title: A descriptive study of nosocomial infections in an adult intensive care unit in fiji: 2011-12.
abstract: Nosocomial infections in an intensive care unit (ICU) are common and associated with a high mortality but there are no published data from the Oceania region. A retrospective study in Fiji's largest ICU (2011-12) reported that 114 of a total 663 adult ICU admissions had bacteriological culture-confirmed nosocomial infection. The commonest sites of infection were respiratory and bloodstream. Gram negative bacteria were the commonest pathogens isolated, especially Klebsiella pneumoniae (extended-spectrum β-Lactamase-producing), Acinetobacter, and Pseudomonas species. Mortality for those with a known outcome was 33%. Improved surveillance and implementation of effective preventive interventions are needed.
authors.affiliation: College of Medicine, Nursing & Health Sciences, Fiji National University, Suva, Fiji.
authors.forename: Keshni
authors.identifier: 0000-0002-2291-9259
authors.initials: K
authors.lastname: Naidu
authors.affiliation: Colonial War Memorial Hospital, Ministry of Health, Suva, Fiji.
authors.forename: Ilisapeci
authors.initials: I
authors.lastname: Nabose
authors.affiliation: College of Medicine, Nursing & Health Sciences, Fiji National University, Suva, Fiji.
authors.forename: Sharan
authors.initials: S
authors.lastname: Ram
authors.affiliation: Public Health Division, Secretariat of the Pacific Community, Noumea, New Caledonia ; National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australia.
authors.forename: Kerri
authors.initials: K
authors.lastname: Viney
authors.affiliation: International Union Against Tuberculosis and Lung Disease, Paris, France ; Centre for International Child Health, Department of Paediatrics, University of Melbourne and Murdoch Children Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia.
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Graham
authors.affiliation: International Union Against Tuberculosis and Lung Disease, Paris, France ; The University of Auckland, Auckland, New Zealand.
authors.forename: Karen
authors.identifier: 0000-0002-2026-6311
authors.initials: K
authors.lastname: Bissell