Causes of nosocomial pneumonia and evaluation of risk factors in a university hospital in Turkey

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dc.contributor.authorSavas, Lutfu
dc.contributor.authorOnlen, Yusuf
dc.contributor.authorDuran, Nizami
dc.contributor.authorSavas, Nazan
dc.date.accessioned2024-09-18T21:06:47Z
dc.date.available2024-09-18T21:06:47Z
dc.date.issued2007
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: To determine the incidence, risk factors, mortality rate, and organisms causing nosocomial pneumonia (NP). Methods: We carried out this study in the Intensive Care Units (ICUs), General Medical and Surgical wards of Baskent University, Training and Research Hospital in Adana, Turkey, between November 2000 and August 2002. Patients were observed from the time of admission until 48 hours after discharge from the hospital. Results: In this study, 618 (2.1%) nosocomial infections (NIs) were detected in 29778 patients. One hundred and fifteen of these infections were NP and investigated with surveillance prospectively. The most frequently isolated microorganisms in NP were methicillin-resistant Staphylococcus aureus (MRSA) 32.8%, Pseudomonas species 21.5%, methicillin-sensitive Staphylococcus aureus (MSSA) 10.2%, Klebsiella species (9.1%) and Acinetobacter species 5.9%, E coli; 5.4% (10/186), Streptococcus species; 4.8% (9/186), Candida species; 4.8% (9/186), Enterobacter species; 2.7% (5/186) and the other bacteria; 2.7%. The predominant pathogens isolated in this study were MRSA (33.8%), Pseudomonas species (16.9%) and MSSA (16.9%) in early-onset pneumonias and MRSA (32.2%), Pseudomonas species (24.0%), and Klebsiella species (10.7%) in late-onset pneumonias. Conclusion: This study demonstrated that the possibility of developing NP, significantly increases with such risk factors as decreased level of consciousness, respiratory failure, mechanical ventilation and tracheostomy. Each center should know its patients' profile, the factors that increase the infection, the antibiotic resistance patterns of microorganisms, and the distribution of hospital infections in every department. Strategies to prevent both development of antibiotic resistance and spread of resistant organisms are necessary.en_US
dc.identifier.endpage120en_US
dc.identifier.issn0379-5284
dc.identifier.issue1en_US
dc.identifier.pmid17206302en_US
dc.identifier.scopus2-s2.0-34249811239en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage114en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13815
dc.identifier.volume28en_US
dc.identifier.wosWOS:000244212000021en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSaudi Med Jen_US
dc.relation.ispartofSaudi Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectIntensive-Care Unitsen_US
dc.subjectAntimicrobial Resistanceen_US
dc.subjectAcquired Pneumoniaen_US
dc.subjectExtended-Spectrumen_US
dc.subjectSurveillanceen_US
dc.subjectInfectionsen_US
dc.subjectPathogensen_US
dc.subjectDiagnosisen_US
dc.subjectPatternsen_US
dc.titleCauses of nosocomial pneumonia and evaluation of risk factors in a university hospital in Turkeyen_US
dc.typeArticleen_US

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