Risks factors for infections caused by acinetobacter in a surgical intensive care unit Clinical Hospital Center Zagreb

Abstract

Bolnička infekcija se može definirati kao ona koja se pojavljuje u roku od 48 sati od prijema u bolnicu, 3 dana nakon otpusta iz bolnice ili 30 dana od operativnog zahvata. Zahvaća jednog na deset bolesnika primljenih u bolnicu. Godišnje, to rezultira s 5000 smrtnih ishoda te s troškom Nacionalne zdravstvene službe približno milijardu funti. Tijekom proteklog desetljeća, bakterija roda Acinetobacter je postala vodeći uzročnik bolničkih infekcija. Smatra se da pojava epidemije Acinetobacter infekcije nastaje isključivo kontaminacijom i prijenosom u bolničkom okruženju, osobito u jedinicama intenzivnog liječenja gdje je privukao najviše pozornosti. Primarni cilj rada je dokazati prikazati povezanost rizičnih faktora i nastanak infekcije Acinetobacterom u JIL-u KBC Zagreb tijekom razdoblja 01.01.2014. do 31.12.2014.b koristeći medicinsku dokumentaciju. Istraživanje je provedeno u Kliničkom bolničkom centru Zagreb, Klinike za anesteziologiju, reanimatologiju i intenzivno liječenje, Jedinica intenzivnog liječenja kirurških bolesnika. U svrhu sprječavanja, suzbijanja i liječenja bolničkih infekcija koriste se standardne mjere kontrole infekcije koju je izdao CDC 2007. godine.Hospital infections can be defined as that which occurs within 48 hours of hospital admission, 3 days after hospital discharge or 30 days after surgery. It affects about one in ten patients admitted to hospital. Annually, this results in 5000 deaths and the cost of the National Health Service about a billion pounds. Over the past decade, bacteria of the genus Acinetobacter has become the leading cause of hospital infections. It is believed that the epidemic Acinetobacter infection occurs exclusively contamination and transmission in the hospital environment, especially in intensive care units where it attracted most attention. The primary objective of this study is to show the connection between risk factors and the emergence of Acinetobacter infections in the ICU in Zagreb University Hospital during the period 01.01.2014. to 31.12.2014.b using medical records. The study was conducted at the Clinical Hospital Centre Zagreb, Clinic of Anesthesiology, Resuscitation and Intensive Care Unit ICU surgical patients. In order to prevent, control and treatment of hospital infections using the standard infection control measures issued by the CDC in 2007