
| Submission Date | April 11, 2022 |
| Published in Issue | Year 2022 |