Adana Acıbadem Hastanesinde Hastane Enfeksiyonları Surveyansı: Bir Yıllık Analiz Sonuçları

Authors : Barbaros Şahin Karagun, Özay Akyildiz, Hilal Onaç, Fadime Kaya, Filiz Erdemler, Taylan Özğür Çetin, Bülent Antmen, Bülent Soyupak, Emre Alhan

Pages : 478-482

View : 36 | Download : 10

Publication Date : 2020-09-01

Article Type : Research

Abstract :Purpose: We aimed to determine the antibiotic susceptibility and distribution of factors leading to hospital-acquired infections in our hospital.Patients and Methods: In our hospital with a capacity of approximately 116 beds, hospital-acquired infections between January 2017 and December 2017 were evaluated retrospectively by the surveillance method.Results: 9931 patients were hospitalized in Acıbadem Adana Hospital between January 2017 and December 2017. Hospitalacquired infections HAI have been detected in 92 patients. The infection rate in the hospital was 1.32%. The ratio of HAI was determined as bacteremia in 30 patients 29.4% , surgical site infection in 22 patients 21.5% , urinary tract infection in 20 patients 19.6% , and pneumonia in 15 patients 14.7% .The two most common HAI in the pediatric age group were bacteremia and pneumonia while the urinary tract and surgical site infection were common in the adult age group. One or more agents were isolated in 97.7% of patients with HAI, while no agents were isolated in 2.3% of patients. The most common microorganisms isolated in the hospital were Klebsiella spp. 29.5% , E.coli 22.7% , Yeasts 20.5% and S.aureus 9% , respectively. HAI was mostly seen in oncology service 57.8% , general intensive care unit 24.5% and pediatric bone marrow unit 17.6% .Conclusion: HAI is one of the most important indicators of the service quality of inpatient treatment institutions/centers and is seen as an important health problem all over the world. All hospitals and units should determine the flora and resistance rate of their patient profile by surveillance studies. Besides, treatment decisions should be given accordingly. Surveillance studies should be performed to prevent HAI and the results should be monitored regularly. Also, unnecessary invasive procedures should not be allowed
Keywords : Surveillance, nosocomial infection