Management of Nosocomial Infections in Intensive Care Units of a Tertiary Military Hospital

  • Valbona NERJAKU
  • Abdullah KILIÇ
  • Mehmet BAYSALLAR
  • Levent DOĞANCI

Received Date: Accepted Date: 28.09.2004 Gulhane Med J 2004;49(4):305-310

Nosocomial infections (NI) occurred in intensive care units (ICU) have become a serious health problem in the worldwide. In this study for one-year period, the rate of NI, isolated pathogens and antimicrobial susceptibilities were determined in ICU at Gulhane Military Medical Academy. Totally 1958 patients aged between 0-98 were evaluated in different ICU of our hospital. NIs were determined in 189 of 1958 patients and the rate was 9.6 %. The most common NI was in ICU of Plastic Surgery and Burn as 53% and the fewest NI rate was in ICU of Cardiovascular Surgery and Cardiology as 3.7%. Totally 235 microorganisms were isolated. 55.8% of them were determined as gram-negative rods while 42.1% of gram-positive cocci and 2.1% of fungi. The most frequent isolates were Staphylococcus aureus (32%), Pseudomonas spp. (15.0%), and Escherichia coli (15.0%). Although the methicilline resistant S. aureus was found as 89.3%, there was no vancomycin and teicoplanin resistance. Gram-negative rods' highest susceptibility rates were to imipenem, amikacin, and cefepime contrary to gentamicin, trimethoprim/sulfamethoxazole and ampicillin. Systematic researches on the increasing resistant microorganisms and on NI will enable us to decrease the frequency. Therefore, the quality of general health system will be increased.

Keywords: Nosocomial Infection, Intensive Care Unit