Josip Juraj Strossmayer University of Osijek. Faculty of Medicine.
Abstract
Cilj istraživanja: Utvrditi broj bolesnika koji su bili izolirani zbog bolničkih infekcija/kolonizacija na razini Opće bolnice Pula, u razdoblju od siječnja do prosinca 2016. godine, najrizičnije odjele za nastanak bolničkih infekcija, dob, spol i najčešće uzročnike bolničkih infekcija prema pozitivnim mikrobiološkim izolatima. Nacrt studije: Retrospektivno istraživanje. Materijali i metode: U istraživanju uključeno je 224 bolesnika kod kojih je prijavljena sumnja na bolničku infekciju/kolonizaciju na razini Opće bolnice Pula. Istraživanje se odnosi na razdoblje od 1. siječnja 2016. godine do 31. prosinca 2016. godine. Bolesnici su razvrstani po dobi, spolu, uzročnicima bolničkih infekcija prema pozitivnom mikrobiološkom izolatu, mjestu gdje su izolirani uzročnici te odjelima nastanka. Rezultati: Ukupan broj hospitaliziranih bolesnika čini 17.952 (10.196 žena i 7.756 muškaraca), broj izoliranih pacijenata kod kojih je prijavljena sumnja na bolničku infekciju je 224 bolesnika (1,24 %), od čega 104 žena i 120 muškaraca. U postupku izolacije bilo je 196 bolesnika. Kod preostalih 28 postupak izolacije nije indiciran. Prosječna dob ispitanika bila je 70 godina (raspon 00-98 godine). Od izoliranih bolesnika najviše je bilo bolesnika muškog spola te bolesnika u dobi od 0 do 10 godina. Najčešći uzročnik bolničkih infekcija/kolonizacija u tom razdoblju bila je bakterija Klebisiella pneumoniae MDR. Najviše pozitivnih izolata bilo je u urinu. Odjel na kojemu je bilo najviše izoliranih bolesnika u tom razdoblju je infektologija. Zaključak: Kod 224 bolesnika prijavljena je sumnja na bolničku infekciju/kolonizaciju, što čini 1,24% od ukupnog broja hospitaliziranih.Objectives: To determine the number of patients who were isolated due to hospital infections/colonisations in the Pula General Hospital in the period from January to December 2016, the departments which are mostly at risk of hospital infections, the age, sex and the most common hospital infection agents in respect to positive microbiological isolates. Study Design: Retrospective research Material and methods: The research included 224 patients which suffered from a hospital infection in the Pula General Hospital. The research was conducted in the period from 1 January 2016 to 31 December 2016. Patients were divided according to age, sex, hospital infection agents in respect to positive microbiological isolates, then the place where the agents were isolated and departments of occurrence. Results: Of the total number of hospitalized patients, or 17,952 of them (10,196 women and 7,756 men), the number of isolated patients where the suspicion of a hospital infection was risen amounts to 224 (1.24 %), 104 of them being women and 120 men. The isolation procedure included 196 patients, while the isolation procedure for the remaining 28 patients was not indicated. The average respondents’ age was 70 (ranging from 00 to 98 years of age). Of all the isolated patients, the largest number were male patients and patients from 0 to 10 years old. The most common hospital infection/colonisation agent in that period was the bacteria Klebisiella pneumoniae MDR. The largest number of positive isolates was found in urine. The department with the largest number of isolated patients in that period was the Department of Infectious Diseases. Conclusion: The research included 224 patients which suffered from a hospital infection in the Pula General Hospital. The research was conducted in the period from 1 January 2016 to 31 December 2016. Patients were divided according to age, sex, hospital infection agents in respect to positive microbiological isolates, then the place where the agents were isolated and departments of occurrence
