Oral Öncül1, Sinan Öksüz2, Ali Acar1, Ersin Ülkür3, Vedat Turhan1, Fatih Uygur3, Asım Ulçay1, Hakan Erdem1, Mustafa Özyurt4, Levent Görenek1. 1. Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Infectious Disease and Clinical Microbiology, Istanbul, Turkey. 2. Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Plastic Reconstructive and Aesthetic Surgery, Burn Unit, Istanbul, Turkey. Electronic address: sinanoksuz@gmail.com. 3. Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Plastic Reconstructive and Aesthetic Surgery, Burn Unit, Istanbul, Turkey. 4. Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Medical Microbiology, Istanbul, Turkey.
Abstract
AIMS: The objective of this study was to describe nosocomial infection (NI) rates, risk factors, etiologic agents, antibiotic susceptibility, invasive device utilization and invasive device associated infection rates in a burn intensive care unit (ICU) in Turkey. METHODS: Prospective surveillance of nosocomial infections was performed according to Centers for Disease Control and Prevention (CDC) and National Healthcare Safety Network (NHSN) criteria between 2001 and 2012. The data was analyzed retrospectively. RESULTS: During the study period 658 burn patients were admitted to our burn ICU. 469 cases acquired 602 NI for an overall NI rate of 23.1 per 1000 patient days. 109 of all the cases (16.5%) died. Pseudomonas aeruginosa (241), Acinetobacter baumannii (186) and Staphylococcus aureus (69) were the most common identified bacteria in 547 strains. CONCLUSION: Total burn surface area, full thickness burn, older age, presence of inhalation injury were determined to be the significant risk factors for acquisition of NI. Determining the NI profile at a certain burn ICU can lead the medical staff apply the appropriate treatment regimen and limit the drug resistance. Eleven years surveillance report presented here provides a recent data about the risk factors of NI in a Turkish burn ICU.
AIMS: The objective of this study was to describe nosocomial infection (NI) rates, risk factors, etiologic agents, antibiotic susceptibility, invasive device utilization and invasive device associated infection rates in a burn intensive care unit (ICU) in Turkey. METHODS: Prospective surveillance of nosocomial infections was performed according to Centers for Disease Control and Prevention (CDC) and National Healthcare Safety Network (NHSN) criteria between 2001 and 2012. The data was analyzed retrospectively. RESULTS: During the study period 658 burn patients were admitted to our burn ICU. 469 cases acquired 602 NI for an overall NI rate of 23.1 per 1000 patient days. 109 of all the cases (16.5%) died. Pseudomonas aeruginosa (241), Acinetobacter baumannii (186) and Staphylococcus aureus (69) were the most common identified bacteria in 547 strains. CONCLUSION: Total burn surface area, full thickness burn, older age, presence of inhalation injury were determined to be the significant risk factors for acquisition of NI. Determining the NI profile at a certain burn ICU can lead the medical staff apply the appropriate treatment regimen and limit the drug resistance. Eleven years surveillance report presented here provides a recent data about the risk factors of NI in a Turkish burn ICU.
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Authors: David J Weber; David van Duin; Lauren M DiBiase; Charles Scott Hultman; Samuel W Jones; Anne M Lachiewicz; Emily E Sickbert-Bennett; Rebecca H Brooks; Bruce A Cairns; William A Rutala Journal: Infect Control Hosp Epidemiol Date: 2014-09-02 Impact factor: 3.254