Factors influencing the occurence of nosocomial
bloodstream infections observed in thoracic
and cardiosurgical postoperative care units

eISSN: 1731-2531
ISSN: 1642-5758

Anaesthesiology Intensive Therapy

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1/2012
vol. 44

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abstract:

Original article

Factors influencing the occurence of nosocomial bloodstream infections observed in thoracic and cardiosurgical postoperative care units

Anestezjol Intens Ter 2012; 44: 16-20

Online publish date: 2019/09/11

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Background
The aim of this study was to analyse the epidemiology and aetiology of laboratoryconfirmed bloodstream infections (LC-BSI) and central line-associated bloodstream infections (CLABSI) after pulmonary and coronary surgery, in postoperative intensive care units in 2009.

Methods
Sources of infections were identified by the hospital Infection Control Team in cooperation with ITU personnel using the CDC definitions.

Results
A total of 37 LC-BSI and 21 CLA-BSI cases in 3.096 patients were detected. Central line device utilization ratio was 0.50. The total cumulative LC-BSI incidence rate was 1.2% and CLA-BSI rate 8.7 per 1,000 central line days. The most common causes of LC-BSI were Gram-positive cocci (Staphylococcus aureus – 5.9%, CNS – 50.0%, Enterococcus faecium – 5.9%).

Conclusions
We found that in those units in which surveillance of CLA-BSI had been conducted since 2002, BSI incidence rates were higher than those reported in the NHSN programme.

keywords:

Factors influencing the occurence of nosocomial bloodstream infections observed in thoracic and cardiosurgical postoperative care units

cannulation, intravenous; complications, infections, nosocomial; surgery, cardiothoracic