Evaluation of the increase in invasive device associated infections in cardiovascular surgical intensive care unit

Is there any epidemic?

  • Esra Kaya Kılıç Ankara Training and Research Hospital, Ankara, Turkey
  • Cemal Bulut Gülhane Training and Research Hospital, Ankara, Turkey
  • Muzaffer Çeliköz Ankara Training and Research Hospital, Ankara, Turkey
  • Günay Tuncer Ertem Ankara Training and Research Hospital, Ankara, Turkey
  • Çiğdem Ataman Hatipoğlu Ankara Training and Research Hospital, Ankara, Turkey
  • Meliha Çağla Sönmezer Ankara Training and Research Hospital, Ankara, Turkey
  • Sami Kınıklı Ankara Training and Research Hospital, Ankara, Turkey
  • Salih Fehmi Katırcıoğlu Ankara Training and Research Hospital, Ankara, Turkey
Keywords: Outbreak, intensive care unit, invasive device associated infections

Abstract

Introduction: Infections related to the use of invasive instruments leads to the risk of treatment difficulties, prolonged hospitalization, increased health care costs, and increased mortality and morbidity rates. The present study examines the results of an infection surveillance study that showed an increased incidence of infections related to the use of invasive instruments in the cardiovascular surgery intensive care unit of the Ankara Training and Research Hospital and mitigating measures were taken following the surveillance program.

Methodology: Compared with previous surveillance data, an increase was observed in the incidence of infections related to the use of invasive instruments in cardiovascular surgery intensive care unit (CVS-ICU) during the first six months of 2014. A research team was formed comprising one infectious diseases and microbiology specialist, one cardiovascular surgeon, and two infection-control nurses. Patient data was collected. The compliance of the surgeons, nurses, and other health care professionals to the infection control measures was evaluated.

Results: The rate of ventilator-associated pneumonia was 8.20% and the rate of catheter-associated urinary tract infection was 4.47% in the CVS-ICU. There were missing or inadvertent practices regarding antibiotic prophylaxis, asepsis and antisepsis and isolation measures in patient preparation and patient care before and after the operations. The rate of inappropriate antibiotic as prolonged use was 72%.

Conclusions: It is one of the basic tasks to take appropriate measures to prevent outbreaks of hospital infections. It is possible to prevent an outbreak of hospital infections only by the accurate analysis of data and establishing strict infection control procedures.

Published
2018-07-31
How to Cite
1.
Kaya Kılıç E, Bulut C, Çeliköz M, Tuncer Ertem G, Ataman Hatipoğlu Çiğdem, Sönmezer M Çağla, Kınıklı S, Katırcıoğlu SF (2018) Evaluation of the increase in invasive device associated infections in cardiovascular surgical intensive care unit. J Infect Dev Ctries 12:508-513. doi: 10.3855/jidc.10012
Section
Outbreak