Device-related nosocomial infection in intensive care units of Alexandria University Students Hospital.
We studied the magnitude and determinants of device-related nosocomial infections in intensive care units (ICU) and identified the predominant microorganisms involved. Sputum, urine, blood cultures and chest X-ray were taken from each patient on admission and on appearance of any sign/symptom of infection. Out of 400 patients admitted to 3 units during the study, 45 (11.3%) developed nosocomial infections. The most important determinants of infection were previous admission to an ICU, whether in the same or another hospital, and duration of stay. Overall, 38 patients developed 43 device-related nosocomial infections (1.13 episodes per patient). The main infectied association with invasive procedures were ventilator-associated pneumonia followed by catheter-related urinary tract infection and bloodstream infections.
Sallam
S A
SA
Department of Epidemiology, High Institute of Public Health, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.
Arafa
M A
MA
Razek
A A
AA
Naga
M
M
Hamid
M A
MA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000382:microbiology; D002648:Child; D003428:Cross Infection / Q000453:epidemiology* / Q000209:etiology* / Q000635:transmission; D004534:Egypt / Q000453:epidemiology; D004866:Equipment Contamination / Q000706:statistics & numerical data*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D017053:Infection Control; D007362:Intensive Care Units; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation; D007902:Length of Stay / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D011159:Population Surveillance; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014546:Urinary Catheterization / Q000009:adverse effects / Q000295:instrumentation; D012122:Ventilators, Mechanical / Q000009:adverse effects / Q000382:microbiology