Access restricted to higher education institution's students and staff
master's thesis
INFEKCIJE U KARDIOKIRURŠKIM JEDINICAMA INTENZIVNOG LIJEĈENJA

Sanela Kovačić (2015)
Metadata
TitleINFEKCIJE U KARDIOKIRURŠKIM JEDINICAMA INTENZIVNOG LIJEĈENJA : RETROSPEKTIVNA ANALIZA JEDNOGODIŠNJEG ISKUSTVA U KLINIĈKOM BOLNIĈKOM CENTRU RIJEKA (KBC) RIJEKA
AuthorSanela Kovačić
Mentor(s)Vlatka Sotošek Tokmadžić (thesis advisor)
Abstract
Ciljevi istraživanja: Utvrditi prevalenciju nozokomijalnih infekcija u kardiokirurških bolesnika koji su lijeĉeni u JIL-u (lokalitet Sušak), Klinike za anesteziologiju i intenzivno lijeĉenje, KBC Rijeka u razdoblju od 6. sijeĉnja 2014. do 29. prosinca 2014. godine; utvrditi incidenciju infekcija u odnosu na spol, odrediti najĉešće uzroĉnike, utvrditi ishod lijeĉenja te utvrditi povezanost incidencije infekcija s ishodom lijeĉenja. Ispitanici i metode: Ovim jednogodišnjim retrospektivnim istraţivanjem obuhvaćeno je ukupno 335 bolesnika koji su bili lijeĉeni na kardiokirurškom odjelu JIL-a (lokalitet Sušak), Klinike za anesteziologiju i intenzivno lijeĉenje, KBC Rijeka u razdoblju od 6. sijeĉnja 2014. do 29. prosinca 2014. godine. U istrţivanju je krostištne medicinska dokumentacija. Rezultati: Od ukupno 335 bolesnika u istraţivanom razdoblju, njih 26 (8%) je razvilo nozokomijalnu infekciju. Nije utvrĊena statistiĉki znaĉajna razlika u incidenciji infekcija s obzirom na spol. Najĉešći uzroĉnici su bili Pseudomonas aeruginosa, bakterije roda Enterobacter spp., Klebsiella spp., Esherichia Coli, Proteus spp., Enterococcus spp. te gljivice roda Candida spp. Dvadeset i dvoje (7%) bolesnika je umrlo. U bolesnika koji su razvili nozokomijalnu infekciju njih 8 (31%) je umrlo. UtvrĊena je povezanost incidencije infekcija s negativnim ishodom lijeĉenja. Zaključak: Godišnje 8% kardiokirurških bolesnika razvije nozokomijalnu infekciju u postoperacijskom razdoblju. Nema statistiĉki znaĉajne razlike u odnosu na spol. Puno su ĉešće gram-negativne infekcije. Kod bolesnika koji razviju infekciju, trećina ih završi smrtnim ishodom. Postoji statistiĉki znaĉajna razlika koja ukazuje na povezanost incidencije infekcija sa smrtnim ishodom.
Keywordsintensive care unit intrahospital Infections cardiosurgical patients
GranterSveučilište u Rijeci
Medicinski fakultet
Lower level organizational unitsKatedra za anesteziologiju, reanimatologiju i intenzivno liječenje
PlaceRijeka
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Intensive Care
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeMedicine
Academic title abbreviationdr. med.
Genremaster's thesis
Language Croatian
Defense date2015
Parallel abstract (English)
Aims: To determine prevalence of intrahospital infections in cardiosurgical patients admitted to the Intensive Care Unit (ICU) of The Clinical Hospital Centre Rijeka in period from January 6th, 2014 to December 29th, 2014; to determine the incidence of infections compared to patient's sex, to classify most common pathogens, to determine the outcome, to determine the incidence of infections compared to the outcome and specify most used antibiotics in treatment process. Patients and methods: This retrospective study comprised 335 cardiosurgical patients with hospital-acquired infection treated in the cardiosurgical ICU of Anesthesiology, Reanimatology and Intensive Therapy Clinic of The Clinical Hospital Center Rijeka in the period from January 6th, 2014 to December 29th, 2014. Results: Out of 335 patients treated in the cardiosurgical ICU during the research period, 26 (8%) of them acquired an infection. No statistically significant result was attained comparing incidence of infections to patient's sex. The most common pathogens were Pseudomonas aeruginosa, bacteria genus Enterobacter spp., Klebsiella spp., Escherichia. Coli, Proteus spp., Enterococcus spp. and yeast genus Candida spp. 26 patients acquired an infection during their ICU stay and 8 (31%) of them died. Lethal outcome had 22 (7%) out of 335 patients in total. Statistically significant result was attained when comparing incidence of infections to outcome. Conclusion: Approximately 8% of cardiosurgical patients acquire an infection in the early postoperative period in ICU on a yearly basis. No statistically significant difference was attained regarding gender distribution. Gram-negative bacteria was the most common cause of the infections. Of all patients who acquire intrahospital infection, rougly one third ends in fatal outcome. There was found statistically significant difference which testifies to association of incidence with fatal outcome.
Parallel keywords (Croatian)jedinice intenzivnog liječenja nozokomijalne infekcije kardiokirurški bolesnici
Resource typetext
Access conditionAccess restricted to higher education institution's students and staff
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:725882
CommitterBosa Licul