Autori: Alketa-Theodora Spyrou
Ustanova zaposlenja: GREECE
Ključne riječi: infection in coronary care unit, potential pathogens microorganism, risk factor for colonization
Kongres/Simpozij: ”5. Međunarodni kongres HDMSARIST-a” i ”8. Međunarodni kongres WFCCN-a”
Mjesto i vrijeme održavanja: Šibenik, 12.-15. travnja 2012. godine
Background:
Cardiac Care Unit (CCU) patients differ in risk for nosocomial infection
compared with other ICU patients, due to that patients usually are admitted
directly to the unit without prior antibiotic use or exposure to other hospital
pathogens.
The aim of the present study was 1) to determine the incidence of potential
pathogens microorganism (PPM) of patients who were admitted in our CCU 2) to
identify the risk factors for colonization with PPM.
Methods. We studied electronic medical records of all patients who were
hospitalized from January 1, 2010, through December 31, 2010, in our
institution and without previous infection. Baseline demographic data and
previous location of care or residence were recorded for each patient on
admission, hospital length of stay was determined. Specimens for culture were
taken from the nasopharynx, blood, urine and, if applicable, from the central or
peripherals catheter.
Results: 49 patients were included in the study with mean age 63,73yrs
(SD=15.45). 64% of the participants were colonized with PPM. The most common
isolated pathogens were Staph.Epidermidis (36.7%), Klebsiella Pneumoniae
(32.6%), Pseudomonas Aeruginosa (10.2%), Candida Albicans (8.2%) και MRSA
(4.1%). Risk factor for colonization with PPM was found the duration of stay in
CCU (Anova test, F= 5.008, p=.004) and increase value of urea and creat (Anova
test, F= 4.502, p=.039).
Conclusion. The rates of PPM were significant high and particular attention
will give in the risk factors with which it found to be correlated.