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Vojnosanitetski pregled
2006, vol. 63, br. 2, str. 132-136
jezik rada: srpski
vrsta rada: originalan članak
objavljeno: 02/06/2007
doi: 10.2298/VSP0602132J
Bolničke infekcije u odeljenjima intenzivne nege
Klinički centar Srbije, Služba za bolničku epidemiologiju i higijenu ishrane, Beograd

Sažetak

Uvod/Cilj. Rizik od pojave bolničkih infekcija (BI) 5−10 puta je veći kod bolesnika hospitalizovanih u odeljenjima intenzivne nege (OIN) u odnosu na bolesnike ostalih odeljenja. Veće vrednosti incidencije BI u OIN mogu se objasniti time što su u OIN bolesnici sa težim osnovnim oboljenjem, izloženi invazivnim dijagnostičkim i terapijskim procedurama. Neracionalna upotreba antibiotika dovodi do selekcije multirezistentnih uzročnika, koji se sve češće registruju kao uzročnici BI. Cilj rada je da se sagledaju karakteristike BI u OIN u periodu januar−jun 2005. Metode. Studija incidencije je urađena po metodologiji Centers for Diseases and Prevention. Registrovane su sve infekcije kod bolesnika hospitalizovanih u OIN u periodu januar−jun 2005. Analizirani su podaci dobijeni iz medicinske dokumentacije i podaci dobijeni u intervjuu sa medicinskim osobljem. Uzorci su obrađivani standardnim metodama u mikrobiološkoj laboratoriji. Rezultati. Vrednosti incidencije bolesnika sa BI kretale su se od 1,5 do 40,8, a vrednosti incidencije infekcija od 1,5 do 65,6 u odnosu na 1 000 bolničkih dana. Od ukupnog broja BI 44,6% su činile urinarne infekcije, 37,6% infekcije krvi i 16,9% infekcije operativnog mesta. Zaključak. Najčešći uzročnik nozokomijalnih urinarnih infekcija bio je Klebsiella spp, nozokomijalnih sepsi koagulaza negativan stafilokok, a infekcija operativnog mesta Staphylococcus aureus.

Ključne reči

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