Risk factors for the development of hospital infections in the intensive care units
Background. Patients admitted to intensive-care units (ICU) are at a high risk of nosocomial infections (NI) due to susceptibility associated with severity of their condition, but also the invasive medical procedures they undergo. Aim. To determine the frequency of NI at the ICU of the General Hospi...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2005-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500504265M.pdf |
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| author | Mijović Biljana Janković Slavenka M. Maksimović Nataša Marinković Jelena M. |
| author_facet | Mijović Biljana Janković Slavenka M. Maksimović Nataša Marinković Jelena M. |
| author_sort | Mijović Biljana |
| collection | DOAJ |
| description | Background. Patients admitted to intensive-care units (ICU) are at a high risk of nosocomial infections (NI) due to susceptibility associated with severity of their condition, but also the invasive medical procedures they undergo. Aim. To determine the frequency of NI at the ICU of the General Hospital Užice, and to identify the risk factors for their development. Methods. A prospective surveillance study of NI, conducted between June 27 and December 31 2001, included 914 patients who spent at least 24 hours in the ICU (total of 2 615 days). The surveillance of NI in the ICU was carried out daily. Follow-up period covered the time from the ICU admission to 48 hours after the ICU discharge. To assess risk factors for NI, we performed a case-control study. The variables measuring of extrinsic and intrinsic risk factors for NI were collected. Results. In a six-month prospective surveillance study, the incidence of NI was 16.7% or 58.5 per 1,000 patient-day, respectively. The most frequent were the infections of the surgery wounds (32.6%), urinary tract infections (23.5%), and infections of the blood (7.1%). The identified independent risk factors for NI were: surgical intervention (OR = 5.74; CI = 2.01-16.41), endotracheal tubes (OR = 3.40; CI = 1.07-10.89), cystoscopy (OR = 2.35; CI = 1.38- 4.02), obesity (OR = 1.98; CI = 1.27-3.11), and the duration of the infusion (OR = 1.34; CI = 1.23-1.46). Conclusions. The most important risk factors for NI at ICU were surgical interventions and endotracheal tubes. |
| format | Article |
| id | doaj-art-410f4dca2fed46d2b71182c4ab428b30 |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2005-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-410f4dca2fed46d2b71182c4ab428b302025-08-20T01:56:48ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502005-01-0162426527110.2298/VSP0504265MRisk factors for the development of hospital infections in the intensive care unitsMijović BiljanaJanković Slavenka M.Maksimović NatašaMarinković Jelena M.Background. Patients admitted to intensive-care units (ICU) are at a high risk of nosocomial infections (NI) due to susceptibility associated with severity of their condition, but also the invasive medical procedures they undergo. Aim. To determine the frequency of NI at the ICU of the General Hospital Užice, and to identify the risk factors for their development. Methods. A prospective surveillance study of NI, conducted between June 27 and December 31 2001, included 914 patients who spent at least 24 hours in the ICU (total of 2 615 days). The surveillance of NI in the ICU was carried out daily. Follow-up period covered the time from the ICU admission to 48 hours after the ICU discharge. To assess risk factors for NI, we performed a case-control study. The variables measuring of extrinsic and intrinsic risk factors for NI were collected. Results. In a six-month prospective surveillance study, the incidence of NI was 16.7% or 58.5 per 1,000 patient-day, respectively. The most frequent were the infections of the surgery wounds (32.6%), urinary tract infections (23.5%), and infections of the blood (7.1%). The identified independent risk factors for NI were: surgical intervention (OR = 5.74; CI = 2.01-16.41), endotracheal tubes (OR = 3.40; CI = 1.07-10.89), cystoscopy (OR = 2.35; CI = 1.38- 4.02), obesity (OR = 1.98; CI = 1.27-3.11), and the duration of the infusion (OR = 1.34; CI = 1.23-1.46). Conclusions. The most important risk factors for NI at ICU were surgical interventions and endotracheal tubes.http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500504265M.pdfcross infectionintensive care unitsrisk factorsdrug resistancemicrobialincidencequestionnairescausality |
| spellingShingle | Mijović Biljana Janković Slavenka M. Maksimović Nataša Marinković Jelena M. Risk factors for the development of hospital infections in the intensive care units Vojnosanitetski Pregled cross infection intensive care units risk factors drug resistance microbial incidence questionnaires causality |
| title | Risk factors for the development of hospital infections in the intensive care units |
| title_full | Risk factors for the development of hospital infections in the intensive care units |
| title_fullStr | Risk factors for the development of hospital infections in the intensive care units |
| title_full_unstemmed | Risk factors for the development of hospital infections in the intensive care units |
| title_short | Risk factors for the development of hospital infections in the intensive care units |
| title_sort | risk factors for the development of hospital infections in the intensive care units |
| topic | cross infection intensive care units risk factors drug resistance microbial incidence questionnaires causality |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2005/0042-84500504265M.pdf |
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