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Ilam University of Medical Sciences

Surveillance, control and management of infections in intensive care units in Southern Europe, Turkey and Iran--a prospective multicenter point prevalence study

Sun Sep 25 09:13:56 2022

(2014) Surveillance, control and management of infections in intensive care units in Southern Europe, Turkey and Iran--a prospective multicenter point prevalence study. The Journal of infection. pp. 131-40. ISSN 1532-2742 (Electronic) 0163-4453 (Linking)

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Official URL: https://www.ncbi.nlm.nih.gov/pubmed/24269951

Abstract

OBJECTIVE: We aimed to compare the features of intensive care units (ICUs), their antimicrobial resistance patterns, infection control policies, and distribution of infectious diseases from central Europe to Mid-West Asia. METHODS: A cross-sectional point prevalence study was performed in 88 ICUs from 12 countries. Characteristics of ICUs, patient and antibiotic therapy data were collected with a standard form by infectious diseases specialists. RESULTS: Out of 749, 305 patients at least with one infectious disease were assessed and 254 patients were reported to have coexistent medical problems. When primary infectious diseases diagnoses of the patients were evaluated, 69 had community-acquired, 61 had healthcare-associated, and 176 had hospital-acquired infections. Pneumonia was the most frequent ICU infection seen in half of the patients. Distribution of frequent pathogens was as follows: Enteric Gram-negatives (n = 62, 28.8), Acinetobacter spp. (n = 47, 21.9), Pseudomonas aeruginosa (n = 29, 13.5). Multidrug resistance profiles of the infecting microorganisms seem to have a uniform pattern throughout Southern Europe and Turkey. On the other hand, active and device-associated infection surveillance was performed in Turkey more than Iran and Southeastern Europe (p < 0.05). However, designing antibiotic treatment according to culture results was highest in Southeastern Europe (p < 0.05). The most frequently used antibiotics were carbapenems (n = 92, 30.2), followed by anti-gram positive agents (vancomycin, teicoplanin, linezolid, daptomycin, and tigecycline; n = 79, 25.9), beta-lactam/beta lactamase inhibitors (n = 78, 25.6), and extended-spectrum cephalosporins (n = 73, 23.9). CONCLUSION: ICU features appears to have similar characteristics from the infectious diseases perspective, although variability seems to exist in this large geographical area.

Item Type: Article
Creators:
CreatorsEmail
Erdem, H.UNSPECIFIED
Inan, A.UNSPECIFIED
Altindis, S.UNSPECIFIED
Carevic, B.UNSPECIFIED
Askarian, M.UNSPECIFIED
Cottle, L.UNSPECIFIED
Beovic, B.UNSPECIFIED
Csomos, A.UNSPECIFIED
Metodiev, K.UNSPECIFIED
Ahmetagic, S.UNSPECIFIED
Harxhi, A.UNSPECIFIED
Raka, L.UNSPECIFIED
Grozdanovski, K.UNSPECIFIED
Nechifor, M.UNSPECIFIED
Alp, E.UNSPECIFIED
Bozkurt, F.UNSPECIFIED
Hosoglu, S.UNSPECIFIED
Balik, I.UNSPECIFIED
Yilmaz, G.UNSPECIFIED
Jereb, M.UNSPECIFIED
Moradi, F.UNSPECIFIED
Petrov, N.UNSPECIFIED
Kaya, S.UNSPECIFIED
Koksal, I.UNSPECIFIED
Aslan, T.UNSPECIFIED
Elaldi, N.UNSPECIFIED
Akkoyunlu, Y.UNSPECIFIED
Moravveji, S. A.UNSPECIFIED
Csato, G.UNSPECIFIED
Szedlak, B.UNSPECIFIED
Akata, F.UNSPECIFIED
Oncu, S.UNSPECIFIED
Grgic, S.UNSPECIFIED
Cosic, G.UNSPECIFIED
Stefanov, C.UNSPECIFIED
Farrokhnia, M.UNSPECIFIED
Muller, M.UNSPECIFIED
Luca, C.UNSPECIFIED
Koluder, N.UNSPECIFIED
Korten, V.UNSPECIFIED
Platikanov, V.UNSPECIFIED
Ivanova, P.UNSPECIFIED
Soltanipour, S.UNSPECIFIED
Vakili, M.UNSPECIFIED
Farahangiz, S.UNSPECIFIED
Afkhamzadeh, A.UNSPECIFIED
Beeching, N.UNSPECIFIED
Ahmed, S. S.UNSPECIFIED
Cami, A.UNSPECIFIED
Shiraly, R.UNSPECIFIED
Jazbec, A.UNSPECIFIED
Mirkovic, T.UNSPECIFIED
Leblebicioglu, H.UNSPECIFIED
Naber, K.UNSPECIFIED
Keywords: Adult Aged Communicable Diseases/*diagnosis/*therapy Cross Infection/*diagnosis/prevention & control/*therapy Cross-Sectional Studies Europe Female Humans Intensive Care Units Iran Male Middle Aged Prevalence Prospective Studies Turkey Icu Infection Resistance
Divisions:
Page Range: pp. 131-40
Journal or Publication Title: The Journal of infection
Journal Index: Pubmed
Volume: 68
Number: 2
Identification Number: https://doi.org/10.1016/j.jinf.2013.11.001
ISSN: 1532-2742 (Electronic) 0163-4453 (Linking)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/1165

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