Author/Authors :
Sallam, S.A. High Institute of Public Health - Department of Epidemiology, Egypt , Arafa, M.A. High Institute of Public Health - Department of Epidemiology, Egypt , Razek, A.A. University of Alexandria - Faculty of Medicine - Department of Anaesthesia, Egypt , Naga, M. Alexandria University - Students Hospital - Intensive Care Unit, Egypt , Hamid, M.A. Alexandria University - Students Hospital - Laboratory Department, Egypt
Abstract :
We studied the magnitude and determinants of device-related nosocomial infections in inten- sive care units (ICU) and identified the predominant microorganisms involved. Sputum, urine, blood cultures and chest X-ray were taken from each patient on admission and on appearance of any sign/symptom of infection. Out of 400 patients admitted to 3 units during the study, 45 (11.3%) developed nosocomial infec- tions.The most important determinants of infection were previous admission to an ICU, whether in the same or another hospital, and duration of stay. Overall, 38 patients developed 43 device-related nosocomial infections (1.13 episodes per patient).The main infectied association with invasive procedures were ventilator-associated pneumonia followed by catheter-related urinary tract infection and bloodstream infections.