Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital
This prospective study aimed to determine the nosocomial infection (NI) incidence in an Intensive Care Unit (ICU), its association with clinical characteristics and occurrence sites. It was carried out among 1.886 patients admitted in an ICU of a University Hospital, from August 2005 to January 2008. Data analysis was done using Fishers test and Relative Risk (RR). There were 383 NIs (20.3%). The infections were in the urinary tract (n=144; 37.6%), pneumonia (n=98; 25.6%), sepsis (n=58; 15.1%), surgical site (n=54; 14.1%) and others (n=29; 7.7%). Hospitalization average was 19.3 days for patients with NI and 20.2 days for those with colonization by resistant microorganisms. The mortality was 39.5% among patients with NI (RR: 4.4; 3.4-5.6). The NI was associated with patients originated from other units of the institution/emergency unit, more than 4 days of hospitalization, community infection, colonized by resistant microorganisms, using invasive procedures and deaths resulting from NI.
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Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
2010
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oai:scielo:S0104-116920100002000142010-06-16Nosocomial Infection in an Intensive Care Unit in a Brazilian University HospitalOliveira,Adriana Cristina deKovner,Christine TassoneSilva,Rafael Souza da Epidemiologic Surveillance Cross Infection Intensive Care Units This prospective study aimed to determine the nosocomial infection (NI) incidence in an Intensive Care Unit (ICU), its association with clinical characteristics and occurrence sites. It was carried out among 1.886 patients admitted in an ICU of a University Hospital, from August 2005 to January 2008. Data analysis was done using Fishers test and Relative Risk (RR). There were 383 NIs (20.3%). The infections were in the urinary tract (n=144; 37.6%), pneumonia (n=98; 25.6%), sepsis (n=58; 15.1%), surgical site (n=54; 14.1%) and others (n=29; 7.7%). Hospitalization average was 19.3 days for patients with NI and 20.2 days for those with colonization by resistant microorganisms. The mortality was 39.5% among patients with NI (RR: 4.4; 3.4-5.6). The NI was associated with patients originated from other units of the institution/emergency unit, more than 4 days of hospitalization, community infection, colonized by resistant microorganisms, using invasive procedures and deaths resulting from NI.info:eu-repo/semantics/openAccessEscola de Enfermagem de Ribeirão Preto / Universidade de São PauloRevista Latino-Americana de Enfermagem v.18 n.2 20102010-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692010000200014en10.1590/S0104-11692010000200014 |
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Oliveira,Adriana Cristina de Kovner,Christine Tassone Silva,Rafael Souza da |
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Oliveira,Adriana Cristina de Kovner,Christine Tassone Silva,Rafael Souza da Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital |
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Oliveira,Adriana Cristina de Kovner,Christine Tassone Silva,Rafael Souza da |
author_sort |
Oliveira,Adriana Cristina de |
title |
Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital |
title_short |
Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital |
title_full |
Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital |
title_fullStr |
Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital |
title_full_unstemmed |
Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital |
title_sort |
nosocomial infection in an intensive care unit in a brazilian university hospital |
description |
This prospective study aimed to determine the nosocomial infection (NI) incidence in an Intensive Care Unit (ICU), its association with clinical characteristics and occurrence sites. It was carried out among 1.886 patients admitted in an ICU of a University Hospital, from August 2005 to January 2008. Data analysis was done using Fishers test and Relative Risk (RR). There were 383 NIs (20.3%). The infections were in the urinary tract (n=144; 37.6%), pneumonia (n=98; 25.6%), sepsis (n=58; 15.1%), surgical site (n=54; 14.1%) and others (n=29; 7.7%). Hospitalization average was 19.3 days for patients with NI and 20.2 days for those with colonization by resistant microorganisms. The mortality was 39.5% among patients with NI (RR: 4.4; 3.4-5.6). The NI was associated with patients originated from other units of the institution/emergency unit, more than 4 days of hospitalization, community infection, colonized by resistant microorganisms, using invasive procedures and deaths resulting from NI. |
publisher |
Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo |
publishDate |
2010 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692010000200014 |
work_keys_str_mv |
AT oliveiraadrianacristinade nosocomialinfectioninanintensivecareunitinabrazilianuniversityhospital AT kovnerchristinetassone nosocomialinfectioninanintensivecareunitinabrazilianuniversityhospital AT silvarafaelsouzada nosocomialinfectioninanintensivecareunitinabrazilianuniversityhospital |
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