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Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients
Martins, Sinaida Teixeira; Moreira, Marina; Furtado, Guilherme Henrique Campos; Marino, Cristiane Grande Jimenez; Machado, Flávia Ribeiro; Wey, Sergio Barsanti; Medeiros, Eduardo Alexandrino Servolo.
  • Martins, Sinaida Teixeira; Universidade Federal de São Paulo. Departamento de Medicina. Comissão de Epidemiologia Hospitalar. São Paulo. BR
  • Moreira, Marina; Universidade Federal de São Paulo. Departamento de Medicina. Comissão de Epidemiologia Hospitalar. São Paulo. BR
  • Furtado, Guilherme Henrique Campos; Universidade Federal de São Paulo. Departamento de Medicina. Comissão de Epidemiologia Hospitalar. São Paulo. BR
  • Marino, Cristiane Grande Jimenez; Universidade Federal de São Paulo. Departamento de Medicina. Comissão de Epidemiologia Hospitalar. São Paulo. BR
  • Machado, Flávia Ribeiro; Universidade Federal de São Paulo. Departamento de Medicina. Comissão de Epidemiologia Hospitalar. São Paulo. BR
  • Wey, Sergio Barsanti; Universidade Federal de São Paulo. Departamento de Medicina. Comissão de Epidemiologia Hospitalar. São Paulo. BR
  • Medeiros, Eduardo Alexandrino Servolo; Universidade Federal de São Paulo. Departamento de Medicina. Comissão de Epidemiologia Hospitalar. São Paulo. BR
Mem. Inst. Oswaldo Cruz ; 99(3): 331-334, May 2004. tab
Article in English | LILACS | ID: lil-362005
ABSTRACT
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.
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Cross Infection / Infection Control / Gram-Negative Bacterial Infections / Drug Resistance, Multiple / Gram-Negative Bacteria / Intensive Care Units Limits: Humans Language: English Journal: Mem. Inst. Oswaldo Cruz Journal subject: Tropical Medicine / Parasitology Year: 2004 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Cross Infection / Infection Control / Gram-Negative Bacterial Infections / Drug Resistance, Multiple / Gram-Negative Bacteria / Intensive Care Units Limits: Humans Language: English Journal: Mem. Inst. Oswaldo Cruz Journal subject: Tropical Medicine / Parasitology Year: 2004 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de São Paulo/BR