Evaluation of nosocomial infections in intensive care unit Yoǧun bakim ünitesindeki hastane infeksiyonlarinin deǧerlendirilmesi

Abstract

Nosocomial infections (NI) constitute an important health problem with prolongation of hospital stay, increased costs of direct care, morbidity and high mortality. The aim of this study was to evaluate the general features of NI in Mikail Yüksel Intensive Care Unit (ICU) in Ondokuz Mayis University. A cross sectional research was performed between 1st September 1998 and 28th February 1999 in Mikail Yüksel ICU in Ondokuz Mains University. Medians of age and total length of hospital stay in patients with NI were 47 years (18-67 years) and 28 days (12-84 days), respectively. Medians of total length of hospital in patients without NI were 6 days (2-21 days) and there was a statistically significant difference between two group (p<0.001). The patient's day was found 332 days. NI rate was found 10.7% and the principal sites of NI were the urinary tract (36.4%), bacteriemia (27.3%), pneumonia (18.2%) and local vascular cathater (18.2%). Vascular cathaterization was performed on 100.0% and urinary cathaterization, entubation and mechanic ventilation were performed on 90.9% of the patients. We conclude that the high economic expense, long hospitalization periods, high mortality rates which NI represent emphasized the necessity of carefully designed and conducted studies in the control of these infections.