Hospital Infections in a Cardiovascular Surgery Department between 1997-2003

Infection is one of the most frightening complications of cardiac surgery (CS). In this study, the surveillance data obtained in CS department between 1997-2003 is evaluated, also focusing on hospital infections (HI) regarding systems and the causative agents, so as to create more effective infectio...

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Main Authors: İffet PALABIYIKOĞLU, Emin TEKELİ, Mustafa ŞIRLAK, Derya AYSEV, Sibel KAYMAKÇI, Sultan DOĞANAY
Format: Article
Language:English
Published: Bilimsel Tip Yayinevi 2005-09-01
Series:Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi
Subjects:
Online Access:http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2005-10-3-131-138.pdf
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author İffet PALABIYIKOĞLU
Emin TEKELİ
Mustafa ŞIRLAK
Derya AYSEV
Sibel KAYMAKÇI
Sultan DOĞANAY
author_facet İffet PALABIYIKOĞLU
Emin TEKELİ
Mustafa ŞIRLAK
Derya AYSEV
Sibel KAYMAKÇI
Sultan DOĞANAY
author_sort İffet PALABIYIKOĞLU
collection DOAJ
description Infection is one of the most frightening complications of cardiac surgery (CS). In this study, the surveillance data obtained in CS department between 1997-2003 is evaluated, also focusing on hospital infections (HI) regarding systems and the causative agents, so as to create more effective infection control measures in future. HI rates were 5.6% (40/719) in 1997; however the rates were 7.9% (84/1070), 12.9% (137/1063), 11.9% (111/927), 15.2% (132/866), 11.5% (115/1001) and 14.1% (168/1189) in 1998, 1999, 2000, 2001, 2002 and 2003 respectively. The department had moved into a new location and settled in 1997, with the increasing number of inpatients. As a result, the rate of HI started to rise from 7.9% in the first year to 11.9-15.2% starting from 1999. Surgical site infections (SSI) were observed as 3.8% on the avarage during seven years. Mediastinitis, one of the serious complications of CS, was seen only 0.4% on the avarage. CS units are considered high risk are- as in terms of methicillin resistant Staphylococcus aureus (MRSA) infections. In this department, MRSA infections were the leading one during 2000-2002 with frequencies of 26%, 25% and 29% respectively, dropping to the second row by 17% following Escherichia coli and Klebsiella infections in 2003. This study emphasizes that further epidemiologic interventions are needed to control the SSI and MRSA infections.
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spelling doaj.art-bbcb45b2bfab4b168c1978cda0d645b12023-02-15T16:16:09ZengBilimsel Tip YayineviFlora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi1300-932X1300-932X2005-09-01103131138Hospital Infections in a Cardiovascular Surgery Department between 1997-2003İffet PALABIYIKOĞLU0Emin TEKELİ1Mustafa ŞIRLAK2Derya AYSEV3Sibel KAYMAKÇI4Sultan DOĞANAY5Ankara Üniversitesi Tıp Fakültesi Hastaneleri, İnfeksiyon Kontrol Komitesi, ANKARAAnkara Üniversitesi Tıp Fakültesi Hastaneleri, İnfeksiyon Kontrol Komitesi, ANKARAAnkara Üniversitesi Tıp Fakültesi Hastaneleri, İnfeksiyon Kontrol Komitesi, ANKARAAnkara Üniversitesi Tıp Fakültesi Hastaneleri, İnfeksiyon Kontrol Komitesi, ANKARAAnkara Üniversitesi Tıp Fakültesi Hastaneleri, İnfeksiyon Kontrol Komitesi, ANKARAAnkara Üniversitesi Tıp Fakültesi Hastaneleri, İnfeksiyon Kontrol Komitesi, ANKARAInfection is one of the most frightening complications of cardiac surgery (CS). In this study, the surveillance data obtained in CS department between 1997-2003 is evaluated, also focusing on hospital infections (HI) regarding systems and the causative agents, so as to create more effective infection control measures in future. HI rates were 5.6% (40/719) in 1997; however the rates were 7.9% (84/1070), 12.9% (137/1063), 11.9% (111/927), 15.2% (132/866), 11.5% (115/1001) and 14.1% (168/1189) in 1998, 1999, 2000, 2001, 2002 and 2003 respectively. The department had moved into a new location and settled in 1997, with the increasing number of inpatients. As a result, the rate of HI started to rise from 7.9% in the first year to 11.9-15.2% starting from 1999. Surgical site infections (SSI) were observed as 3.8% on the avarage during seven years. Mediastinitis, one of the serious complications of CS, was seen only 0.4% on the avarage. CS units are considered high risk are- as in terms of methicillin resistant Staphylococcus aureus (MRSA) infections. In this department, MRSA infections were the leading one during 2000-2002 with frequencies of 26%, 25% and 29% respectively, dropping to the second row by 17% following Escherichia coli and Klebsiella infections in 2003. This study emphasizes that further epidemiologic interventions are needed to control the SSI and MRSA infections.http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2005-10-3-131-138.pdfCardiac surgeryWound infectionMediastinit
spellingShingle İffet PALABIYIKOĞLU
Emin TEKELİ
Mustafa ŞIRLAK
Derya AYSEV
Sibel KAYMAKÇI
Sultan DOĞANAY
Hospital Infections in a Cardiovascular Surgery Department between 1997-2003
Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi
Cardiac surgery
Wound infection
Mediastinit
title Hospital Infections in a Cardiovascular Surgery Department between 1997-2003
title_full Hospital Infections in a Cardiovascular Surgery Department between 1997-2003
title_fullStr Hospital Infections in a Cardiovascular Surgery Department between 1997-2003
title_full_unstemmed Hospital Infections in a Cardiovascular Surgery Department between 1997-2003
title_short Hospital Infections in a Cardiovascular Surgery Department between 1997-2003
title_sort hospital infections in a cardiovascular surgery department between 1997 2003
topic Cardiac surgery
Wound infection
Mediastinit
url http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2005-10-3-131-138.pdf
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