The Epidemiology of Nosocomial Infections among Neurosurgery Patients Followed in the Surgery Intensive Care Unit of Dr. Lutfi Kirdar Kartal Training and Research Hospital
Introduction: In this study, the epidemiology of nosocomial infections among neurosurgical patients followed in the surgical intensive care unit was investigated. Materials and Methods: This study was performed at Dr. Lutfi Kirdar Kartal Training and Research Hospital between January 2007 and Decemb...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Bilimsel Tip Yayinevi
2011-09-01
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| Series: | Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi |
| Subjects: | |
| Online Access: | http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2011-16-03-107-113.pdf |
| Summary: | Introduction: In this study, the epidemiology of nosocomial infections among neurosurgical patients followed in the surgical intensive care unit was investigated. Materials and Methods: This study was performed at Dr. Lutfi Kirdar Kartal Training and Research Hospital between January 2007 and December 2010. Two hundred and one neurosurgical cases followed in the surgical intensive care unit were examined retrospectively. Epidemiologic data of the 65 neurosurgical cases with nosocomial infection were analyzed. Results: During the study period, 201 neurosurgical cases were followed, with a mean hospital stay of 9.2 ± 4.9 days and a total of 1830 patient-admitted days in the surgical intensive care unit A total of 91 nosocomial infections were isolated from 65 patients. The mean age of the 65 neurosurgical cases with nosocomial infections was 47.5 years (range: 1-92), and the mean stay in the intensive care unit was 24.2 ± 15.3 days. The nosocomial infection rate was 45.3%, and incidence density was 49.7/1000 patient-admissions among neurosurgical cases. Seventy-four (36.6%) neurosurgical cases followed in the surgical intensive care unit died during the intensive care treatment. Of the 91 culture samples taken from patients with nosocomial infection, 43 (46.4%) were gram-positive organisms, 48 (52.5%) were gram-negative organisms, and 1 (1.1%) was Candida spp. The most frequently isolated gram-positive pathogen was methicillin-resistant Staphylococcus aureus (13.1%), and the most frequently isolated gram-negative pathogen was Pseudomonas aeruginosa (13.1%). The methicillin resistance rate among staphylococcus strains was 57.1%. The imipenem resistance rates among P. aeruginosa, Escherichia coli and Acinetobacter baumannii strains were 66.4%, 25% and 62.8%, respectively. Conclusion: Awareness of the epidemiology of nosocomial infections developing among neurosurgical cases in the surgical intensive care unit will provide important contributions to the efforts of the physician with respect to infection control and the initiation of effective antibiotic therapy empirically. |
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| ISSN: | 1300-932X 1300-932X |