Nosocomial Infection and Mortality in a Neurology-Neurosurgery Intensive Care Unit
Introduction: Increased mortality has been reported among intensive care unit (ICU) patients with nosocomial infection. Few previous studies have evaluated the relationship between nosocomial infection and mortality in neurology-neurosurgery ICU. The aim of this study was to evaluate effect of ICU-a...
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Bilimsel Tip Yayinevi
2008-12-01
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Series: | Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi |
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doaj-fbea079f41854ed49d5fa695d81c32e82020-11-24T22:22:42ZengBilimsel Tip YayineviFlora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi1300-932X1300-932X2008-12-01134194199Nosocomial Infection and Mortality in a Neurology-Neurosurgery Intensive Care UnitGül Ruhsar YILMAZ0Cemal BULUT1M. Arzu YETKİN2Çiğdem ATAMAN HATİPOĞLU3F. Şebnem ERDİNÇ4Ali Pekcan DEMİRÖZ5SB Ankara Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, ANKARASB Ankara Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, ANKARASB Ankara Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, ANKARASB Ankara Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, ANKARASB Ankara Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, ANKARASB Ankara Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, ANKARAIntroduction: Increased mortality has been reported among intensive care unit (ICU) patients with nosocomial infection. Few previous studies have evaluated the relationship between nosocomial infection and mortality in neurology-neurosurgery ICU. The aim of this study was to evaluate effect of ICU-acquired infection and other factors on mortality in a neurology-neurosurgery ICU. Patients and Methods: The study was conducted in Ankara Training and Research Hospital, which is 600-bed tertiary level hospital. The patients treated for more than 48 hours in 14-bed neurology-neurosurgery ICU were enrolled to the study during the study period from 15 May 2006 to 1 November 2006. The patients were followed until death or 2 days after discharge by prospective daily surveillance. Risk factors were recorded and analysed for ICU-mortality. Results: Fifty-four ICU-acquired infections occurred in 44 (31%) of 142 patients during 1190 patient days. The overall rate of ICU-acquired infection was 38.3/100 patients and 45.4/1000 patient-days. Seventyseven of 142 patients included to the study has died (54.2%). In logistic regression analysis a low Glasgow coma scale score, being a neurology patient, infection on admission, ICU-acquired infection remained as independent risk factors for ICU-mortality. Conclusion: Investigation of the factors affecting mortality will guide for preventive measures for specific patient group like neurology and neurosurgery.http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2008-13-4-194-199.pdfIntensive care unitsMortalityRisk factorNosocomial infectionNeurologyNeurosurgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gül Ruhsar YILMAZ Cemal BULUT M. Arzu YETKİN Çiğdem ATAMAN HATİPOĞLU F. Şebnem ERDİNÇ Ali Pekcan DEMİRÖZ |
spellingShingle |
Gül Ruhsar YILMAZ Cemal BULUT M. Arzu YETKİN Çiğdem ATAMAN HATİPOĞLU F. Şebnem ERDİNÇ Ali Pekcan DEMİRÖZ Nosocomial Infection and Mortality in a Neurology-Neurosurgery Intensive Care Unit Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi Intensive care units Mortality Risk factor Nosocomial infection Neurology Neurosurgery |
author_facet |
Gül Ruhsar YILMAZ Cemal BULUT M. Arzu YETKİN Çiğdem ATAMAN HATİPOĞLU F. Şebnem ERDİNÇ Ali Pekcan DEMİRÖZ |
author_sort |
Gül Ruhsar YILMAZ |
title |
Nosocomial Infection and Mortality in a Neurology-Neurosurgery Intensive Care Unit |
title_short |
Nosocomial Infection and Mortality in a Neurology-Neurosurgery Intensive Care Unit |
title_full |
Nosocomial Infection and Mortality in a Neurology-Neurosurgery Intensive Care Unit |
title_fullStr |
Nosocomial Infection and Mortality in a Neurology-Neurosurgery Intensive Care Unit |
title_full_unstemmed |
Nosocomial Infection and Mortality in a Neurology-Neurosurgery Intensive Care Unit |
title_sort |
nosocomial infection and mortality in a neurology-neurosurgery intensive care unit |
publisher |
Bilimsel Tip Yayinevi |
series |
Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi |
issn |
1300-932X 1300-932X |
publishDate |
2008-12-01 |
description |
Introduction: Increased mortality has been reported among intensive care unit (ICU) patients with nosocomial infection. Few previous studies have evaluated the relationship between nosocomial infection and mortality in neurology-neurosurgery ICU. The aim of this study was to evaluate effect of ICU-acquired infection and other factors on mortality in a neurology-neurosurgery ICU. Patients and Methods: The study was conducted in Ankara Training and Research Hospital, which is 600-bed tertiary level hospital. The patients treated for more than 48 hours in 14-bed neurology-neurosurgery ICU were enrolled to the study during the study period from 15 May 2006 to 1 November 2006.
The patients were followed until death or 2 days after discharge by prospective daily surveillance. Risk factors were recorded and analysed for ICU-mortality. Results: Fifty-four ICU-acquired infections occurred in 44 (31%) of 142 patients during 1190 patient days. The overall rate of ICU-acquired infection was 38.3/100 patients and 45.4/1000 patient-days. Seventyseven of 142 patients included to the study has died (54.2%). In logistic regression analysis a low Glasgow coma scale score, being a neurology patient, infection on admission, ICU-acquired infection remained as independent risk factors for ICU-mortality. Conclusion: Investigation of the factors affecting mortality will guide for preventive measures for specific patient group like neurology and neurosurgery. |
topic |
Intensive care units Mortality Risk factor Nosocomial infection Neurology Neurosurgery |
url |
http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2008-13-4-194-199.pdf |
work_keys_str_mv |
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