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2009, Cilt 23, Sayı 4, Sayfa(lar) 157-161 |
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INFECTIONS IN INTENSIVE CARE UNITS IN THE AEGEAN REGION: A CROSS-SECTIONAL INVESTIGATION |
Meltem AVCI1, Vecdi Evren GENÇ1, Onur ÖZGENÇ1, Figen KAPTAN2, Özlem TÜNGER3, Suzan SAÇAR4, Ayşe AKGÜL7, Fatma ÇAĞLAR8, Levent KIDAK1 |
1S. B. İzmir Bozyaka Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İzmir 2S. B. Atatürk Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İzmir 3Celal Bayar Üniversitesi Tıp Fakültesi Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Manisa 4Pamukkale Üniversitesi Tıp Fakültesi Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Denizli 5Afyon Kocatepe Üniversitesi Tıp Fakültesi Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Afyon 6S. B. Buca Seyfi Demirsoy Devlet Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İzmir 7S. B. Muğla Devlet Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Muğla 8S. B. Aydın Devlet Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Aydın |
Keywords: Nosocomial infection, intensive care unit, multi-center study |
The purpose of this investigation was to determine the frequency and sites of infections, the causative microorganisms and their antibiotic susceptibility in Intensive Care Units (ICUs) in the Aegean Region of Türkiye with a one-day point prevalance study. The study was carried out on 17 January 2007 with contribution of eight hospitals. On the study day, there were 198 hospitalized patients in 38 different ICUs. Infections were recorded in 34% of the patients. The prevalance rate was determined as 8.6% for community acquired and 25.3% for hospital acquired infections. Lower respiratuary infections were the most frequent in both community and hospital acquired infections. In 82% of the community acquired infections and in 50% of the hospital acquired infections, the pathogens could not be determined. The most frequently isolated pathogens in hospital acquired infections were Acinetobacter species (25%) and methicillin-resistant Staphylococcus aureus (19%). In gram-negative bacteria no resistance was detected to carbapenems except in 3 isolates; all gram-positive bacteria were found susceptible to glycopeptids. Seventy-two patients had been receiving antibiotics for treatment and 17 patients for prophylaxis. It was observed that the practice of taking bacteriologic culture before starting antibiotic therapy was not at optimal level. Gram-negative bacteria were determined as the most frequent pathogen in the hospital infections.
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