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

dc.contributor.authorMartins, Sinaida Teixeira [UNIFESP]
dc.contributor.authorMoreira, Marina [UNIFESP]
dc.contributor.authorFurtado, Guilherme Henrique Campos [UNIFESP]
dc.contributor.authorMarino, Cristiane Grande Jimenez [UNIFESP]
dc.contributor.authorMachado, Flávia Ribeiro [UNIFESP]
dc.contributor.authorWey, Sergio Barsanti [UNIFESP]
dc.contributor.authorMedeiros, Eduardo Alexandrino Servolo de [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2015-06-14T13:30:22Z
dc.date.available2015-06-14T13:30:22Z
dc.date.issued2004-05-01
dc.description.abstractMulti-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.en
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Departamento de Medicina Comissão de Epidemiologia Hospitalar
dc.description.affiliationUnifespUNIFESP, Depto. de Medicina Comissão de Epidemiologia Hospitalar
dc.description.sourceSciELO
dc.format.extent331-334
dc.identifierhttp://dx.doi.org/10.1590/S0074-02762004000300017
dc.identifier.citationMemórias do Instituto Oswaldo Cruz. Instituto Oswaldo Cruz, Ministério da Saúde, v. 99, n. 3, p. 331-334, 2004.
dc.identifier.doi10.1590/S0074-02762004000300017
dc.identifier.fileS0074-02762004000300017.pdf
dc.identifier.issn0074-0276
dc.identifier.scieloS0074-02762004000300017
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/2081
dc.language.isoeng
dc.publisherInstituto Oswaldo Cruz, Ministério da Saúde
dc.relation.ispartofMemórias do Instituto Oswaldo Cruz
dc.rightsAcesso aberto
dc.subjectintensive care unit infectionsen
dc.subjectmulti-resistant gram-negative bacteriaen
dc.subjectPseudomonas aeruginosaen
dc.subjectAcinetobacter baumanniien
dc.titleApplication of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patientsen
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