Baseline assessment of intensive care-acquired nosocomial infection surveillancein three adult intensive care units in Malaysia
Keywords: Intensive Care Unit-acquired infections, Hospital–acquired infection (HAI) surveillance, Device use ratio, Device related infections
AbstractBackground: Nosocomial infections (NIs) have a serious impact on patient outcomes in Intensive Care Units (ICUs). Method: A prospective cohort-targeted comprehensive surveillance study on NI associated with usage of devices was conducted in three ICUs in Malaysia using a developed NI surveillance form. Patients who developed infection outside an ICU were excluded from the study. Results: The device associated NI was 21.1%. The mean duration for development of NI was 10.0 ± 7.44 days in ICU. The major device-associated infections were nosocomial pneumonia (18.7%) followed by bacteremia (8.5%) and urinary tract infections (4.7%) respectively. NI incidence density rate was 20.6 per 1,000 patient-days. Bacteremia, urinary tract infection (UTI) and nosocomial pneumonia (NP) rates were 8.9, 4.7 and 20.5 per 1,000 patient-days, respectively. Acinetobacter species, Klebseilla pneumoniae, Pseudomonas aeruginosa and Methicillin-resistant Staphylococcus aureus were the predominant pathogens isolated from the NIs subjects during the study period in the three ICUs. Conclusion: Analysis of the rate of the NIs associated with usage of devices in the three ICUs showed that it is highly correlated with the use of mechanical ventilation devices, followed by intravascular devices and usage of indwelling urinary catheters.
Download data is not yet available.
How to Cite
Katherason SG, Naing L, Jaalam K, Ismail A (2008) Baseline assessment of intensive care-acquired nosocomial infection surveillancein three adult intensive care units in Malaysia. J Infect Dev Ctries 2:364-368. doi: 10.3855/jidc.198
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).