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Beyin ve Sinir Cerrahisi Kliniğinde Hastane Kökenli Enfeksiyonların Risk Faktörleri

Risk Factors of Nosocomial Infections in a Neurosurgery Clinic

Journal Name:

  • Abant Tıp Dergisi

Publication Year:

  • 2017
DOI: 
10.5505/abantmedj.2017.38233

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
INTRODUCTION: Nosocomial infections are acquired during hospital care which were not present or incubating at the time of the patient’s admission to the hospital. They occur more than 48 to 72 hours after admission and up to 10 days after hospital discharge. The aim of the present study was to determine Neurosurgery Clinic's nosocomial infection rates, infecting microorganisms, and their resistance patterns to achieve standardization and make comparisons among other Turkish and developed country hospitals. METHODS: In this study risk factors for nosocomial infection development in neurosurgery patients were analyzed by reviewing patient cards retrospectively, and recording microbiological culture results. RESULTS: Seventy eight nosocomial infection attacks were defined in 57 patients and the incidence of nosocomial infection attacks were 10.34%. Of the nosocomial infection attacks 53.8 % was pneumonia, 15.4 % was urinary tract infection, 12.8 % was surgical site infection, 11.5 % was central nervous system infection and 6.4 % was catheter related blood stream infection. Acinetobacter baumanii, Pseudomonas aeruginosa and Methicillin sensitive Staphylococcus aureus remained the most common pathogens isolated from nosocomial infections. Factors significantly associated with hospital acquired infection were as follows: age (>65 years), smoking cigarette, faecal incontinence, malignity and recurrent operation. DISCUSSION AND CONCLUSION: It’s important to determine the risk factors for nosocomial infection development and to identify the causative microorganisms to improve infection control and preventive programs.
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Abstract (Original Language): 
GİRİŞ ve AMAÇ: Hastane enfeksiyonları hastanın hastaneye başvurusu esnasında bulunmayan veya inkübasyon döneminde olmayan, hastaneye başvurduktan 48-72 saat sonra veya hastaneden taburcu olduktan sonraki 10 gün içinde gelişen enfeksiyonlardır. Standardizasyonu sağlamak, Türkiye ve gelişmiş ülkelerin hastaneleri ile karşılaştırma yapabilmek için Beyin Cerrahisi Kliniği’ndeki hastane enfeksiyonu oranlarını, enfeksiyon etkeni mikroorganizmaları ve direnç kalıplarını belirlemek amaçlanmıştır. YÖNTEM ve GEREÇLER: Bu çalışmada beyin cerrahisi hastalarında hastane enfeksiyonu gelişimindeki risk faktörleri hasta kayıtları gözden geçirilerek ve hasta bilgileri ile mikrobiyoloji kültür sonuçları kaydedilerek analiz edilmiştir. BULGULAR: Çalışmada 57 hastada 78 hastane enfeksiyonu atağı belirlendi ve hastane enfeksiyonu hızı % 10,34 olarak tespit edildi. Hastane enfeksiyon ataklarının % 53,8’i pnömoni, % 15.4’ü üriner sistem enfeksiyonu, % 12,8’i cerrahi alan enfeksiyonu, % 11.5’i merkezi sinir sistemi enfeksiyonu, % 6.4’ü kateter ilişkili kan dolaşım enfeksiyonuydu. Hastane enfeksiyonlarından en sık izole edilen etkenler Acinetobacter baumanii (% 16,4), Pseudomonas aeruginosa (% 16,4) ve Metisilin duyarlı Staphylococcus aureus (%16,4) idi. Yaşın 65 üzerinde olması, sigara kullanımı, fekal inkontinans, malignite, birden fazla cerrahi girişim varlığının hastane enfeksiyonu gelişiminde risk faktörü olduğu saptanmıştır. TARTIŞMA ve SONUÇ: Hastane enfeksiyonu gelişiminde rol oynayan risk faktörlerinin tanımlanması, etken mikroorganizmaların belirlenmesi enfeksiyon kontrol ve önleme programlarını geliştirilmesi, beyin cerrahisi hastasının değerlendirilmesi, tanı ve tedavisine yaklaşımda önemlidir.
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REFERENCES

References: 

1. Jarvis WR. Selected aspects of the socioeconomic impact
of nosocomial infections: morbidity, mortality, cost, and
prevention. Infect Control Hosp Epidemiol 1996;17(8):
552-557.
2. Çelik C, Gözel MG, Dayı F, Bakıcı MZ, Elaldı N, Gültürk E.
Increasing antimicrobial resistance in A. Baumannii.
Journal of Microbiology and Infectious Diseases 2014;4(1):
7-12.
3. Leblebicioglu H, Rosenthal VD, Arıkan OA, and et al.
Device associated nosocomial infection rates in Turkish
intensive care units. Findings of the International
Nosocomial Infection Control Consortium (INICC). J Hosp
Infect 2007; 65(3): 251-257.
4. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC
defnitions for nosocomial infections. Am J Infect Control
1988; 16(3): 128 -140.
5. O'Shea M, Crandon I, Harding H, Donaldson G, Bruce C,
Ehikhametalor K. Infections in neurosurgical patients
admitted to the intensive care unit at the University
Hospital of the West Indies. West Indian Med J 2004;
53(3):159-163.
6. Zolldann D, Thiex R, Hafner H, Waitschies B, Lütticken R,
Lemmen SW. Periodic surveillance of nosocomial
infections in a neurosurgery intensive care unit, Infection
2005; 33(3):115-121.
7. Hopmans TEM, Blok HEM, Troelstra A, Bonten MJM.
Prevalence of Hospital-Acquired Infections During
Successive Surveillance Surveys Conducted at a University
Hospital in The Netherlands. Infect Control Hosp
Epidemiol 2007; 28(4): 459-465.
8. Wikler MA, Bush K, Cockerill FR, and et al. Performance
standards for antimicrobial susceptibility testing:
eighteenth informational supplement. M100-S18 2005;
54-56.
9. Salomao R, Rosenthal VD, Grimberg G, and et al. Deviceassociated
infection rates in intensive care units of
Brazilian hospitals: findings of the International
Nosocomial infection Control Consortium. Rev Panam
Salud Publica 2008; 24(3):195-202.
10. Savardekar A, Gyurmey T, Agarwal R and et al. Incidence,
risk factors, and outcome of postoperative pneumonia
after microsurgical clipping of ruptured intracranial
aneurysms. Surg Neurol Int. 2013; 4: 24.
11. Dettenkofer M, Ebner W, Hans FJ, and et al. Selected
aspects of the socioeconomic impact of nosocomial
infections: morbidity, mortality, cost, and prevention.
Infect Control Hosp Epidemiol 1996; 17(8): 552-557.
12. Palabiyikoglu I, Tekeli E, Cokca F, and et al. Nosocomial
meningitis in a university hospital between 1993 and
2002. J Hosp Infect 2006; 62: 94-97.
13. Yetkin F, Ersoy Y, Karaman P, Kayabaş Ü, Bayındır Y, Koçak
A. Device associated nosocomial infection surveillance in
the neurosurgery intensive care unit of the Inonu
University Turgut Ozal Medical Center. Journal of Klimik
2008; 21 (2):54-60.
14. Erman T, Demirhindi H, Göçer AI, Tuna M, Ildan F, Boyar B.
Risk factors for surgical site infection in neurosurgery
patients with antibiotic prophylaxis. Surg Neurol 2005; 63
(2): 107–113.
15. McClellend S, Hall WA. Postoperative Central Nervous
System Infection: Incidence and Associated Factors in
2111 Neurosurgical Procedures. Clin Infect Dis 2007; 45:
55-59.
16. Erdem I, Hakan T, Ceran N, and et al. Clinical features,
laboratory data, management and the risk factors that
affect the mortality in patients with postoperative
meningitis. Neurol India 2008; 56(4): 433-437.

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