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Evaluation of nosocomial infections in the hospitalised patients of intensive care unit of a university hospital, Kashan, Iran

Abstract number: 1734_154

Khorshidi A.

Background and Objective: Nosocomial infections is a great problem in hospital that increased cost, duration of hospitalisation and mortality, Regarding to inaccessibility to accurate information of NI and the bacterial agents. antibiotic resistance pattern in Hospital University of Kashan (Iran), this study was done from May 2005 to Apr 2006.

Material and Methods: This descriptive study was conducted by evaluation of all files of admitted patients of ICU in Central Hospital University of Kashan from May 2005 to April 2006, after of finding of infection cases according to symptoms with or without positive culture, The results and demographic characteristic were registered then results of research were presented by descriptive analysis.

Results: Research showed that prevalence of nosocomial infections in ICU was (10.12%) (39 cases of 289 Persons) range of aged in hospitalised infection was 75–45 years.

The most prevalence of NI was: respiratory infections (56.59%), UTI (26.58%), Bacterimia (6.52%), surgical wound infections (4.3%).

The most common Pathogen were determined: Escherichia coli (23.3%), Pseudomonas and Enterobacter (20%), Klebsiella (16.60%), Staphylococcus aureus (13.3%). E. coli and Pseudomonas showed the most resistance to ciprofloxacin, cefteriaxon, ceftazidim, amikacin, gentomycin, imipenem.

Conclusion: Considering the high prevalence and increasing of antibiotics resistance particularly in ICU comparing with others studies, it is necessary to consider the predisposing factors of nosocomial infectons in ICU like appropriate use of medical equipment, prevention of Irrational prescription of antibiotics and sedative and regarding improved attention to hygienic principles. Incidentally It is better that Procedure of treatment start on the last information of bacterial agents and antibacterial resistance patterns and suggested to organised an Infection Control Committee in this Center.

Session Details

Date: 31/03/2007
Time: 00:00-00:00
Session name: European Society of Clinical Microbiology and Infectious Diseases
Subject:
Location: ICC, Munich, Germany
Presentation type:
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