REDUCTION OF NOSOCOMIAL INFECTIONS IN THE SURGICAL INTENSIVE-CARE UNIT BY STRICT GLYCEMIC CONTROL

2004 ◽  
Vol 10 (Supplement 2) ◽  
pp. 46-52 ◽  
Author(s):  
Neil J. Grey ◽  
George A. Perdrizet
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Glycemic Control ◽  
Nosocomial Infections ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Strict Glycemic Control

scholarly journals Strict glycemic control in patients hospitalized in a mixed medical and surgical intensive care unit: a randomized clinical trial

Critical Care ◽  
2008 ◽  
Vol 12 (5) ◽  
pp. R120 ◽  
Author(s):  
Gisela D De La Rosa ◽  
Jorge H Donado ◽  
Alvaro H Restrepo ◽  
Alvaro M Quintero ◽  
Luis G Gonzalez ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Glycemic Control ◽  
Randomized Clinical Trial ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Strict Glycemic Control

scholarly journals Nosocomial infections in a pediatric surgical intensive care unit: An unicentric cross-sectional study

2021 ◽  
Vol 74 (3-4) ◽  
pp. 112-116
Author(s):  
Marina Pandurov ◽  
Izabella Fabri-Galambos ◽  
Andjela Opancina ◽  
Anna Uram-Benka ◽  
Goran Rakic ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Infections ◽  
Hospital Length Of Stay ◽  
Surgical Intensive Care Unit ◽  
Negative Consequences ◽  
Surgical Intensive Care ◽  
Acinetobacter Baumanii ◽  
Cross Sectional ◽  
The Impact

Introduction. Nosocomial infections are a common complication in patients hospitalized in intensive care units. The aims of this research were to examine the incidence of nosocomial infections in patients admitted to the pediatric surgical intensive care unit, the impact of hospital length of stay and type of surgical disease on the incidence of nosocomial infections, the frequency of microorganisms causing nosocomial infections and their antibiotic susceptibility profile. Material and Methods. Data on 50 subjects were extracted from the database. The following data were taken from the medical histories of the examinees: age, sex, diagnosis, number of days at the hospital before admission to the intensive care unit, number of days in the intensive care unit, levels of C-reactive protein, applied antimicrobial drugs, isolated microorganisms and their susceptibility to antibiotics. Results. The incidence of nosocomial infections in the study period was 52%. Patients who developed nosocomial infection remained longer in the intensive care unit than those who did not develop it (p = 0.003). Patients with the diagnosis of acute abdomen had a statistically significantly higher incidence of nosocomial infections compared to other patients (p = 0.001). Gram-negative bacteria were the most commonly isolated pathogens (46.8%). Acinetobacter baumanii proved to be the most resistant species in this study, since 80% of the strains did not show sensitivity to any of the tested antibiotics. Conclusion. Nosocomial infections are present in slightly more than half of the patients treated at the pediatric surgical intensive care unit. Patients who developed nosocomial infections stayed longer in the pediatric surgical intensive care unit, which had negative consequences for their health and treatment costs.

scholarly journals Assessment of the intensity of the epidemic process of ventilator-associated respiratory tract infections in patients of surgical intensive care unit

2015 ◽  
Vol 20 (2) ◽  
pp. 37-42
Author(s):  
O. A Orlova ◽  
V. G Akimkin
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Tract ◽  
Nosocomial Infections ◽  
Respiratory Tract Infections ◽  
Abdominal Cavity ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Epidemic Process ◽  
Tract Infections

The urgency of the problem of ventilator-associated respiratory tract infections is stipulated by the ever-increasing number of diseases caused by nosocomial polyantibiotic-resistant strains and high mortality rate. Purpose - to give an assessment of the intensity of the epidemic process of ventilator-associated respiratory tract infections in patients of the surgical intensive care unit. In the base of the analysis there were put the results of a comprehensive epidemiological, clinical, and instrumental study of 137 patients (100 patients with severe injuries and 37 patients with diseases of the abdomen and thorax) with ventilator - associated respiratory tract infections received medical treatment in the surgical intensive care unit. The proportion of respiratory tract infections in the structure of nosocomial infections in these patients varies from 34.6 to 58.9 %, in that there was revealed the prevalence of nosocomial pneumonias (63.5 %). When using a ventilator with viral-bacterial filters signs of nosocomial respiratory tract infections were manifested on the 10th day and later in 50.8 % of patients. In cases with the duration of artificial ventilation more than 10 days the risk of the development of these infections in patients with diseases of the abdominal cavity and thorax was 2.1 times higher than in patients with injuries. There was shown the necessity of the development of a set of measures for the prevention of nosocomial infections of the respiratory tract.

scholarly journals Catheter-associated urinary tract infection in a surgical intensive care unit

2015 ◽  
Vol 72 (10) ◽  
pp. 883-888 ◽  
Author(s):  
Jovan Mladenovic ◽  
Milic Veljovic ◽  
Ivo Udovicic ◽  
Srdjan Lazic ◽  
Zeljko Jadranin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Nosocomial Infections ◽  
Surgical Intensive Care Unit ◽  
Control Group ◽  
Surgical Intensive Care

Background/Aim. Because patients in intensive care units usually have an urinary catheter, the risk of urinary tract infection for these patients is higher than in other patients. The aim of this study was to identify risk factors and causative microrganisms in patients with catheter-associated urinary tract infection (CAUTI) in the Surgical Intensive Care Unit (SICU) during a 6-year period. Methods. All data were collected during prospective surveillance conducted from 2006 to 2011 in the SICU, Military Medical Academy, Belgrade, Serbia. This case control study was performed in patients with nosocomial infections recorded during surveillance. The cases with CAUTIs were identified using the definition of the Center for Disease Control and Prevention. The control group consisted of patients with other nosocomial infections who did not fulfill criteria for CAUTIs according to case definition. Results. We surveyed 1,369 patients representing 13,761 patient days. There were a total of 226 patients with nosocomial infections in the SICU. Of these patients, 64 had CAUTIs as defined in this study, and 162 met the criteria for the control group. Multivariate logistic regression analysis identified two risk factors independently associated to CAUTIs: the duration of having an indwelling catheter (OR = 1.014; 95% CI 1.005-1.024; p = 0.003) and female gender (OR = 2.377; 95%CI 1.278-4.421; p = 0.006). Overall 71 pathogens were isolated from the urine culture of 64 patients with CAUTIs. Candida spp. (28.2%), Pseudomonas aeruginosa (18.3%) and Klebsiella spp. (15.5%) were the most frequently isolated microorganisms. Conclusions. The risk factors and causative microrganisms considering CAUTIs in the SICU must be considered in of planning CAUTIs prevention in this setting.

scholarly journals Nosocomial Infections in a Medical-Surgical Intensive Care Unit

2008 ◽  
Vol 17 (5) ◽  
pp. 373-377 ◽  
Author(s):  
Nasser Yehia A. Aly ◽  
Haifaa H. Al-Mousa ◽  
El Sayed M. Al Asar
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nosocomial Infections ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care

The Effect of a Computer-Assisted Insulin Protocol on Glycemic Control in a Surgical Intensive Care Unit

2011 ◽  
Vol 13 (4) ◽  
pp. 495-500 ◽  
Author(s):  
Jeffrey F. Barletta ◽  
Karen J. McAllen ◽  
Evert A. Eriksson ◽  
Gregory Deines ◽  
Steven A. Blau ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Glycemic Control ◽  
Surgical Intensive Care Unit ◽  
Computer Assisted ◽  
Surgical Intensive Care
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