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616.9:579.861.2]-022.3-036.2 (1) |
Boli transmisibile. Boli infecţionase şi contagioase, stări febrile (586) |
Microorganisme. Bacterii (186) |
SM ISO690:2012 PRISAKARI, Viorel I., BUGA, Diana, BARANEŢCHI, Iana, BREGA, Iulia. The incidence and risk factors in the development of nosocomial infections in intensive care units . In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 125. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.9:579.861.2]-022.3-036.2 | ||||||
Pag. 125-125 | ||||||
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Background. Nosocomial infections (NI), also called healthcare associated infections (HAIs), are currently a major medical and socio-economic problem. Objective of the study. To evaluate the real incidence by NI in intensive care units (ITU), epidemiological and etiological features, risk factors, on the model of ITU profile „Polytrauma”. Material and Methods. Epidemiological, clinical and paraclinical data were taken from medical records, using the method of active diagnosis of NI cases with the completion of the epidemiological investigation and conducting the cross-sectional study, which included 158 patients. Results. The incidence rate by NI is - 24.5%. In the structure of nosological forms predominates, wound infection - 40.0%, pneumonia - 32.1%, urinary tract infection - 23.1% and sepsis - 3.5%. In the structure of causal agents predominate: Kl. pneumoniae - 19.79%, Acinetobacter spp. - 16.6%, P. aeruginosa - 14.5%, Staphylococcus spp. - 17.7%. Of the total strains isolated from patients with septic NI, 67.7% were found to be multidrug resistant to antibiotics. Major risk factors: massive trauma - 50.4%, „urgent” hospitalization - 76.9%, length of stay in the ITU, artificial pulmonary ventilation - 76.2%, use of the vascular catheter - 96.7% and urinary - 90.47%. Conclusion. In the ICU profile „Polytrauma” the IN rate is high, severe septic infections predominate, the causative agents show high resistance to antibiotics. Risk factors include the use of invasive devices, massive trauma, long duration of hospitalization of patients. |
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Cuvinte-cheie nosocomial infections, epidemiology, etiology, risk factors, infecții nosocomiale, epidemiologie, etiologie, factori de risc |
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