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