Özet:

Objective: Hospital infections (HI) cause serious morbidity, mortality and economic loss in our country and is one of the problems related to patient safety especially in Intensive Care Units (ICU). In this study, it was aimed to determine the distribution and HI rates and distribution of microorganisms in years between 2014 and 2016 in the ICU and palliative care center (PCC) in Ankara National State Hospital. Material and Methods: HI was investigated between January 1, 2014 and December 31, 2016 in patients followed and treated at Ankara National State Hospital, ICU and PCC. Number of the patients, number of patient days, number and HI rates, catheter-related urinary tract infection, ventilator-associated pneumonia and catheter-related bloodstream infection rates were examined. Results: HI rates were 2.59% in 2014, 2.39% in 2015 and 1.74% in 2016. HI rates in the ICU and PCC were determined as 34.31% and 6.66% in 2014, 26.78% and 6.17% in 2015 and 13.14% and 4.74% in 2016 respectively. Urinary tract infections ranked first in all three years. It was followed by ventilator-associated pneumonia in 2014, skin and soft tissue infections in 2015, skin and soft tissue infections and pneumonia in 2016. The most frequently produced microorganism was E. coli in all three years. The most important factors affecting the HI are prolonged hospital stay and invasive procedures, which increase the risk of colonization and infection with resistant bacteria. In order to control HIV, infectious agents and resistance profiles should be regularly monitored and infection control plans should be made taking necessary precautions according to the results of effective monitoring

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