Τίτλος:
Risk factors for nosocomial bloodstream infections.
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
A retrospective study of 205 patients was performed to identify the risk factors associated with nosocomial bloodstream infection (BSI). The study occurred during a 5-month period in four medical-surgical intensive care units (ICUs) in Athens, Greece. Risk factors were determined using single and multivariate analyses. Thirty-five patients developed nosocomial BSI (17.1%). The incidence density (defined as the number of new cases of BSI divided by the total of patient-days in the population studied; Jarvis, 1997) of BSI was 14.3 per 1000 patient-days (total number of days that patients are in the ICU during the selected time period). A multivariate model showed that only three factors were significantly and independently responsible for nosocomial BSI: the length of ICU stay (adjusted odds ratios (AOR) 1.052, 95% confidence interval (CI) 1.018-1.087, P = 0.002); the presence of trauma at admission (AOR 2.622, 95% CI 1.074-6.404, P = 0.034); and nosocomial ventilator-associated pneumonia (AOR 6.153, 95% CI 2.305-16.422, P = 0.000). These results show that the factors that had most influence on the development of nosocomial BSI were those factors associated with the treatment received by patients during ICU stay.
Συγγραφείς:
Apostolopolou, E.
Katsaris, G.
Katostaras, T.
Περιοδικό:
British journal of nursing (Mark Allen Publishing)
Λέξεις-κλειδιά:
article; artificial ventilation; comparative study; cross infection; epidemiology; female; Greece; human; incidence; injury; intensive care unit; male; middle aged; multivariate analysis; regression analysis; retrospective study; risk factor; sepsis; statistics; Swan Ganz catheter; tracheostomy; urinary tract infection, Catheterization, Swan-Ganz; Causality; Cross Infection; Female; Greece; Humans; Incidence; Intensive Care Units; Male; Middle Aged; Multivariate Analysis; Regression Analysis; Respiration, Artificial; Retrospective Studies; Risk Factors; Sepsis; Tracheostomy; Urinary Tract Infections; Wounds and Injuries, MLCS; MLOWN
DOI:
10.12968/bjon.2003.12.12.11334
