SEYİT ALİ BÜYÜKTUNA, Özge TURHAN, MELİKE CENGİZ, Atilla RAMAZANOĞLU, Ata Nevzat YALÇIN

Nosocomial infections and agents determined by consultations in intensive care unit

Amaç: Reanimasyon I-II Yoğun Bakım Ünitelerinde, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı konsültasyonlarıyla tanı konulan nozokomiyal infeksiyonlar incelendi. Hastalar ve Yöntemler: Yoğun bakım ünitelerinde yatan 3750 hastanın 1221'i İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı konsültasyonlarıyla izlendi. Ayrıca yoğun bakıma yatış gerektiren primer ve diğer eşlik eden hastalıklar, demografik veriler, hastanede kalış ve izole edilen mikroorganizmalar da bu çalışmada değerlendirildi. Bulgular: Centers for Disease Control and Prevention kriterlerine göre 756 hasta (%61.9) nozokomiyal infeksiyon tanısı aldı. Bu infeksiyonlar arasında nozokomiyal pnömoni ilk sırada yer aldı. İnfeksiyon etkenleri olarak ilk sırada yer alan Pseudomonas spp.'i (%19.7), Acinetobacter spp. (%17.3) ve Staphylococcus spp. (%16.7) takip etti. Sonuç: Nozokomiyal infeksiyonlarla yoğun bakımlarda sık karşılaşılmaktadır. Bu infeksiyonlarda İnfeksiyon Hastalıkları konsültasyonları infeksiyon kontrolün yanısıra doğru ve hızlı tanı ve tedavide önem arz etmektedir.

Yoğun bakım ünitesinde konsültasyonlarla belirlenen hastane infeksiyonları ve etkenleri

Objectives: We investigated nosocomial infections diagnosed via consultations with the Department of Infectious Diseases and Clinical Microbiology at Reanimation I-II intensive care units. Patients and Methods: Of 3750 patients hospitalized at Reanimation I-II intensive care units, 1221 patients were followed up via consultations with the Department of Infectious Diseases and Clinical Microbiology. Additionally, main diseases that require intensive care, other concomitant diseases, demographical data, hospital stays and isolated microorganisms were evaluated. Results: Seven hundred and fifty-six patients (61.9%) were diagnosed with nosocomial infections according to the criteria of Centers for Disease Control and Prevention. Among these infections, nosocomial pneumonia took the first place. As infectious agent, Pseudomonas spp. (19.7%) took the first place, followed by Acinetobacter spp. (17.3%) and Staphylococcus spp. (16.7%). Conclusion: Nosocomial infections are common at intensive care units. Besides infection control precautions, consultations with Infectious Diseases are also important in quick identification and treatment of these infections.

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