The Evaluation of Health-Care Associated Infections In a Tertiary Intensive Care Unit

Abstract

Aim: In this study, we aimed to determine the epidemiological characteristics of infections detected in a tertiary ICU of our hospital and to evaluate the transmission routes. Materials and Methods: In the period of study, a total of 57 health-care associated infection (HAI) cases were diagnosed. Health-care associated infection diagnoses were evaluated according to the "Centers for Disease Control and Prevention (CDC)" criteria. Results: A total of 1278 patients who were followed up in the ICU for two years were analyzed retrospectively. Health-care associated infections were detected in 57 of these patients. The rate of HAI development among patients hospitalized in the ICU was 5.24%. Pneumonia with specific laboratory findings was the most common infection in patients with HAI (33.3%). Eleven different microorganisms were determined as the pathogens of HAI. The bacteriological profile causing HAI in the study, Gram-negative and Gram-positive pathogens were 87% and 12.9%, respectively. Acinetobacter baumanni was the most common pathogen (51.8%). Conclusion: Each unit should determine its patient profile, flora and resistance patterns by conducting surveillance studies and plan treatment strategies accordingly. Keywords: Health-care associated infection, intensive care unit, surveillance.

Keywords

• health-care associated infection
• intensive care unit
• surveillance
• sağlık bakımı ilişkili enfeksiyon
• yoğun bakım ünitesi
• sürveyans.