Nosocomial infections in a thirteen-bed critical care unit in Matinique: epidemiology and cost analysis - abstract
WEST INDIAN MED. J
; 46(Suppl. 2): 16, Apr. 1997.
Artigo
em Inglês
| MedCarib
| ID: med-2334
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
The aim of our study was to analyse the problems caused by nosocomial infections (NI) in our intensive care unit (ICU). 239 patients admitted between January and June 1995 were included in the study. 33 episodes of nosocomial infection were diagnosed in 19 patients (7.9 percent). The overall incidence of NI was 13.9 percent. Lower respiratory tract infections were the most common (6.3 percent). Patients infected on admission to the ICU had more NI than other patients (odds ratio = 3.42, 95 percent confidence interval 3.28 - 4.52, p< 0.05). Gram negative bacteria were involved in 73.2 percent of NI. Acinetobacter baumanii and Peudomonas aeruginosa were responsible, respectively, for 22.4 percent and 25.4 percent of NI. The additional cost due to NI was 33 percent for laboratory investigations and 34 percent for antibiotics. After analysis of our results, our recommendations are a cautious use of antibiotics, more efficient diagnostic tools and particular care in preventing cross contamination of our mostly severely ill or infected patients. (AU)
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Coleções:
Bases de dados internacionais
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Objetivo 4: Financiamento para a saúde
Base de dados:
MedCarib
Assunto principal:
Infecção Hospitalar
/
Unidades de Terapia Intensiva
Tipo de estudo:
Guia de prática clínica
/
Avaliação econômica em saúde
/
Estudo de rastreamento
Limite:
Humanos
País/Região como assunto:
Caribe
/
Martinica
Idioma:
Inglês
Revista:
WEST INDIAN MED. J
Ano de publicação:
1997
Tipo de documento:
Artigo
/
Congresso e conferência