XXXX in intensive care unit in a Turkish university hospital: a 2-year survey.

@entity1 @entity3256 @entity796 @entity233 @entity55 @entity794 @entity772 @entity281 @entity580 @entity130
OBJECTIVE: To determine epidemiology and risk factors for @entity580 in intensive care unit (ICU). DESIGN. Prospective incidence survey. SETTING: An adult general ICU in a university hospital in western @entity233 . @entity1 : All @entity1 who stayed more than 48 h in ICU during a 2-year period (2000-2001). MEASUREMENTS AND RESULTS: The study included 434 @entity1 (7394 @entity1 -days). A total of 225 @entity281 were identified in 113 @entity1 (26%). The incidence and @entity281 rates were 56.8 in 1000- @entity1 days and 51.8%, respectively. The @entity281 were @entity55 (40.9%), bloodstream (30.2%), urinary tract (23.6%) and surgical site @entity281 (5.3%). @entity796 (22.6%), @entity3256 -resistant @entity794 (22.2%) and Acinetobacter spp. (11.9%) were frequently isolated micro-organisms. Median length of stay with @entity580 and without were 13 days (Interquartile range, IQR, 20) and 2 days (IQR, 2), respectively ( P<0.0001). In logistic regression analysis, mechanical ventilation [odds ratio (OR): 16.35; 95% confidence interval (CI): 8.26-32.34; P<0.0001), @entity772 (OR: 15.04; 95% CI: 3.41-66.33; P=0.0003), @entity130 (OR: 10.27; 95% CI: 2.34-45.01; P=0.002), nasogastric tube (OR: 2.94; 95% CI: 1.47-5.90; P=0.002), tracheotomy (OR: 5.77; 95% CI: 1.10-30.20; P=0.04) and APACHE II scores 10-19 (OR: 10.80; 95% CI: 1.10-106.01; P=0.04) were found to be significant risk factors for @entity580 . Rate of @entity580 increased with the number of risk factors (P<0.0001). Mortality rates were higher in infected @entity1 than in non-infected @entity1 (60.9 vs 22.1%; P<0.0001). CONCLUSION: These data suggest that, in addition to underlying clinical conditions, some invasive procedures can be independent risk factors for @entity580 in ICU.
