A comparison of infections in different ICUs within the same hospital
Infections identified between 1981 and 1983 in a hospitalʼs medical/surgical, pediatric, neonatal, coronary care, and cardiac surgery ICUs were compared. Among 14,360 admissions, 1840 infections occurred in 1360 patients. Total infection rates ranged from 1.0% (cardiac surgery ICU) to 23.5% (medical...
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| Veröffentlicht in: | Critical care medicine 1985-06, Vol.13 (6), p.472-476 |
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| creator | BROWN, RICHARD B HOSMER, DAVID CHEN, H C TERES, DANIEL SANDS, MICHAEL BRADLEY, SHIRLEY OPITZ, ELENA SZWEDZINSKI, DONNA OPALENIK, DORIS |
| description | Infections identified between 1981 and 1983 in a hospitalʼs medical/surgical, pediatric, neonatal, coronary care, and cardiac surgery ICUs were compared. Among 14,360 admissions, 1840 infections occurred in 1360 patients. Total infection rates ranged from 1.0% (cardiac surgery ICU) to 23.5% (medical/surgical ICU). Rates of ICU-acquired infection ranged from 0.8% (cardiac surgery ICU) to 11.2% (medical/surgical ICU), indicating that only about half of infections in the latter unit were acquired from within.Primary bacteremias comprised 14.5% of neonatal ICU infections, a rate 500% higher than in other ICUs. Meningitis and genitourinary infections were more common in pediatric and coronary care ICUs. Candida and Pseudomonas species and Klebsiella-Enterobacter-Ser-ratia were most common in the medical/surgical ICU. Survival rate of infected patients was over 87% in pediatric and neonatal ICUs, compared with only 55.4% in the medical/surgical ICU.These differences in types and rates of infection have an important bearing on infection-control activities in the ICU, and also provide a yardstick against which similar institutions can gauge their ICU infection status. |
| doi_str_mv | 10.1097/00003246-198506000-00006 |
| format | Article |
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Among 14,360 admissions, 1840 infections occurred in 1360 patients. Total infection rates ranged from 1.0% (cardiac surgery ICU) to 23.5% (medical/surgical ICU). Rates of ICU-acquired infection ranged from 0.8% (cardiac surgery ICU) to 11.2% (medical/surgical ICU), indicating that only about half of infections in the latter unit were acquired from within.Primary bacteremias comprised 14.5% of neonatal ICU infections, a rate 500% higher than in other ICUs. Meningitis and genitourinary infections were more common in pediatric and coronary care ICUs. Candida and Pseudomonas species and Klebsiella-Enterobacter-Ser-ratia were most common in the medical/surgical ICU. Survival rate of infected patients was over 87% in pediatric and neonatal ICUs, compared with only 55.4% in the medical/surgical ICU.These differences in types and rates of infection have an important bearing on infection-control activities in the ICU, and also provide a yardstick against which similar institutions can gauge their ICU infection status.</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/00003246-198506000-00006</identifier><identifier>PMID: 3995999</identifier><identifier>CODEN: CCMDC7</identifier><language>eng</language><publisher>Hagerstown, MD: Williams & Wilkins</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Bacteria - isolation & purification ; Biological and medical sciences ; Cross Infection - epidemiology ; Cross Infection - microbiology ; Cross Infection - mortality ; Emergency and intensive care: techniques, logistics ; Hospital Bed Capacity, 500 and over ; Hospitals, Community ; Hospitals, Teaching ; Humans ; Infant, Newborn ; Intensive care medicine ; Intensive care unit. Emergency transport systems. Emergency, hospital ward ; Intensive Care Units ; Intensive Care Units, Neonatal ; Massachusetts ; Medical sciences ; Prospective Studies</subject><ispartof>Critical care medicine, 1985-06, Vol.13 (6), p.472-476</ispartof><rights>Williams & Wilkins 1985. All Rights Reserved.</rights><rights>1985 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4086-5177e252f6d4542911e5e393d70a9f457d63ac99728aa796558bd529b93b00023</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9204530$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3995999$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BROWN, RICHARD B</creatorcontrib><creatorcontrib>HOSMER, DAVID</creatorcontrib><creatorcontrib>CHEN, H C</creatorcontrib><creatorcontrib>TERES, DANIEL</creatorcontrib><creatorcontrib>SANDS, MICHAEL</creatorcontrib><creatorcontrib>BRADLEY, SHIRLEY</creatorcontrib><creatorcontrib>OPITZ, ELENA</creatorcontrib><creatorcontrib>SZWEDZINSKI, DONNA</creatorcontrib><creatorcontrib>OPALENIK, DORIS</creatorcontrib><title>A comparison of infections in different ICUs within the same hospital</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><description>Infections identified between 1981 and 1983 in a hospitalʼs medical/surgical, pediatric, neonatal, coronary care, and cardiac surgery ICUs were compared. Among 14,360 admissions, 1840 infections occurred in 1360 patients. Total infection rates ranged from 1.0% (cardiac surgery ICU) to 23.5% (medical/surgical ICU). Rates of ICU-acquired infection ranged from 0.8% (cardiac surgery ICU) to 11.2% (medical/surgical ICU), indicating that only about half of infections in the latter unit were acquired from within.Primary bacteremias comprised 14.5% of neonatal ICU infections, a rate 500% higher than in other ICUs. Meningitis and genitourinary infections were more common in pediatric and coronary care ICUs. Candida and Pseudomonas species and Klebsiella-Enterobacter-Ser-ratia were most common in the medical/surgical ICU. Survival rate of infected patients was over 87% in pediatric and neonatal ICUs, compared with only 55.4% in the medical/surgical ICU.These differences in types and rates of infection have an important bearing on infection-control activities in the ICU, and also provide a yardstick against which similar institutions can gauge their ICU infection status.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Bacteria - isolation & purification</subject><subject>Biological and medical sciences</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Cross Infection - mortality</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Hospital Bed Capacity, 500 and over</subject><subject>Hospitals, Community</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intensive care medicine</subject><subject>Intensive care unit. Emergency transport systems. Emergency, hospital ward</subject><subject>Intensive Care Units</subject><subject>Intensive Care Units, Neonatal</subject><subject>Massachusetts</subject><subject>Medical sciences</subject><subject>Prospective Studies</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctu2zAQRYmgReo8PqEAF0V3SvmWZhkYeQEBuqnXBC0NIaaS6JISjP596dj1LtyQc-fMkLxDCOXsjjOof7CypFCm4tBoZkpUHSRzQVZcyxIIkJ_IijFglVQgv5CrnN8Y40rX8pJcSgANACvycE_bOO5cCjlONHoaJo_tHOKUy5F2wXtMOM30Zb3JdB_mvqhzjzS7EWkf8y7Mbrghn70bMt6e9muyeXz4tX6uXn8-vazvX6tWscZUmtc1Ci286ZRWAjhHjRJkVzMHvjytM9K1ALVonKvBaN1sOy1gC3JbfifkNfl-7LtL8c-CebZjyC0Og5swLtnWhnMhVFPA5gi2Keac0NtdCqNLfy1n9uCg_e-gPTv4LplS-vV0x7IdsTsXniwr-W-nvMutG3xyUxvyGQPBVJlAwdQR28dhxpR_D8sek-3RDXNvP5qf_AeQYYWt</recordid><startdate>198506</startdate><enddate>198506</enddate><creator>BROWN, RICHARD B</creator><creator>HOSMER, DAVID</creator><creator>CHEN, H C</creator><creator>TERES, DANIEL</creator><creator>SANDS, MICHAEL</creator><creator>BRADLEY, SHIRLEY</creator><creator>OPITZ, ELENA</creator><creator>SZWEDZINSKI, DONNA</creator><creator>OPALENIK, DORIS</creator><general>Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198506</creationdate><title>A comparison of infections in different ICUs within the same hospital</title><author>BROWN, RICHARD B ; HOSMER, DAVID ; CHEN, H C ; TERES, DANIEL ; SANDS, MICHAEL ; BRADLEY, SHIRLEY ; OPITZ, ELENA ; SZWEDZINSKI, DONNA ; OPALENIK, DORIS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4086-5177e252f6d4542911e5e393d70a9f457d63ac99728aa796558bd529b93b00023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Bacteria - isolation & purification</topic><topic>Biological and medical sciences</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - microbiology</topic><topic>Cross Infection - mortality</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Hospital Bed Capacity, 500 and over</topic><topic>Hospitals, Community</topic><topic>Hospitals, Teaching</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intensive care medicine</topic><topic>Intensive care unit. Emergency transport systems. Emergency, hospital ward</topic><topic>Intensive Care Units</topic><topic>Intensive Care Units, Neonatal</topic><topic>Massachusetts</topic><topic>Medical sciences</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BROWN, RICHARD B</creatorcontrib><creatorcontrib>HOSMER, DAVID</creatorcontrib><creatorcontrib>CHEN, H C</creatorcontrib><creatorcontrib>TERES, DANIEL</creatorcontrib><creatorcontrib>SANDS, MICHAEL</creatorcontrib><creatorcontrib>BRADLEY, SHIRLEY</creatorcontrib><creatorcontrib>OPITZ, ELENA</creatorcontrib><creatorcontrib>SZWEDZINSKI, DONNA</creatorcontrib><creatorcontrib>OPALENIK, DORIS</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BROWN, RICHARD B</au><au>HOSMER, DAVID</au><au>CHEN, H C</au><au>TERES, DANIEL</au><au>SANDS, MICHAEL</au><au>BRADLEY, SHIRLEY</au><au>OPITZ, ELENA</au><au>SZWEDZINSKI, DONNA</au><au>OPALENIK, DORIS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of infections in different ICUs within the same hospital</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1985-06</date><risdate>1985</risdate><volume>13</volume><issue>6</issue><spage>472</spage><epage>476</epage><pages>472-476</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>Infections identified between 1981 and 1983 in a hospitalʼs medical/surgical, pediatric, neonatal, coronary care, and cardiac surgery ICUs were compared. Among 14,360 admissions, 1840 infections occurred in 1360 patients. Total infection rates ranged from 1.0% (cardiac surgery ICU) to 23.5% (medical/surgical ICU). Rates of ICU-acquired infection ranged from 0.8% (cardiac surgery ICU) to 11.2% (medical/surgical ICU), indicating that only about half of infections in the latter unit were acquired from within.Primary bacteremias comprised 14.5% of neonatal ICU infections, a rate 500% higher than in other ICUs. Meningitis and genitourinary infections were more common in pediatric and coronary care ICUs. Candida and Pseudomonas species and Klebsiella-Enterobacter-Ser-ratia were most common in the medical/surgical ICU. Survival rate of infected patients was over 87% in pediatric and neonatal ICUs, compared with only 55.4% in the medical/surgical ICU.These differences in types and rates of infection have an important bearing on infection-control activities in the ICU, and also provide a yardstick against which similar institutions can gauge their ICU infection status.</abstract><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>3995999</pmid><doi>10.1097/00003246-198506000-00006</doi><tpages>5</tpages></addata></record> |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Bacteria - isolation & purification Biological and medical sciences Cross Infection - epidemiology Cross Infection - microbiology Cross Infection - mortality Emergency and intensive care: techniques, logistics Hospital Bed Capacity, 500 and over Hospitals, Community Hospitals, Teaching Humans Infant, Newborn Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Intensive Care Units Intensive Care Units, Neonatal Massachusetts Medical sciences Prospective Studies |
| title | A comparison of infections in different ICUs within the same hospital |
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