INTENSIVE CARE MEDICINE, vol. 24, n° 10, 1998, pages 1040-1046, 28 réf., ISSN 0342-4642, DEU
LEGRAS (A.), MALVY (D.), QUINIOUX (A.I.), VILLERS (D.), BOUACHOUR (G.), ROBERT (R.), THOMAS (R.)
Department of Hospital Hygiene and Epidemiology. Chu Bretonneau. Tours. FRA
To assess the incidence and to evaluate the feasibility of inter-unit continuous surveillance of intensive care unit (ICU) - acquired infections.
Prospective multicentre, longitudinal, incidence survey.
Five ICUs in university hospitals in western France.
All patients admitted to the ICU during two 3-month periods (1994-1995).
The main clinical characteristics of the patients, ICU-acquired infections, length of exposure to invasive devices and the micro-organisms isolated were analysed.
The study included 1589 patients (16970 patient-days) and the infection rate was 21.6% (13.1% of patients).
The ventilator-associated pneumonia rate was 9.6%, sinusitis 1.5%, central venous catheter-associated infection 3.5%, central venous catheter-associated bacteraemia 4.8%, catheter-associated urinary tract infection 7.8% and bacteraemia 4.5%. The incidence density rate of ICU-acquired infections was 20.3 patient-days.
Ventilator-associated pneumonia and sinusitis rates were 9.4 and 1.5 ventilation-days, respectively.
Central venous catheter-associated infection and central venous catheter-associated bacteraemia rates were 2.8 and 3.8 catheter-days, respectively.
The catheter-associated urinary tract infection rate was 8.5% o urinary catheter-days and the bacteraemia rate 4.2 patient-days. (...)
Mots-clés BDSP : Infection nosocomiale, Etiologie, France, Europe, Surveillance, Microorganisme, Incidence, Epidémiologie, Facteur risque, Homme
Mots-clés Pascal : Unité soin intensif, Infection nosocomiale, Etiologie, France, Europe, Surveillance, Microorganisme, Incidence, Epidémiologie, Facteur risque, Homme
Mots-clés Pascal anglais : Intensive care unit, Nosocomial infection, Etiology, France, Europe, Surveillance, Microorganism, Incidence, Epidemiology, Risk factor, Human
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Cote : 98-0515781
Code Inist : 002B27B10. Création : 23/03/1999.