MORTALITY CHARACTERISTICS OF COMMON NOSOCOMIAL INFECTIONS AND ISOLATED PATHOGENS AT THE INTENSIVE CARE UNIT OF BACH MAI HOSPITAL

Nguyễn Đức Quỳnh1,, Bùi Thị Hương Giang2,3
1 Vinh Phuc General Hospital
2 Hanoi Medical University
3 Bach Mai Hospital

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Abstract

Objective: Determination of mortality rates of nosocomial infections and isolated pathogens. Subject and method: A prospective, cross-sectional descriptive study of 970 patients treated for more than 48 hours at the Intensive Care Unit of Bach Mai Hospital from 08/2019 to 07/2020. Result: 970 patients, there were 137 patients with nosocomial infections with 181 episodes of nosocomial infections, the overall mortality rate was 25.1% (243/970), the mortality related to nosocomial infections was 33.6% (46/137), in which the ratio of VAP 15.3/1000 days of mechanical ventilation with a mortality rate of 35.1%, CAUTI of 7.0/1000 days of catheterization and 31.4% mortality, CLABSI of 4.9/1000 days of catheterization and death 60.8%. The cause of disease isolated to 53.4% was extensive resistance in which the most common VAP was A.Baumanii (43.9%), CAUTI was C.albicans (34.3%), E.Coli (8, 6%) and K.pneumoniae (8.6%), CLABSI is K.pneumoniae (13.8%), S.aureus (13.8%), C.tropicalis (13.8%), C.albicans (13.8%). Conclusion: The mortality rate related to nosocomial infections was high, VAP has the highest ratio with the most common etiology being A. Baumanii.

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References

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