Control of hospital acquired XXXX in the ICU: A  service perspective.

@entity1 @entity55 @entity281 @entity580 @entity293
BACKGROUND: The service setting has some unique strengths and weaknesses that must be kept in mind when organizing @entity580 ( @entity580 ) prevention interventions. METHODS: Following an initial study to gather data regarding @entity580 in the Surgical intensive care unit (ICU) we put into place various infection control interventions. The present study was carried out to analyse the effect of these interventions on the incidence of @entity580 in the ICU. RESULTS: The total admissions to the ICU were 253 @entity1 . Eighty eight @entity1 (34.78%) were admitted for more than 48  hr, 165 @entity1 stayed for less than 48  h. The frequency of @entity580 was 7.95% (95% CI 3.54, 15). @entity55 was observed in 2 of the 88 @entity1 (2.27%) (95% CI 0.38, 7.30) which amounted to 9.70 @entity281 per 1000 ventilator days. @entity281 was detected in 3 out of 88 @entity1 (3.4%) (95% CI 0.87, 8.99) amounting to 6.54 fresh @entity281 per 1000 Central Venous Catheter days. @entity293 was observed in 2 (2.27%) (95% CI 0.38, 7.30) at 2.86 fresh @entity281 per 1000 catheter days. As compared to the previous study we found that there was a decline of @entity580 ranging from 60 to 70%. CONCLUSION: Our study demonstrated that by meticulously following infection control protocols especially tailored to the service setting the incidence of @entity580 's can be reduced. However, the challenge is in maintaining the gains achieved since there is a rapid turnover of manpower in the ICU and a lack of a structured ICU design model.
