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Fırat Tıp Dergisi
2008, Cilt 13, Sayı 3, Sayfa(lar) 179-182
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Device Related Health Care Infections in Neurology Intensive Care Unit
Cemal ÜSTÜN1, Salih HOŞOĞLU1, Mehmet Faruk GEYİK1, Mehmet Ufuk ALUÇLU2
1S.B. Elazığ Eğitim ve Araştırma Hastanesi İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Bölümü, ELAZIĞ
2Dicle Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, DİYARBAKIR

Objectives: The invasive device utilization ratios and device related health care infection rates were analyzed in the 2006 year at neurology intensive care unit.

Materials and Methods: Device related health care infections, in the neurology intensive care unit, were followed up by a resident and an academic staff with active surveillance prospectively. In the calculations, invasive device utilization ratio = invasive procedure-day /patient hospitalization-day, device related health care infection rate = invasive device related infection/invasive device procedure day x 1000 formulas were used. The patients were defined by using Centers for Diseases Control and Prevention (CDC) definitions.

Results: Neurology intensive care unit has eight beds, where 237 patients were hospitalized, in 2006. Forty-four devices related health care infection were detected in 39 patients. Of the patients with device related health care infection were 23 male (59%) and 16 female (41%). Of device related health care infections were 22 urinary tract infections, 13 catheter related bacteriemia and nine pneumonia. Device related health care infections for urinary catheter, central venous catheter and mechanical ventilator were detected as 8.8, 18.2 and 26.8 respectively.

Conclusion: Intensive care units are areas of high risk for health care infections, associated with the invasive medical procedures frequently performed; and areas where patients in bad general condition were hospitalized in. A close monitorization of the patients hospitalized in the intensive care units, in terms of device related health care infections, will improve the morbidity and mortality.©2008, Firat University, Medical Faculty.


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