Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/2081 http://dx.doi.org/10.1590/S0074-02762004000300017 |
Resumo: | Multi-resistant gram-negative rods are important pathogens in intensive care units (ICU), cause high rates of mortality, and need infection control measures to avoid spread to another patients. This study was undertaken prospectively with all of the patients hospitalized at ICU, Anesthesiology of the Hospital São Paulo, using the ICU component of the National Nosocomial Infection Surveillance System (NNIS) methodology, between March 1, 1997 and June 30, 1998. Hospital infections occurring during the first three months after the establishment of prevention and control measures (3/1/97 to 5/31/97) were compared to those of the last three months (3/1/98 to 5/31/98). In this period, 933 NNIS patients were studied, with 139 during the first period and 211 in the second period. The overall rates of infection by multi-resistant microorganisms in the first and second periods were, respectively, urinary tract infection: 3.28/1000 patients/day; 2.5/1000 patients/day; pneumonia: 2.10/1000 patients/day; 5.0/1000 patients/day; bloodstream infection: 1.09/1000 patients/day; 2.5/1000 patients/day. A comparison between overall infection rates of both periods (Wilcoxon test) showed no statistical significance (p = 0.067). The use of intervention measures effectively decreased the hospital bloodstream infection rate (p < 0.001), which shows that control measures in ICU can contribute to preventing hospital infections. |
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Martins, Sinaida Teixeira [UNIFESP]Moreira, Marina [UNIFESP]Furtado, Guilherme Henrique Campos [UNIFESP]Marino, Cristiane Grande Jimenez [UNIFESP]Machado, Flávia Ribeiro [UNIFESP]Wey, Sergio Barsanti [UNIFESP]Medeiros, Eduardo Alexandrino Servolo de [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2015-06-14T13:30:22Z2015-06-14T13:30:22Z2004-05-01Memórias do Instituto Oswaldo Cruz. Instituto Oswaldo Cruz, Ministério da Saúde, v. 99, n. 3, p. 331-334, 2004.0074-0276http://repositorio.unifesp.br/handle/11600/2081http://dx.doi.org/10.1590/S0074-02762004000300017S0074-02762004000300017.pdfS0074-0276200400030001710.1590/S0074-02762004000300017Multi-resistant gram-negative rods are important pathogens in intensive care units (ICU), cause high rates of mortality, and need infection control measures to avoid spread to another patients. This study was undertaken prospectively with all of the patients hospitalized at ICU, Anesthesiology of the Hospital São Paulo, using the ICU component of the National Nosocomial Infection Surveillance System (NNIS) methodology, between March 1, 1997 and June 30, 1998. Hospital infections occurring during the first three months after the establishment of prevention and control measures (3/1/97 to 5/31/97) were compared to those of the last three months (3/1/98 to 5/31/98). In this period, 933 NNIS patients were studied, with 139 during the first period and 211 in the second period. The overall rates of infection by multi-resistant microorganisms in the first and second periods were, respectively, urinary tract infection: 3.28/1000 patients/day; 2.5/1000 patients/day; pneumonia: 2.10/1000 patients/day; 5.0/1000 patients/day; bloodstream infection: 1.09/1000 patients/day; 2.5/1000 patients/day. A comparison between overall infection rates of both periods (Wilcoxon test) showed no statistical significance (p = 0.067). The use of intervention measures effectively decreased the hospital bloodstream infection rate (p < 0.001), which shows that control measures in ICU can contribute to preventing hospital infections.Universidade Federal de São Paulo (UNIFESP) Departamento de Medicina Comissão de Epidemiologia HospitalarUNIFESP, Depto. de Medicina Comissão de Epidemiologia HospitalarSciELO331-334engInstituto Oswaldo Cruz, Ministério da SaúdeMemórias do Instituto Oswaldo Cruzintensive care unit infectionsmulti-resistant gram-negative bacteriaPseudomonas aeruginosaAcinetobacter baumanniiApplication of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALS0074-02762004000300017.pdfapplication/pdf27791${dspace.ui.url}/bitstream/11600/2081/1/S0074-02762004000300017.pdf1addf039612e8e247492168388208e84MD51open accessTEXTS0074-02762004000300017.pdf.txtS0074-02762004000300017.pdf.txtExtracted texttext/plain20838${dspace.ui.url}/bitstream/11600/2081/2/S0074-02762004000300017.pdf.txt25cd52ca78ca652f4a245b1cd58b46b8MD52open access11600/20812021-10-04 21:27:10.05open accessoai:repositorio.unifesp.br:11600/2081Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652021-10-05T00:27:10Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients |
title |
Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients |
spellingShingle |
Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients Martins, Sinaida Teixeira [UNIFESP] intensive care unit infections multi-resistant gram-negative bacteria Pseudomonas aeruginosa Acinetobacter baumannii |
title_short |
Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients |
title_full |
Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients |
title_fullStr |
Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients |
title_full_unstemmed |
Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients |
title_sort |
Application of control measures for infections caused by multi-resistant gram-negative bacteria in intensive care unit patients |
author |
Martins, Sinaida Teixeira [UNIFESP] |
author_facet |
Martins, Sinaida Teixeira [UNIFESP] Moreira, Marina [UNIFESP] Furtado, Guilherme Henrique Campos [UNIFESP] Marino, Cristiane Grande Jimenez [UNIFESP] Machado, Flávia Ribeiro [UNIFESP] Wey, Sergio Barsanti [UNIFESP] Medeiros, Eduardo Alexandrino Servolo de [UNIFESP] |
author_role |
author |
author2 |
Moreira, Marina [UNIFESP] Furtado, Guilherme Henrique Campos [UNIFESP] Marino, Cristiane Grande Jimenez [UNIFESP] Machado, Flávia Ribeiro [UNIFESP] Wey, Sergio Barsanti [UNIFESP] Medeiros, Eduardo Alexandrino Servolo de [UNIFESP] |
author2_role |
author author author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Martins, Sinaida Teixeira [UNIFESP] Moreira, Marina [UNIFESP] Furtado, Guilherme Henrique Campos [UNIFESP] Marino, Cristiane Grande Jimenez [UNIFESP] Machado, Flávia Ribeiro [UNIFESP] Wey, Sergio Barsanti [UNIFESP] Medeiros, Eduardo Alexandrino Servolo de [UNIFESP] |
dc.subject.eng.fl_str_mv |
intensive care unit infections multi-resistant gram-negative bacteria Pseudomonas aeruginosa Acinetobacter baumannii |
topic |
intensive care unit infections multi-resistant gram-negative bacteria Pseudomonas aeruginosa Acinetobacter baumannii |
description |
Multi-resistant gram-negative rods are important pathogens in intensive care units (ICU), cause high rates of mortality, and need infection control measures to avoid spread to another patients. This study was undertaken prospectively with all of the patients hospitalized at ICU, Anesthesiology of the Hospital São Paulo, using the ICU component of the National Nosocomial Infection Surveillance System (NNIS) methodology, between March 1, 1997 and June 30, 1998. Hospital infections occurring during the first three months after the establishment of prevention and control measures (3/1/97 to 5/31/97) were compared to those of the last three months (3/1/98 to 5/31/98). In this period, 933 NNIS patients were studied, with 139 during the first period and 211 in the second period. The overall rates of infection by multi-resistant microorganisms in the first and second periods were, respectively, urinary tract infection: 3.28/1000 patients/day; 2.5/1000 patients/day; pneumonia: 2.10/1000 patients/day; 5.0/1000 patients/day; bloodstream infection: 1.09/1000 patients/day; 2.5/1000 patients/day. A comparison between overall infection rates of both periods (Wilcoxon test) showed no statistical significance (p = 0.067). The use of intervention measures effectively decreased the hospital bloodstream infection rate (p < 0.001), which shows that control measures in ICU can contribute to preventing hospital infections. |
publishDate |
2004 |
dc.date.issued.fl_str_mv |
2004-05-01 |
dc.date.accessioned.fl_str_mv |
2015-06-14T13:30:22Z |
dc.date.available.fl_str_mv |
2015-06-14T13:30:22Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Memórias do Instituto Oswaldo Cruz. Instituto Oswaldo Cruz, Ministério da Saúde, v. 99, n. 3, p. 331-334, 2004. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/2081 http://dx.doi.org/10.1590/S0074-02762004000300017 |
dc.identifier.issn.none.fl_str_mv |
0074-0276 |
dc.identifier.file.none.fl_str_mv |
S0074-02762004000300017.pdf |
dc.identifier.scielo.none.fl_str_mv |
S0074-02762004000300017 |
dc.identifier.doi.none.fl_str_mv |
10.1590/S0074-02762004000300017 |
identifier_str_mv |
Memórias do Instituto Oswaldo Cruz. Instituto Oswaldo Cruz, Ministério da Saúde, v. 99, n. 3, p. 331-334, 2004. 0074-0276 S0074-02762004000300017.pdf S0074-02762004000300017 10.1590/S0074-02762004000300017 |
url |
http://repositorio.unifesp.br/handle/11600/2081 http://dx.doi.org/10.1590/S0074-02762004000300017 |
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eng |
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Memórias do Instituto Oswaldo Cruz |
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info:eu-repo/semantics/openAccess |
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openAccess |
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331-334 |
dc.publisher.none.fl_str_mv |
Instituto Oswaldo Cruz, Ministério da Saúde |
publisher.none.fl_str_mv |
Instituto Oswaldo Cruz, Ministério da Saúde |
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