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.