Volume : VI, Issue : IV, April - 2017

Study of Nosocomial Infections among the Patients Admitted in the Intensive Care Units of a Tertiary Care Centre in North East India

Dr Vikramjeet Dutta, Dr Ishani Bora, Dr Annie Bakorlin Khyriem, Dr Anil Chandra Phukan, Dr Elantamilan Durairajan

Abstract :

 BACKGROUND AND OBJECTIVES:

Nosocomial Infections (NI) lead to disabling conditions, reduce the quality of life and may even lead to death. The intensive care units (ICU) are the flash point of NI due to the unique environment, use of various antimicrobials and invasive monitoring devices. The study was conducted to detect the NI in the ICUs, to determine the distribution and diversity of micro–organisms and their antimicrobial susceptibility pattern.

MATERIALS AND METHODS

The prospective study was conducted for a period of 1 year (Jan 2011 to Dec 2011). The ICUs included were – Anesthesiology ICU (AICU), Pediatric ICU (PICU), Intensive Coronary Care Unit (ICCU) and Cardio Thoracic and Vascular Surgery (CTVS) ICU. The various clinical specimens received from patients with suspected NI, were subjected to microscopic examination, culture, and biochemical tests, as per standard protocols. 

RESULTS

Of 2017 patients admitted, 276 patients [126 (AICU), 47 (ICCU), 101 (PICU), 2 (CTVS ICU)] were included in the study of which 8% developed NI. Respiratory Tract Infections (RTI; 43%) were highest followed by Urinary Tract Infections (UTI; 34%), Blood Stream Infections (BSI; 11%), Wound Infections (WI; 10%), Sterile Site Infections (SSI; 2%). The incidences of NI were – AICU – 14%, ICCU – 4% and PICU – 8%. Pseudomonas aeruginosa was the predominant organism isolated.

 

 

CONCLUSION

The possibility of reducing resistance by controlling the use of antibiotics is a logical approach, but implementation of effective policies is difficult. Hence, community awareness, antibiotic restriction, effective surveillance and good infection control practices are essential to overcome resistance.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr Vikramjeet Dutta, Dr Ishani Bora, Dr Annie Bakorlin Khyriem, Dr Anil Chandra Phukan, Dr Elantamilan Durairajan, Study of Nosocomial Infections among the Patients Admitted in the Intensive Care Units of a Tertiary Care Centre in North East India, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : VOLUME-6 | ISSUE-4 | APRIL‾2017

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