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Journals / Türk Geriatri Dergisi / 2013 / Cilt: 16 - Sayı: 2

Indicence and risk factors of nosocomial infections in elderly and adult patients in in intensive care units

Yoğun bakım ünitelerinde yatan yaşlı hastalarda gelişen nozokomiyal infeksiyon sıklığı ve risk faktörleri

Murat DİZBAY
Kevser ÖZDEMİR
Asiye DİKMEN
Pages
155–160
Publication Date
2022-11-04
DOI
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⚡ TL;DR(Too Long; Didn't Read)

In the elderly group with NI, duration of hospitalization and mortality rate were found to be significantly higher (p

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: The aim of this study was to investigate the incidence and risk factors for the development of nosocomial infections (NI) in elderly patients who were treated in the medical intensive care units (ICU).
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Key Findings & Data:Factors affecting mortality were also evaluated.Materials and Method: A total of 433 patients who were treated in the ICU for over 48 hours were included in the study. 228 of the patients were over 65 years of age (elderly group), and 205 were between 18 to 65 years of age (adult group).
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Conclusion & Impact:In the elderly group with NI, duration of hospitalization and mortality rate were found to be significantly higher (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Introduction: The aim of this study was to investigate the incidence and risk factors for the development of nosocomial infections (NI) in elderly patients who were treated in the medical intensive care units (ICU). Factors affecting mortality were also evaluated.Materials and Method: A total of 433 patients who were treated in the ICU for over 48 hours were included in the study. 228 of the patients were over 65 years of age (elderly group), and 205 were between 18 to 65 years of age (adult group). The elderly and adult groups were compared taking into consideration the risk factors for NI development, causative organisms and mortality rates. Patients in the elderly group with or without NI were also compared.Results: There was no significant difference between the elderly and adult groups regarding the development of NI (p>0.05). In the elderly group with NI, duration of hospitalization and mortality rate were found to be significantly higher (p

Özet

Giriş: Bu çalışmanın amacı medikal yoğun bakım ünitelerinde (YBÜ) yatan yaşlı hastalarda gelişen nozokomiyal infeksiyonların (Nİ) sıklığını, risk faktörlerini ve mortaliteyi etkileyen faktörleri araştırmaktır.Gereç ve Yöntem: Çalışmamız YBÜ'de 48 saatten uzun süre yatırılarak takip edilen toplam 433 hasta ile yapılmıştır. Hastaların 228'i 65 yaş ve üzeri (yaşlı), 205'i 18-65 yaş (erişkin) arasındadır. Yaşlı ve erişkin hastalar Nİ gelişimini etkileyen risk faktörleri, etkenler ve mortalite oranları yönünden karşılaştırılmıştır. Ayrıca Nİ gelişen ve gelişmeyen yaşlı hastalar risk faktörleri açısından karşılaştırılmıştır.Bulgular: Nozokomiyal infeksiyon gelişimi açısından yaşlı ve erişkin grup arasında istatistiksel olarak anlamlı fark saptanmamıştır (p>0.05). Nİ olan yaşlı hastalarda hastanede yatış süresi ve mortalite Nİ olmayanlara göre anlamlı olarak yüksek bulunmuştur (p65 yaş, yatış süresinin uzunluğu, santral venöz kateter ve MV uygulaması, bilinç bozukluğu, kronik sistemik hastalık, Nİ ve malignite varlığı mortaliteyi artıran bağımsız risk faktörleri olarak bulunmuştur.Sonuç: Yaşlılık nozokomiyal infeksiyon gelişimi için tek risk faktörü olmamakla birlikte Nİ gelişimi, özellikle pnömoni, YBÜ'de takip edilen yaşlı hastalar için önemli bir mortalite nedenidir.

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Cite This Article

DİZBAY, M., ÖZDEMİR, K., DİKMEN, A. (2022). Indicence and risk factors of nosocomial infections in elderly and adult patients in in intensive care units. Türk Geriatri Dergisi, Cilt: 16 - Sayı: 2, 155–160. https://ajindex.com/articles/623945

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