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Nosocomial Infections in Intensive Care Unit


  • Sheetal Yadav
  • Agency : Nosocomial Infection, Intensive Care Unit, IUC, Hospital Acquired Infection
  • Objective : A prospective descriptive study in the ICU multispecialty hospital at Gurgaon for a period of two & a half months has been designed to elicit information on the rate of nosocomial infections and their cost attributable to the patients.
  • Background : Due to high dependency of ICU patients and their critical conditions there are increased chances of getting hospital acquired infections among these patients. Infections acquired in health care settings are among the major causes of death and increased morbidity among hospitalized patients. They are a significant burden both for the patient and for hospital.
  • Methodology : All the patients who were directly admitted to the ICU and stayed for more than 2 days in ICU were included. The patients who had bacteremia at the time of the admission and who stayed less than 2 days in ICU were excluded.
  • Findings : In a sample size of 129, 36 patients got infection during ICU stay and remaining 93 did not get infection. The study revealed the crude rate of ICU acquired infection was 27.9% comprising maximum number (41.1%) suffered with ventilator-associated pneumonia. The most prevalent pathogen for pneumonia and BSI was found to be Acinetobacter. It was multi drug resistant organism for which costly antibiotics [colostin] were required. Most prevalent organism for UTI was candida. 55.5% of infected patients expired, where as only 17.2 % of non-infected patients expired. The extra length of stay due to infection was 8.11 days, which in turn amounts to, estimated 200,000 INR per patient.
  • Recommendations : There is a positive association on mortality rate with infection hence it is estimated that if the infection rate is reduced then the mortality rate will also get reduced. This will bring name and fame to the hospital. If infection rate drops down patient turn over will increase, which can lead to more revenue generation as compared to existing situation, As per the literature, first three days of the hospital stay of any patient are the most revenue-generating period
A prospective descriptive study in the ICU multispecialty hospital at Gurgaon for a period of two & a half months has been designed to elicit information on the rate of nosocomial infections