Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients

Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients

Autor Martins, Sinaida Teixeira Autor UNIFESP Google Scholar
Moreira, Marina Autor UNIFESP Google Scholar
Furtado, Guilherme Henrique Campos Autor UNIFESP Google Scholar
Marino, Cristiane Grande Jimenez Autor UNIFESP Google Scholar
Machado, Flávia Ribeiro Autor UNIFESP Google Scholar
Wey, Sergio Barsanti Autor UNIFESP Google Scholar
Medeiros, Eduardo Alexandrino Servolo de Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Multi-resistant gram-negative rods are important pathogens in intensive care units (ICU), cause high rates of mortality, and need infection control measures to avoid spread to another patients. This study was undertaken prospectively with all of the patients hospitalized at ICU, Anesthesiology of the Hospital São Paulo, using the ICU component of the National Nosocomial Infection Surveillance System (NNIS) methodology, between March 1, 1997 and June 30, 1998. Hospital infections occurring during the first three months after the establishment of prevention and control measures (3/1/97 to 5/31/97) were compared to those of the last three months (3/1/98 to 5/31/98). In this period, 933 NNIS patients were studied, with 139 during the first period and 211 in the second period. The overall rates of infection by multi-resistant microorganisms in the first and second periods were, respectively, urinary tract infection: 3.28/1000 patients/day; 2.5/1000 patients/day; pneumonia: 2.10/1000 patients/day; 5.0/1000 patients/day; bloodstream infection: 1.09/1000 patients/day; 2.5/1000 patients/day. A comparison between overall infection rates of both periods (Wilcoxon test) showed no statistical significance (p = 0.067). The use of intervention measures effectively decreased the hospital bloodstream infection rate (p < 0.001), which shows that control measures in ICU can contribute to preventing hospital infections.
Palavra-chave intensive care unit infections
multi-resistant gram-negative bacteria
Pseudomonas aeruginosa
Acinetobacter baumannii
Idioma Inglês
Data de publicação 2004-05-01
Publicado em Memórias do Instituto Oswaldo Cruz. Instituto Oswaldo Cruz, Ministério da Saúde, v. 99, n. 3, p. 331-334, 2004.
ISSN 0074-0276 (Sherpa/Romeo)
Publicador Instituto Oswaldo Cruz, Ministério da Saúde
Extensão 331-334
Fonte http://dx.doi.org/10.1590/S0074-02762004000300017
Direito de acesso Acesso aberto Open Access
Tipo Artigo
SciELO S0074-02762004000300017 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/2081

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