Bacterial Resistance and Mortality in an Intensive Care Unit

Authors

  • Adriana Cristina de Oliveira Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Rafael Souza Silva Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Mario E. Piscoya Díaz Universidade Federal de Minas Gerais; Centro de Desenvolvimento e Planejamento Regional
  • Robert Aldo Iquiapaza Universidade Federal de Minas Gerais

DOI:

https://doi.org/10.1590/S0104-11692010000600016

Keywords:

Epidemiologic Surveillance, Cross Infection, Intensive Care Units, Mortality, Drug Resistance, Microbial

Abstract

The goal was to identify risk factors for healthcare-associated infections by resistant microorganisms and patient mortality in an Intensive Care Unit. A prospective and descriptive epidemiological research was conducted from 2005 till 2008, involving 2300 patients. Descriptive statistics, bivariate and multivariate logistic regression analysis were used. In bivariate analysis, infection caused by resistant microorganism was significantly associated to patients with community-acquired infection (p=0.03; OR=1.79) and colonization by resistant microorganism (p<0.01; OR=14.22). In multivariate analysis, clinical severity (p=0.03; OR=0.25) and colonization by resistant microorganism (p<0.01; OR=21.73) were significant. Mortality was associated to the following risk factors: type of patient, average severity index, besides mechanical ventilation. The relation between resistant microorganisms and death shows the need to monitor adherence to infection control measures so as to improve care quality and mainly survival of critical patients.

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Published

2010-12-01

Issue

Vol. 18 No. 6 (2010)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Bacterial Resistance and Mortality in an Intensive Care Unit . (2010). Revista Latino-Americana De Enfermagem, 18(6), 1152-1160. https://doi.org/10.1590/S0104-11692010000600016