Urinary tract infections in intensive care unit patients - a single-centre, 3-year observational study according to the INICC project.

BACKGROUND: Urinary tract infections (UTI) in patients with urinary catheters could be a serious complication of hospitalisation in the intensive care unit (ICU). METHODS: A prospective study (01.01.2012-31.12.2014) was conducted in the 20-bed ICU of the University Hospital in Wroclaw, Poland. The frequency (density, incidence) and aetiology of UTI as well as prophylactic method compliance were estimated in patients of the ICU according to the INICC project. RESULTS: Among 1261 ICU patients, urinary tract infections were diagnosed in 91 (7%). The incidence index was 7.25/100 admissions to the ICU. CA-UTI constituted 36% of the device-associated, healthcare-associated infections (n = 255). A urinary catheter was used in 92.21 ± 4.51% of patients during 14,006 patient-days and 12,917 urinarycatheter- days. The density of CA-UTI/1000 catheter-days was 6.44, 6.84, 7.16 during the years 2012, 2013, and 2014, respectively. The main pathogens of CA-UTI were Enterococcus spp. (22%), Acinetobacter baumannii (20%), Klebsiella pneumoniae (18%), Pseudomonas aeruginosa (13%), and Candida spp. (13%). Only in four elements of the "Urinary Catheter Bundle" was 100% compliance noted. CONCLUSIONS: In the observed period of time, the incidence of CA-UTI was higher than in the INICC (2014) report and the NHSN/CDC (2012) report. Analysis of compliance with a "Urinary Catheter Bundle" to prevent UTI shows low implementation of preventative methods with the INICC protocol.

Severe sepsis in intensive care units in Poland--a point prevalence study in 2012 and 2013.

BACKGROUND: Severe sepsis is associated with a high mortality rate, but the detailed epidemiology of sepsis is not well known in Polish hospitals. The aim of the study was to determine the prevalence and incidence of severe sepsis in Polish intensive care units (ICUs). METHODS: Two one-day, point-prevalence studies were performed on March 8th, 2012 and March 13th, 2013. An online questionnaire was sent to 320 accredited ICUs. Demographic data regarding hospitals, ICUs, number of patients with severe sepsis and septic shock, and number of patients mechanically ventilated with a central catheter or a urinary catheter were collected. The one-day prevalence of severe sepsis in ICUs was calculated, and the annual incidence of severe sepsis in Poland was estimated from the prevalence rate and the mean length of stay in ICUs. RESULTS: 1398 patients participated in the study in 2012, which accounted for 50% of all ICU beds registered by the National Health Care (NHC) system; 860 patients participated in 2013 (30% of all ICU beds). The daily prevalence of severe sepsis in ICUs was 26% in 2012 and 22% in 2013. Based on the data provided by the NHC system, the number of severe sepsis patients treated in accredited ICUs in Poland amounted to 24,905 patients per year, and the incidence of severe sepsis was 65/100,000 cases per year. CONCLUSIONS: Severe sepsis was observed in one-fourth of patients treated in ICUs in Poland. However, the actual number of severe sepsis patients is at least 2 times higher because many patients with severe sepsis were treated outside accredited ICUs. Severe sepsis constitutes a major health problem in Poland.

Evaluation of the effectiveness of training on a machine with a variable-cam.

The aim of the study was to assess the effectiveness of the training of elbow flexors through the use of 2 machines, one of which was equipped with a disc plate of constant radius, the other one with a variable-cam having a radius adjustable to muscle strength. The experiment included 45 men divided into 3 equal groups: training group A (variable-cam), training group B (circle), and control group C. The training lasted for 8 weeks, 3 times a week. In order to control the effects, the values of peak torque and power of the flexor muscles of the elbow were isokinetically measured for the angular velocities of 30°/s and 60°/s. Also taken were anthropometric measurements of the arm and the creatine kinase (CK) activity in the blood plasma. As a result of the training, significant increases of biomechanical values were noted only in group A: power increased over 20%, the peak torque over 14%. After the training, significant increases of arm circumference in the relaxed position were noted in group A (17 mm), as well as in group B (11 mm). Also, some changes in CK activity were observed between Monday and Friday in a training week. On the basis of the experimental measurements, it may be ascertained that training elbow flexor muscles on a machine with a variable-cam is more efficient for increases in strength and power, as well as for some anthropometric parameters, than training on a machine with a disc plate.

[Monitoring of contamination of foodstuffs with elements noxious to human health. Part II. Mineral waters, soft drinks, fruits, nuts, rice, soybeans, fish and seafood]. / Monitoring zanieczyszczenia zywnosci pierwiastkami szkodliwymi dla zdrowia. Czesc II. Wody mineralne, napoje bezalkoholowe, owoce, orzechy, ryz, soja, ryby i owoce morza.

Results of the 5-years cycle (2004-2008) monitoring investigations on food contamination with elements noxious to human health, involving testing of mineral waters and soft drinks (226 samples), fruits (467 samples), rice (234 samples), soybeans (236 samples), nuts and peanuts (237 samples), fish and seafood (237 samples) are discussed. The parties involved in testing were: laboratories of State Sanitary Inspection and the national reference laboratory of the Department of Food and Consumer Articles Research of National Institute of Public Health - National Institute of Hygiene. The reported metals contents did not give rise to health concerns, remaining generally below the levels set forth in food legislation and being comparable with contamination levels reported in other European countries; and for cadmium--often lower. Health hazard assessment was performed taking into account the mean contamination levels obtained and average domestic consumption of these food products groups in Poland. The highest intake expressed as the percentage of provisional tolerable weekly intake (PTWI) was obtained for mercury in fish, which has reached mean 3.2% PTWI. Controlled fish consumption recommendations should be adhered to by prospective mothers, pregnant women, breast-feeding women and young children. Lead and arsenic intake with mineral waters and soft drinks comprises approx. 15% of total intake of these elements with food.

[Building and implementation of management system in laboratories of the National Institute of Hygiene]. / Budowa i wdrazanie systemu zarzadzania w laboratoriach Panstwowego Zakladu Higieny.

The rules of good laboratory practice have always been observed in the laboratories of National Institute of Hygiene (NIH) and the reliability of the results has been carefully cared after when performing tests for clients. In 2003 the laboratories performing analyses related to food safety were designated as the national reference laboratories. This, added to the necessity of compliance with work standards and requirements of EU legislation and to the need of confirmation of competence by an independent organisation, led to a decision to seek accreditation of Polish Centre of Accreditation (PCA). The following stages of building and implementation of management system were presented: training, modifications of Institute's organisational structure, elaboration of management system's documentation, renovation and refurbishment of laboratory facilities, implementation of measuring and test equipment's supervision, internal audits and management review. The importance of earlier experiences and achievements with regard to validation of analytical methods and guarding of the quality of the results through organisation and participation in proficiency tests was highlighted. Current status of accreditation of testing procedures used in NIH laboratories that perform analyses in the field of chemistry, microbiology, radiobiology and medical diagnostic tests was presented.

[Monitoring of contamination of foodstuffs with elements noxious to human health. Part I. Wheat cereal products, vegetable products, confectionery and products for infants and children (2004 year)]. / Monitoring zanieczyszczenia zywnosci pierwiastkami szkodliwymi dla zdrowia. Czesc I. Produkty zbozowe pszenne, warzywne, cukiernicze oraz produkty dla niemowlat i dzieci (rok 2004).

The testing of products of wheat cereal (310 samples), vegetable (418 samples), confectionery (439 samples) and 952 samples of products for infants and children has initiated the 5-years cycle of monitoring investigations on food contamination with elements noxious to human health planned to perform in 2004-2008. The parties involved in testing were: laboratories of State Sanitary Inspection collecting samples on all over the territory of Poland, both from retail market (of domestic origin as well as imported) and directly from producers; the national reference laboratory of the Department of Food and Consumer Articles Research of National Institute of Public Health - National Institute of Hygiene responsible for elaboration of official food control and monitoring plans to be approved by Chief Sanitary Inspectorate and for the substantive supervising of tests performance. The reported metals contents were not of health concern and generally below the levels set forth in food legislation. The health hazard assessment was performed taking into account the mean contamination obtained and average domestic consumption of these food products groups in Poland. The highest intake expressed as the percentage of provisional tolerable weekly intake (PTWI) was obtained for cadmium, which has reached 9.4% PTWI for cereal based products and 4.7% PTWI for vegetables. The cadmium content in chocolate and derived products due to contamination of cocoa beans and the levels of this element in products for infants and children originated from contamination of cereal and soybeans row materials should not be ignored. The decrease of lead contamination comparing to those reported in 1990 studies was observed.

[The activity of Codex Alimentarius Commission FAO/WHO Committee on Methods of Analysis and Sampling]. / Dzialalnosc Komitetu ds. Metod Analiz i Pobierania Próbek Komisji Kodeksu Zywnosciowego FAO/WHO.

In the light of issues discussed during 24th Session of Codex Committee on Methods of Analysis and Sampling that was held in Budapest, 18-22 November 2002, the current activity of this Committee is presented. More detailed information about some of the most advanced or interesting documents is included, i. e. Proposed Draft General Guidelines On Sampling, Harmonized IUPAC Guidelines for Single-Laboratory Validation of Methods of Analysis, Consideration of methods for the detection and identification of food derived from biotechnology.