Nosocomial infections : prospective survey of incidence in five french intensive care units.
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).
Measurements and results
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 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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0515781
Code Inist : 002B27B10. Création : 23/03/1999.