Abstract：
BACKGROUND:Patients admitted to intensive-care units (ICU) are at a high risk of nosocomial infections (NI) due to susceptibility associated with severity of their condition, but also the invasive medical procedures they undergo. AIM:To determine the frequency of NI at the ICU of the General Hospital Uzice, and to identify the risk factors for their development. METHODS:A prospective surveillance study of NI, conducted between June 27. and December 31 2001, included 914 patients who spent at least 24 hours in the ICU (total of 2 615 days). The surveillance of NI in the ICU was carried out daily. Follow-up period covered the time from the ICU admission to 48 hours after the ICU discharge. To assess risk factors for NI, we performed a case-control study. The variables measuring of extrinsic and intrinsic risk factors for NI were collected. RESULTS:In a six-month prospective surveillance study, the incidence of NI was 16.7% or 58.5 per 1,000 patient-day, respectively. The most frequent were the infections of the surgery wounds (32.6%), urinary tract infections (23.5%), and infections of the blood (7.1%). The identified independent risk factors for NI were: surgical intervention (OR = 5.74; CI = 2.01-16.41), endotracheal tubes (OR = 3.40; CI = 1.07-10.89), cystoscopy (OR = 2.35; CI = 1.38-4.02), obesity (OR = 1.98; CI = 1.27-3.11), and the duration of the infusion (OR = 1.34; CI = 1.23-1.46). CONCLUSIONS:The most important risk factors for NI at ICU were surgical interventions and endotracheal tubes.
journal_name
Vojnosanit Pregljournal_title
Vojnosanitetski pregledauthors
Mijovićc B,Janković S,Maksimović N,Marinković Jdoi
10.2298/vsp0504265msubject
Has Abstractpub_date
2005-04-01 00:00:00pages
265-71issue
4eissn
0042-8450issn
2406-0720journal_volume
62pub_type
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