Nosocomial Infections in the Surgical Intensive Care Unit: A Difference between Trauma

Wallace, William C.; Cinat, Marianne
October 1999
American Surgeon;Oct1999, Vol. 65 Issue 10, p987
Academic Journal
In 1970, the Centers for Disease Control and Prevention (CDC) established the National Nosocomial Infection Surveillance System to assist institutions with infection surveillance, data collection, and processing. This facilitates interinstitutional comparison for nosocomial infection rates. Nosocomial infection rates in the surgical intensive care unit have been shown to be different from the medical intensive care unit. Whether there exists a difference in infection rates between trauma and surgical patients in the intensive care unit has not been established. Our objective was to determine whether there is a difference in rates of nosocomial infections between trauma and surgical patients in the surgical intensive care unit. From January 1995 through December 1997, we reviewed 3715 admissions to the surgical intensive care unit and separated them into trauma (1272) or surgical (2443) cases. We documented all nosocomial pneumonias, urinary tract infections, bloodstream infections, and surgical site infections. From these data we determined infection rates per 100 admissions. We also identified all device-related nosocomial infections and calculated infection rate by current CDC standards using number of device infections divided by number of device-days times 1000. We found that the overall trauma patient infection rate was 11.64 per cent compared with 6.43 per cent for surgical patients (P < .001). Using conventional infection rate criteria, trauma patients had higher frequency in the rate of ventilator-associated pneumonia (6.13% vs 2.50%; P < 0.001), urinary tract infection (2.36 versus 1.76; P < 0.2), and bloodstream infection (2.52% versus 1.27%; P < 0.01). However, when using the CDC guidelines, which correct for the number of device-days for infections, only the difference in rate of pneumonia between the two groups reached statistical significance (23.9 rate for trauma patients vs 16.7 for the surgery group; P < 0.005). We conclude that trauma patients ...


Related Articles

  • Incidencija infekcija operativnog mesta u odeljenjima ortopedije i traumatologije. Maksimović, Jadranka; Marković-Denić, Ljiljana; Bumbaširević, Marko; Marinković, Jelena // Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journ;Aug2006, Vol. 63 Issue 8, p725 

    Background/Aim. Besides infections of urinary tract and pneumonias, as well as blood infections, surgical site infections (SSI) represent one of the most common localization of hospital infections. The aim of this study was to determine the incidence of SSI in the departments of orthopedics and...

  • The Klebsiella pheV tRNA locus: a hotspot for integration of alien genomic islands. van Aartsen, Jon Jurriaan // Bioscience Horizons: The National Undergraduate Research Journal;Mar2008, Vol. 1 Issue 1, p51 

    Klebsiella sp. cause a wide range of human infections, particularly nosocomial septicaemia, pneumonia and urinary tract infections. Like other Enterobacteriaceae, Klebsiella are likely to possess plastic genomes comprised of core regions interspersed with horizontally acquired genomic islands....

  • Hospital-Acquired Infections Are Deadly and Costly. Tufel, Gary // Clinical Lab Products;Sep2010, Vol. 40 Issue 9, p26 

    This article discusses the prevalence of hospital-acquired infections (HAIs) in the U.S. It highlights data showing HAIs as one of the top 10 leading causes of death in the country. It also reveals the number of cases of HAIs and health care costs related to the diseases. The article identifies...

  • Hospital-acquired Urinary-Tract Infections. Sanford, Jay P. // Annals of Internal Medicine;May64, Vol. 60 Issue 5, p903 

    Studies hospital-acquired urinary tract infections. Disease characteristics; Incidence rate; Significance of infections to clinical practice; Etiological microorganisms; Sources of microorganisms; Modes of transmission.

  • Secondary UTI diagnosis increased clinical, economic burdens. Cox, Amber; Schoen, John; Shafer, Emily // Infectious Disease News;Oct2013, Vol. 26 Issue 10, p24 

    The article discusses a study on the association between urinary tract infections (UTIs) with the utilization of health care resources among hospitalized patients, presented at the Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) in Denver, Colorado in September 2013.

  • Guidelines for prevention of catheter-associated urinary tract infections. Stamm, Walter E.; Stamm, W E // Annals of Internal Medicine;Mar75, Vol. 82 Issue 3, p386 

    The most common site of nosocomial infection, involving more than 400 000 patients in this country annually, is the catheterized urinary tract. These infections cause significant morbidity, prolong hospital stay, increase hospitalization costs, and contribute to mortality caused by Gram-negative...

  • Impact of Clostridium difficile infection among pneumonia and urinary tract infection hospitalizations: an analysis of the Nationwide Inpatient Sample. Becerra, Monideepa B.; Becerra, Benjamin J.; Banta, Jim E.; Safdar, Nasia // BMC Infectious Diseases;Jul2015, Vol. 15 Issue 1, p1 

    Background: Clostridium difficile infection (CDI) remains one of the major hospital acquired infections in the nation, often attributable to increased antibiotic use. Little research, however, exists on the prevalence and impact of CDI on patient and hospital outcomes among populations requiring...

  • Blood-safety news. Clamons, Kateri // MLO: Medical Laboratory Observer;Dec2008, Vol. 40 Issue 12, p18 

    The article reports that researchers at Cooper University Hospital (CVH) in Camden, New Jersey found that blood stored for nearly two weeks might be problematic for patients, who receive that blood. According to the researchers, if the patients they studied got blood stored 29 days or more, they...

  • Hospital-acquired urinary tract infection: a case control study. Markovic-Denic, L. N.; Mijovic, B.; Jankovic, S. // BMC Proceedings;Jan2011 Supplement 6, Vol. 5, pP201 

    An abstract of the article "Hospital-Acquired Urinary Tract Infection: A Case Control Study," by L. N. Markovic-Denic and colleagues is presented.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics