Surveillance of XXXX acquired in intensive care: usefulness in clinical practice.

@entity1 @entity3256 @entity1212 @entity295 @entity796 @entity55 @entity326 @entity16 @entity794 @entity281 @entity580 @entity204 @entity130
@entity580 surveillance is common in the USA and in some European countries but in Italy few hospitals use it. In order to evaluate its usefulness in clinical practice we performed a one year prospective epidemiological study that included 178 @entity1 , admitted to an intensive care unit (ICU) for more than 48 h. Median ICU stay was 16 days. @entity130 and @entity16 accounted for 65% of admissions. The selected population had high severity scores and required a large number of invasive procedures for diagnosis and therapy. The most common @entity281 were: @entity55 46/1000 ventilator-days; urinary tract @entity281 17/1000 catheter-days; central @entity1212 14.5/1000 catheter-days with 1.7/1000 CVC-related @entity295 ; @entity295 . The most frequent pathogens were @entity794 , @entity796 , other Gram-negative aerobes and Candida spp. Antimicrobial resistance was substantial, with 68% @entity3256 -resistance in @entity794 and 76% of P. aeruginosa displaying antibiotic resistance. @entity295 or @entity326 occurred in 30 @entity1 (8/1000 ICU-days), and three @entity1 died from @entity326 of unknown origin (10% case fatality rate). There were no case fatalities for @entity55 and @entity295 . Overall, ICU-acquired @entity281 were not associated with an increased risk of @entity204 .
