Abstract:

Introduction and Purpose Intense care units developing hospital infections (HE) is a serious problem because it is a cause of high mortality and morbidity. This study assessed the diagnoses of hospital-based infections developing in the third stage general intensive care unit, the distribution according to systems and the pathogens, and aimed at developing new infections control strategies based on these data. Method and means: Infectious diseases Clinically monitored general medical clinics with active prospective surveillance from 01.01.2018 to 31.12.2019 registered hospital-based infections were examined retrospectively. Results: In the two-year period, 1189 patients were diagnosed with 95 HE episodes in 90 patients, followed by 8468 sleep days. In general, the hospital infection rate was 7.98; the hospital infection incidence rate was 11.21. With regard to the HE distribution, the patient was diagnosed with non-pneumonial development of lower respiratory infection (36.8%) while it was followed by specific laboratory findings respectively with pneumonia (33.6%) and ventilator-related pneumonia (VIP) (10.5%) and central venous catheter-related blood circulation infection (SVKI-KDE) (9.4%) and laboratory-proofed KDE (LTD-KDE) (6.3%) and catheter-related urine system infection (KIE-USE) (3.1%). When considering the distribution of factors according to system infections, acinetobacter spp in the sub- respiratory tract infection that develops non-pneumonia respectively. (%48,7), Klebsiella pneumoniae (%25,6), Psödomonas aeruginosa (%12,8), Serratia marcescens (%5,1), Escherichia coli (%2,5), Enterobacter cloacae (%2,5), Candida albicans (%2,5) were included, 11.4% polymicrobial. The result: Hospital infections are inevitable, especially in hospitals, and one of the vital health goals of hospitals is to control and manage this situation. Treatments should be taken in time and appropriate therapeutic measures to reduce the rates of hospital infection. If necessary, catheters should be installed with the correct indication and the application of catheters should be reduced. It is an important point for hospitals to develop logical antibiotic therapy application programs based on their own surveillance data.

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