The Risk Factors for Infections Acquired by Cerebral Hemorrhage and Cerebral Infarct Patients in a Neurology Intensive Care Unit in Turkey
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- Yilmaz Gul Ruhsar
- Infectious Diseases and Clinical Microbiology Department, Ankara Training and Research Hospital, Turkey
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- Cevik Mustafa Aydin
- Infectious Diseases and Clinical Microbiology Department, Ankara Training and Research Hospital, Turkey
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- Erdinc F. Sebnem
- Infectious Diseases and Clinical Microbiology Department, Ankara Training and Research Hospital, Turkey
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- Ucler Serap
- Neurology Department, Ankara Training and Research Hospital, Turkey
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- Tulek Necla
- Infectious Diseases and Clinical Microbiology Department, Ankara Training and Research Hospital, Turkey
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<p>Few studies have investigated the risk factors for nosocomial infections developed in neurology intensive care units (ICUs). In this study, the risk factors for ICU-acquired infections in patients with cerebral hemorrhage and cerebral infarct who were treated for more than 24 h at the Ankara Training and Research Hospital were prospectively evaluated over a study period of 14 months. Of 171 patients included in the study, 71 (41.5%) were found to have acquired 163 infections in the ICU unit throughout 1,867 patient days. The rate of infection per 100 patients admitted was 95.3, and per 1,000 patient days, 87.3. The most common nosocomial infections were urinary tract infection (42.9%), pneumonia (27%) and primary bacteremia (19%). Multivariate logistic regression analysis revealed age ≥ 70 (P < 0.05), the presence of a central venous catheter (P = 0.004), and parenteral nutrition (P = 0.02) as ICU-acquired infection risk factors. The presence of infection on admission was identified as a factor decreasing the risk of ICU-acquired infection (P < 0.001). The high infection rates found in this study may be due to lack of full compliance to infection control measures. In conclusion, each type of ICU has its own epidemiological findings for nosocomial infections and thus needs to determine the risk factors using periodical surveillance studies to guide control measures.</p>
収録刊行物
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- Japanese Journal of Infectious Diseases
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Japanese Journal of Infectious Diseases 60 (2-3), 87-91, 2007-05-28
国立感染症研究所
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詳細情報 詳細情報について
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- CRID
- 1390298986213699456
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- NII論文ID
- 40015390918
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- NII書誌ID
- AA1132885X
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- ISSN
- 18842836
- 13446304
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- NDL書誌ID
- 8737310
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可