01 February 2006
Microbiological surveillance in the Intensive Care Unit: A tertiary hospital experience.
Fusun Zeynep Akcam, Dilek Karaaslan, Malik Dogan, Guler YayliMed Sci Monit 2006; 12(2): CR81-85 :: ID: 445241
Abstract
Background: Hospital infections are important because of increased riskof mortality and morbidity and their economic burden and are most commonly seen in intensive care units(ICUs). We aimed to document the characteristics of patients at an ICU, obtain bacteriologic samples,and determine the distribution of the isolated microorganisms. Material/Methods: The study was conductedin the ICU of an anesthesiology department with 16 beds. The characteristics of 154 patients treatedthere over a one-year period were documented. The distribution of bacteriologic samples and isolatedmicroorganisms and susceptibilities were investigated. The emerging hospital infections were determinedusing surveillance methods that were based on clinical and laboratory data. Results: Intoxication wasthe most common cause of hospitalization, followed by respiratory insufficiency due to severe pneumoniaand/or chronic obstructive respiratory disease, then trauma, postoperative conditions, and cerebrovascularproblems. The mean number of culture studies per patient was 5.36+/-3.27. Cultures were most commonlyobtained from patients with respiratory insufficiency and trauma. According to clinical specimens, themost commonly isolated microorganisms were E. Coli (37.2%) in urine, S. Aureus (50.0%) in blood, P. aeruginosa(25.7%) in tracheal aspirates, and Acinetobacter spp. (37.5%) in wounds. Considering all specimens, MRSA(22.0%) was the most common microorganism. Conclusions: Hospital infections pose an serious problem inan ICU setting. Surveillance studies comprise the basis for treatment of ICU infections. A multidisciplinaryapproach is required for a better quality of care and the achievement of therapy.
Keywords: Anesthesiology, Acinetobacter - isolation & purification, Bacteremia - microbiology, Bacterial Infections - microbiology, Cross Infection - microbiology, Escherichia coli - isolation & purification, Hospital Departments, Intensive Care Units, Microbial Sensitivity Tests, Pneumonia, Bacterial - microbiology, Pseudomonas aeruginosa - isolation & purification, Staphylococcus aureus - isolation & purification, Surgical Wound Infection - microbiology, Turkey, Urinary Tract Infections - microbiology
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
06 Mar 2024 : Clinical Research
Comparison of Outcomes between Single-Level and Double-Level Corpectomy in Thoracolumbar Reconstruction: A ...Med Sci Monit In Press; DOI: 10.12659/MSM.943797
21 Mar 2024 : Meta-Analysis
Economic Evaluation of COVID-19 Screening Tests and Surveillance Strategies in Low-Income, Middle-Income, a...Med Sci Monit In Press; DOI: 10.12659/MSM.943863
10 Apr 2024 : Clinical Research
Predicting Acute Cardiovascular Complications in COVID-19: Insights from a Specialized Cardiac Referral Dep...Med Sci Monit In Press; DOI: 10.12659/MSM.942612
06 Mar 2024 : Clinical Research
Enhanced Surgical Outcomes of Popliteal Cyst Excision: A Retrospective Study Comparing Arthroscopic Debride...Med Sci Monit In Press; DOI: 10.12659/MSM.941102
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952