Abstract:

The purpose: Hospital infections (HE) are most frequently observed in the intensive care units, with high morbidity and mortality. It has also become one of the major health problems in terms of the extension of the hospitalization period and the increase in the cost of treatment. Invasive processes for the purpose of saving lives (central venous catheter, etc.) Infections in the hospital increase the growth rate. This study aims to study the distribution of factors that cause infections associated with the central nervous system, blood and central venous catheter in patients in adult and child intensive care units. Tools and Methods: This study was studied retrospectively with the culture-based surveyans method of blood infections related to the central nervous system, blood and central venous catheter, which developed in patients in our hospital intensive care between January 2016-December 2020 and was considered hospital infection. Tracking, recording and investigation of hospital infections was carried out by the Infection Control Committee. Results: In a five-year period, 25105 patients in Adult Intensive Care, 6066 in Newborn Intensive Care, and 1745 in Child Intensive Care were examined as a total of 32916 patients retrospective. 186 (0.6%) patients were diagnosed with blood culture infection verified by the Laboratory, 474 (1.44) patients were diagnosed with central venous catheter infection, 18 (0.05%) patients were diagnosed with meningitis. C.parapsilosis 116 (%24.5) and K.pneumoniae 98 (%20.7) were found as a central venous catheter infection factor, respectively, and 48 (%10.1) coagulate negative staphlococks were found. The most common factor of menenjite was K.pneumoniae 11 (%61.1) then KNSs 2 (%11.1). The blood culture results considered hospital infection were most frequently found in KNS 40 (%21.7) , K.pneumoniae 34 (%18.5) and C.parapsilosis 18 (%9.8). Result: Regular surveyans studies should be done to prevent HE, unnecessary invasive processes should not be allowed. Improving the conformity of hand hygiene throughout the hospital should be prevented, unsuitable antibiotic use should be prevented, isolation measures should be taken, and aseptic applications should be cared for. It is also necessary to isolate the factors that cause the infection, to start the appropriate antibiotics and to prevent unnecessary antibiotic use.

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