Title Pojavnost intrahospitalnih infekcija u kardiokirurških bolesnika liječenih u Jedinici intenzivnog liječenja KBC Split u 2019. godini Title (english) OCCURRENCE OF INTRAHOSPITAL INFECTIONS IN CARDIOSURGICAL PATIENTS TREATED IN THE UNIVERSITY TREATMENT UNIT KBC SPLIT IN 2019 Author Blanka Kvarantan Škomrlj Mentor Mihajlo Lojpur (mentor)Committee member Mario Marendić (predsjednik povjerenstva)Committee member Rahela Orlandini (član povjerenstva) Committee member Mihajlo Lojpur (član povjerenstva)Granter University of Split Defense date and country 2022-03-31, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract CILJ ISTRAŽIVANJA: Glavni je cilj ovog istraživanja utvrditi pojavnost intrahospitalnih infekcija vezano za duljinu boravka u jedinici intenzivnog liječenja kardiokirurških bolesnika, prisutnost raznih invazivnih pripoja, spol bolesnika i postojanje drugih rizičnih čimbenika.
MATERIJALI I METODE: Za potrebe izrade empirijskog dijela ovog rada korišteni su podaci iz povijesti bolesti KBC Split u razdoblju od siječnja do prosinca 2019g. Analiza je rađena u statističkom softwareu STATISTICA 12 (TIBCO Software Inc4., Palo Alto, California). U istraživanje su uključeni bolesnici kod kojih su učinjene najčešče kardiokirurške operacije nakon kojih su bili liječeni i nadzirani (monitorirani) u jedinici intenzivnog liječenja (JIL-u) kardiokirurških bolesnika, a isključeni su oni bolesnici koji su se liječili od drugih medicinskih dijagnoza i nisu bili operirani, ili su liječeni u -JIL-u ponovno nakon prvotnog oporavka.
REZULTATI: Pojavnost je intrahospitalnih infekcija u kardiokirurških bolesnika bila značajno veća pri dužem boravku u - JIL-u kardiokirurških bolesnika te je utvrđena statistički značajna povezanost između duljine boravka i pojave intrahospitalnih infekcija. Intrahospitalne infekcije izolirane hemokulturom iz središnjeg venskog katetera bile su jednake zastupljenosti kao i one izolirane iz aspirata traheje. Infekcije izolirane hemokulturom iz središnjeg venskog katetera (SVK) bile su za 0,41 postotni bod učestalije od onih izoliranih iz uzoraka periferne krvi, za 0.82 postotna boda učestalije od izoliranih urinokulturom, a za 0,82 postotna boda učestalije od onih izoliranih iz nalaza sputuma, ali nije utvrđena prisutnost statistički značajne razlike među njima. Od uzročnika intrahospitalnih infekcija najučestaliji je bio Acinetobacter baumannii, a od ostalih: Escherichia coli, Klebsiella pneumoniae, Candida albicans, Staphylococcus aureus, Epidermidis hominis. U istraživanome je periodu bilo hospitalizirano više muških bolesnika nego žena i utvrđena je statistički značajna razlika. Muškarci su prevladavali za 5.75 puta više. Od ukupno 207 hospitaliziranih muških bolesnika 18 (8,7%) ih je razvilo infekciju, a od 36 ukupno hospitaliziranih žena 4 (11,11%) je razvilo infekciju. Statistički nije utvrđeno da muškarci pokazuju veću sklonost razvijanja intrahospitalnih infekcija. Od ukupno 243 bolesnika, 32 su imala dijabetes, od kojih je 5 (12,63%) razvilo intrahospitalnu infekciju. Dijabetes nije imalo 211 bolesnika, od kojih je 17 (8.06) razvilo intrahospitalnu infekciju.
ZAKLJUČAK: Ispitivanjem je utvrđena statistički značajna povezanost između dužine boravka u JIL-u kardiokirurških bolesnika i učestalosti intrahospitalnih infekcija.
Abstract (english) OBJECTIVE OF THE RESEARCH: The main objective of this study is to determine the incidence of nosocomial infections related to the length of stay in the intensive care unit of cardiac surgery patients, the presence of various invasive attachments, sex of patients and the existence of other factors.
MATERIALS AND METHODS: For the purposes of preparing the empirical part of this paper, data from the history of KBC Split in the period from January to December 2019 yr. were used. The analysis was performed in the statistical softwere STATISTICA 12 (TIBCO Softwere Inc4., Palo Alto, California). Exclusion and inclusion criteria: the study included patients who underwent the most frequent cardiac surgery after which they were treated and monitored (monitored) in the ICU of cardiac surgery patients, and excluded those patients who were treated for other medical diagnoses and were not operated on or treated in the ICU again after initial recovery.
RESULTS: The incidence of nosocomial infections was significantly higher during a longer stay in the ICU of cardiac surgery patients and a statistically significant difference between the length of stay was found. Intrahospital infections isolated by blood culture from the central venouse catheter (SVC) are as prevalent as those isolated from the tracheal aspirate. Blood culture- isolated infections from a central venous chateter were 0.41 percentage points more common than those isolated from peripheral blood samples, 0.82 percentage points more frequent than those isolated from urine culture, and 0.82 percentage points more frequent than those isolated from sputum findings, but no statistically significant difference was found between them. Acinetobacter baumannii was the most common cause of intrahospital infections, others: Escherichia coli, Klebsiella pneumoniae, Candida albicans, Staphylococcus aureus, Epidermidis. In the study period, more male patients than women were hospitalized and a statistically significant difference was found between them. Men prevailed by 5.75 times more. Out of a total of 207 hospitalized male patients, 18(8,7%) developed the infection, and out of 36 total hospitalized women, 4 (11.11%) developed the infection. It has not been statistically determined that men show a higer tendency to develop nosocomial infections. Out of a total of 243 patients, 32 had diabetes, of which 5 (12,63%) developed nosocomial infection. Patient without diabetes 211, 17 (8,06%) of them developed an nosocomial infection.
CONCLUSION: The study found a statistically significant association between the length of stay in ICU of cardiac surgery patients and the frequency of nosocomial infections.
Keywords
pojavnost
intrahospitalne infekcije
jedinica intenzivnog liječenja kardiokirurških bolesnika
Keywords (english)
incidence nosocomial infections intensive care of cardiac surgery patient
Language croatian URN:NBN urn:nbn:hr:176:934774 Study programme Title: Nursing (university/graduate) Type of resource Text File origin Born digital Access conditions Access restricted to students and staff of home institution Terms of use Repository Repository of the University Department for Health Studies, University of Split Created on 2022-04-01 12:25:43
