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Fırat Tıp Dergisi
2016, Cilt 21, Sayı 1, Sayfa(lar) 024-028
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The Evaluation of Invasive Device Related Hospital Infections in Intensive Care Unit of Harput State Hospital in 2013 and 2014
Şafak ÖZER BALİN1, Affan DENK2
1Harput Devlet Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Elazığ, Türkiye
2Fırat Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Elazığ, Türkiye

Objective: In this study, it was aimed to evaluate the invasive device related hospital infections in Intensive Care Unit (ICU) of Harput State Hospital.

Materials and Methods: It was conducted active, prospective and patient based surveillance in the Anesthesiology and Reanimation ICU between January 2013 and December 2014. The isolated microorganisms as hospital infectious agents were defined through standard conventional methods. Antibiotic susceptibility was determined with the Kirby-Bauer disk diffusion method.

Results: During the study, 424 patients were observed for 1989 patient days. At this period 47 nosocomial infections on 27 patients were determined. Nosocomial infection rate was 11.1% and nosocomial infection incidence density was calculated as 23.6 per thousand. The most common type of nosocomial infection was ventilator-associated pneumonia (57.5%). Totally 47 microorganisms were isolated from the patients diagnosed to have nosocomial infection. The most commonly isolated organisms were Acinetobacter species (n=15; 31.9%). The most effective antibiotics revealed colistin and tigecyclin against Acinetobacter spp. (there was also no resistance against both). While the most effective antibiotics against Escherichia coli and Klebsiella spp. were detected as imipenem and aminoglycosides and as colistin against Pseudomonas aeruginosa strains. Imipenem resistance for Acinetobacter spp. was found in 87% and all strains of P. aeruginosa were resistant to imipenem. All of Gram-positive bacteria were susceptible to vancomycin but resistant to methicillin.

Conclusion: As a result of this surveillance study, rational antibiotic use and fight against resistant microorganisms will be ensured by determining microorganism distribution and resistance conditions in Anesthesiology and Reanimation ICU of our hospital.


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