HEALTHCARE-ASSOCIATED BLOODSTREAM INFECTION RATE REDUCTION IN THE NEURO-ICU IN RUSSIAстатьяТезисы
Статья опубликована в высокорейтинговом журнале
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Дата последнего поиска статьи во внешних источниках: 27 февраля 2020 г.
Аннотация:A total of 3178 patients was included in the study from 2011 to
2018. We observed 156 HABSI including 131 CLABSI. The incidence of
HABSI declined from 7.0% in 2011 to 2.7% in 2018, p-value=0.041. The incidence of CLABSI did not change, averaging at 3.96 per 1000 catheterdays with a maximum of 4.9 in 2014 and a minimum of 1.9 in 2013. The
average mortality rate was 19.9 per 100 patients with HABSI which is
higher than an overall mortality rate in the ICU (15%).
On average we tested 320 central line catheters annually. The bacterial
growth was detected in 39 per 100 tested catheters in 2011 and in 21
per 100 in 2018, that constitutes the significant decrease, p-value=0.03.
Among the most frequent pathogens identified at the catheters, there
were 28% of coagulase-negative Staphylococcus spp., 14% of Acinetobacter baumannii, and 11% of Klebsiella pneumoniae.
The etiologic spectrum of CLABSI remained stable over time and on
average contained 26% of coagulase-negative Staphylococcus spp., 17.8%
of Klebsiella pneumoniae, 10.5% of S. aureus, and 6.2% of Candida spp