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Journals / Abant Tıp Dergisi / 2017 / Cilt: 6 - Sayı: 3

Risk Factors of Nosocomial Infections in a Neurosurgery Clinic

Beyin e Sinir Cerrahisi Kliniğinde Hastane Kökenli Enfeksiyonların Risk Faktörleri

Deniz BORCAK
Aygül Doğan ÇELİK
Gül DURMUŞ
Pages
114–119
Publication Date
2017-09-01
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Factors significantly associated with hospital acquired infection were as follows: age 65 years , smoking cigarette, faecal incontinence, malignity and recurrent operation.DISCUSSION AND CONCLUSION: Its important to determine the risk factors for nosocomial infection development and to identify the causative microorganisms to improve infection control and preventive programs.

📌 3 Key Takeaways

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Objective & Hypothesis:INTRODUCTION: Nosocomial infections are acquired during hospital care which were not present or incubating at the time of the patients admission to the hospital.
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Key Findings & Data:They occur more than 48 to 72 hours after admission and up to 10 days after hospital discharge.
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Conclusion & Impact:Factors significantly associated with hospital acquired infection were as follows: age 65 years , smoking cigarette, faecal incontinence, malignity and recurrent operation.DISCUSSION AND CONCLUSION: Its important to determine the risk factors for nosocomial infection development and to identify the causative microorganisms to improve infection control and preventive programs.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Nozokomiyal enfeksiyonlar · beyin ve · Nosocomial infections

Abstract

INTRODUCTION: Nosocomial infections are acquired during hospital care which were not present or incubating at the time of the patients admission to the hospital. They occur more than 48 to 72 hours after admission and up to 10 days after hospital discharge. The aim of the present study was to determine Neurosurgery Clinics nosocomial infection rates, infecting microorganisms, and their resistance patterns to achieve standardization and make comparisons among other Turkish and developed country hospitals. METHODS: In this study risk factors for nosocomial infection development in neurosurgery patients were analyzed by reviewing patient cards retrospectively, and recording microbiological culture results. RESULTS: Seventy eight nosocomial infection attacks were defined in 57 patients and the incidence of nosocomial infection attacks were 10.34. Of the nosocomial infection attacks 53.8 was pneumonia, 15.4 was urinary tract infection, 12.8 was surgical site infection, 11.5 was central nervous system infection and 6.4 was catheter related blood stream infection. Acinetobacter baumanii, Pseudomonas aeruginosa and Methicillin sensitive Staphylococcus aureus remained the most common pathogens isolated from nosocomial infections. Factors significantly associated with hospital acquired infection were as follows: age 65 years , smoking cigarette, faecal incontinence, malignity and recurrent operation.DISCUSSION AND CONCLUSION: Its important to determine the risk factors for nosocomial infection development and to identify the causative microorganisms to improve infection control and preventive programs.

Özet

GİRİŞ ve AMAÇ: Hastane enfeksiyonları hastanın hastaneye başvurusu esnasında bulunmayan veya inkübasyon döneminde olmayan, hastaneye başvurduktan 48-72 saat sonra veya hastaneden taburcu olduktan sonraki 10 gün içinde gelişen enfeksiyonlardır. Standardizasyonu sağlamak, Türkiye ve gelişmiş ülkelerin hastaneleri ile karşılaştırma yapabilmek için Beyin Cerrahisi Kliniğindeki hastane enfeksiyonu oranlarını, enfeksiyon etkeni mikroorganizmaları ve direnç kalıplarını belirlemek amaçlanmıştır. YÖNTEM ve GEREÇLER: Bu çalışmada beyin cerrahisi hastalarında hastane enfeksiyonu gelişimindeki risk faktörleri hasta kayıtları gözden geçirilerek ve hasta bilgileri ile mikrobiyoloji kültür sonuçları kaydedilerek analiz edilmiştir. BULGULAR: alışmada 57 hastada 78 hastane enfeksiyonu atağı belirlendi ve hastane enfeksiyonu hızı 10,34 olarak tespit edildi. Hastane enfeksiyon ataklarının 53,8i pnömoni, 15.4ü üriner sistem enfeksiyonu, 12,8i cerrahi alan enfeksiyonu, 11.5i merkezi sinir sistemi enfeksiyonu, 6.4ü kateter ilişkili kan dolaşım enfeksiyonuydu. Hastane enfeksiyonlarından en sık izole edilen etkenler Acinetobacter baumanii 16,4 , Pseudomonas aeruginosa 16,4 ve Metisilin duyarlı Staphylococcus aureus 16,4 idi. Yaşın 65 üzerinde olması, sigara kullanımı, fekal inkontinans, malignite, birden fazla cerrahi girişim varlığının hastane enfeksiyonu gelişiminde risk faktörü olduğu saptanmıştır. TARTIŞMA ve SONUÇ: Hastane enfeksiyonu gelişiminde rol oynayan risk faktörlerinin tanımlanması, etken mikroorganizmaların belirlenmesi enfeksiyon kontrol ve önleme programlarını geliştirilmesi, beyin cerrahisi hastasının değerlendirilmesi, tanı ve tedavisine yaklaşımda önemlidir.

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Cite This Article

BORCAK, D., ÇELİK, A. D., DURMUŞ, G. (2017). Risk Factors of Nosocomial Infections in a Neurosurgery Clinic. Abant Tıp Dergisi, Cilt: 6 - Sayı: 3, 114–119. https://ajindex.com/articles/448971

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References (11)

  1. Jarvis WR. Selected aspects of the socioeconomic impact of nosocomial infections: morbidity, mortality, cost, and prevention. Infect Control Hosp Epidemiol 1996;17(8): 552-557.
  2. Çelik C, Gözel MG, Dayı F, Bakıcı MZ, Elaldı N, Gültürk E. Increasing antimicrobial resistance in A. Baumannii. Journal of Microbiology and Infectious Diseases 2014;4(1): 7-12.
  3. Leblebicioglu H, Rosenthal VD, Arıkan OA, and et al. Device associated nosocomial infection rates in Turkish intensive care units. Findings of the International Nosocomial Infection Control Consortium (INICC). J Hosp Infect 2007; 65(3): 251-257.
  4. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC defnitions for nosocomial infections. Am J Infect Control 1988; 16(3): 128 -140. O'Shea M, Crandon I, Harding H, Donaldson G, Bruce C, Ehikhametalor K. Infections in neurosurgical patients admitted to the intensive care unit at the University Hospital of the West Indies. West Indian Med J 2004; 53(3):159-163.
  5. Zolldann D, Thiex R, Hafner H, Waitschies B, Lütticken R, Lemmen SW. Periodic surveillance of nosocomial infections in a neurosurgery intensive care unit, Infection 2005; 33(3):115-121.
  6. Hopmans TEM, Blok HEM, Troelstra A, Bonten MJM. Prevalence of Hospital-Acquired Infections During Successive Surveillance Surveys Conducted at a University Hospital in The Netherlands. Infect Control Hosp Epidemiol 2007; 28(4): 459-465.
  7. Wikler MA, Bush K, Cockerill FR, and et al. Performance standards for antimicrobial susceptibility testing: eighteenth informational supplement. M100-S18 2005; 54-56.
  8. Salomao R, Rosenthal VD, Grimberg G, and et al. Device- associated infection rates in intensive care units of Brazilian hospitals: findings of the International Nosocomial infection Control Consortium. Rev Panam Salud Publica 2008; 24(3):195-202.
  9. Savardekar A, Gyurmey T, Agarwal R and et al. Incidence, risk factors, and outcome of postoperative pneumonia after microsurgical clipping of ruptured intracranial aneurysms. Surg Neurol Int. 2013; 4: 24. Dettenkofer M, Ebner W, Hans FJ, and et al. Selected aspects of the socioeconomic impact of nosocomial infections: morbidity, mortality, cost, and prevention. Infect Control Hosp Epidemiol 1996; 17(8): 552-557.
  10. Palabiyikoglu I, Tekeli E, Cokca F, and et al. Nosocomial meningitis in a university hospital between 1993 and 2002. J Hosp Infect 2006; 62: 94-97.
  11. Yetkin F, Ersoy Y, Karaman P, Kayabaş Ü, Bayındır Y, Koçak A. Device associated nosocomial infection surveillance in the neurosurge