Mehmet Faruk GEYİK, Mustafa ALDEMİR, Recep TEKİN, Mustafa Kemal ÇELEN, Sadullah GİRGİN, Salih HOSOĞLU, Celal AYAZ, Cemal ÜSTÜN

Genel Cerrahi Kliniğinde Gelişen Hastane Enfeksiyonlarının Sürveyansı: On Yıllık Verilerin Değerlendirilmesi

Amaç: Bu çalışmada, genel cerrahi kliniğinde gelişen hastane enfeksiyonlarının epidemiyolojisideğerlendirilmiştir. Yöntem: Bu çalışma, Ocak 1997-Aralık 2006 tarihleri arasında; hastaya ve laboratuvara dayalı,aktif, ileriye dönük sürveyans metodu kullanılarak yapıldı. Hastane enfeksiyonu tanısı Centersfor Diseases Control and Prevention (CDC) kriterlerine göre yapıldı.Bulgular: Genel Cerrahi kliniğinde, 10 yıllık sürede 290 hastada 305 hastane enfeksiyonusaptandı. Ortalama hastane enfeksiyonu hızı ve insidans dansitesi sırasıyla %2,0 ve 2,3/1000hasta günü bulundu. En sık görülen hastane enfeksiyonu; cerrahi alan enfeksiyonu, üriner sistemenfeksiyonu ve pnömoni idi. En sık izole edilen patojen mikroorganizmalar Escherichia coli(%36,8), Staphylococcus aureus (%17,7) ve Pseudomonas aeruginosa (%10,5) idi. S. aureussuşlarının %76’sı metisiline dirençli bulundu. Meropenem ve amikasin Gram negatif bakterilereen etkili antibiyotiklerdi.Sonuç: Enfeksiyon kontrol komitesi, Enfeksiyon Hastalıkları ve Genel Cerrahi Kliniği arasındaişbirliği yapılarak sürveyans verilerinin düzenli aralıklarla kararlı bir şekilde değerlendirilmesi,Hastane enfeksiyonlarının sürveyansında gelişecek değişikliklerin saptanması için gereklidir

Anahtar Kelimeler:

Hastane enfeksiyonları, epidemiyoloji, sürveyans, genel cerrahi kliniği

Surveillance of Nosocomial Infections in General Surgery Unit: Data of Ten Years Period

Aim: The aim of this study is to evaluate the epidemiologic data of nosocomial infection (NI)occurring in the General Surgery Unit (GSU).Method: This study was performed between January 1997 and December 2006. The surveillancemethod was active, prospective, and based on laboratory and patient. NIs were defined accordingto Centers for Diseases Control and Prevention criteria (CDC).Results: During the ten-year period, 305 NI episodes were detected in 290 patients. The overallincidence rates and incidence densities of NIs were 2.0% and 2.3/1,000 patient-day respectively.The most common NIs by primary site were surgical site infections, urinary tract infections,and pneumonia. The most prevalent microorganisms were Escherichia coli (36.8%),Staphylococcus aureus (17.7%) and Pseudomonas aeruginosa (10.5%). Meticillin resistanceamong S. aureus isolates was 76%. Meropenem and amikacin were the most effective agentsagainst to Gram-negative bacteria. Conclusion: In order to detect of the variation and trends of NIs, the data of surveillanceactivities must be evaluated decisively and regularly with collaboration among infection controlteam, Infectious Disease clinic, and GSU

Keywords:

Nosocomial infections, epidemiology, surveillance, general surgery unit,

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