Düzce Tıp Fakültesi Dergisi (Nov 2010)
Surveillance Of Nosocomial Infections İn General Surgery Unit: Data Of Ten Years Period
Abstract
Aim: The aim of this study is to evaluate the epidemiologic data of nosocomial infection (NI)occurring in the General Surgery Unit (GSU).Method: This study was performed between January 1997 and December 2006. The surveillancemethod was active, prospective, and based on laboratory and patient. NIs were defined accordingto Centers for Diseases Control and Prevention criteria (CDC).Results: During the ten-year period, 305 NI episodes were detected in 290 patients. The overallincidence rates and incidence densities of NIs were 2.0% and 2.3/1,000 patient-day respectively.The most common NIs by primary site were surgical site infections, urinary tract infections,and pneumonia. The most prevalent microorganisms were Escherichia coli (36.8%),Staphylococcus aureus (17.7%) and Pseudomonas aeruginosa (10.5%). Meticillin resistanceamong S. aureus isolates was 76%. Meropenem and amikacin were the most effective agentsagainst to Gram-negative bacteria. Conclusion: In order to detect of the variation and trends of NIs, the data of surveillanceactivities must be evaluated decisively and regularly with collaboration among infection controlteam, Infectious Disease clinic, and GSU.
