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 Fisher’s 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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Main Authors: Oliveira,Adriana Cristina de, Kovner,Christine Tassone, Silva,Rafael Souza da
Format: Digital revista
Language:English
Published: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2010
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692010000200014
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spelling 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 Fisher’s 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
institution SCIELO
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country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Oliveira,Adriana Cristina de
Kovner,Christine Tassone
Silva,Rafael Souza da
spellingShingle Oliveira,Adriana Cristina de
Kovner,Christine Tassone
Silva,Rafael Souza da
Nosocomial Infection in an Intensive Care Unit in a Brazilian University Hospital
author_facet 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 Fisher’s 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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