Bacterial Resistance and Mortality in an Intensive Care Unit

Revista Latino-Americana de Enfermagem

Adriana Cristina De Oliveira¹  Rafael Souza Silva²  Mario E. Piscoya Díaz²  Robert Aldo Iquiapaza² 

[1] ,Universidade Federal de Minas Gerais Escola de EnfermagemMG ,Brazil

关键词: Epidemiologic Surveillance;    Cross Infection;    Intensive Care Units;    Mortality;    Drug Resistance;    Microbial;    Vigilância Epidemiológica;    Infecção Hospitalar;    Unidades de Terapia Intensiva;    Mortalidade;    Resistência Microbiana a Medicamentos;    Vigilancia Epidemiológica;    Infección Hospitalaria;    Unidades de Terapia Intensiva;    Mortalidad;    Farmacorresistencia Microbiana;   

DOI  :  10.1590/S0104-11692010000600016

来源: SciELO

【 摘 要 】

The goal was to identify risk factors for healthcare-associated infections by resistant microorganisms and patient mortality in an Intensive Care Unit. A prospective and descriptive epidemiological research was conducted from 2005 till 2008, involving 2300 patients. Descriptive statistics, bivariate and multivariate logistic regression analysis were used. In bivariate analysis, infection caused by resistant microorganism was significantly associated to patients with community-acquired infection (p=0.03; OR=1.79) and colonization by resistant microorganism (p<0.01; OR=14.22). In multivariate analysis, clinical severity (p=0.03; OR=0.25) and colonization by resistant microorganism (p<0.01; OR=21.73) were significant. Mortality was associated to the following risk factors: type of patient, average severity index, besides mechanical ventilation. The relation between resistant microorganisms and death shows the need to monitor adherence to infection control measures so as to improve care quality and mainly survival of critical patients.

【 授权许可】

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