The Nationwide Surveillance Results of Nosocomial Infections along with Antimicrobial Resistance in Intensive Care Units of Sixteen University Hospitals in Korea, 2004.
- Author:
Kyung Mi KIM
;
Jin Hong YOO
;
Jung Hyun CHOI
;
Eun Suk PARK
;
Kyung Suk KIM
;
Kwang Suk KIM
;
Sung Ran KIM
;
Su Mi KIM
;
Hee Jung KIM
;
Jae Sim JUNG
;
Kyung Hee YOO
;
Hyang Soon OH
;
Sung Won YOON
;
Mi Rye SUH
;
Yean Kyung YOON
;
Ji Young LEE
;
Yoon Suk JANG
;
Hye Young JIN
;
Shin Woo KIM
;
Yang Ree KIM
;
Yang Soo KIM
;
Yeon Sook KIM
;
Jeong Uk KIM
;
June Myung KIM
;
Kyoung Ran PECK
;
Hyuck LEE
;
Myoung Don OH
;
Sung Hee OH
;
Wee Kyo LEE
;
Sun Hee LEE
;
Moon Hyun CHUNG
;
Sook In JUNG
;
Hee Jin CHEONG
;
Wan Shik SHIN
- Publication Type:Multicenter Study ; Original Article
- Keywords:
Surveillance;
Nosocomial infections;
Intensive care units;
Antimicrobial resistance
- MeSH:
Acinetobacter;
Cross Infection*;
Enterococcus faecalis;
Enterococcus faecium;
Escherichia coli;
Hospitals, Teaching;
Hospitals, University*;
Imipenem;
Infection Control;
Intensive Care Units*;
Critical Care*;
Klebsiella pneumoniae;
Korea*;
Methicillin;
Pneumonia, Ventilator-Associated;
Prospective Studies;
Pseudomonas aeruginosa;
Staphylococcus aureus;
Stenotrophomonas maltophilia;
Urinary Tract;
Urinary Tract Infections;
Vancomycin
- From:Korean Journal of Nosocomial Infection Control
2006;11(2):79-86
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study was to evaluate a nationwide nosocomial infection rate and antimicrobial resistance in intensive care units(ICUs) in Korea. METHODS: The study was carried out at 16 university-affiliated teaching hospitals from July through October 2004. We performed a prospective multicenter study to investigate nosocomial infection rates, device-associated infection rated, and causative pathogens and their antimicrobial resistance. RESULTS: The urinary tract was the most commonly involved site. Nosocomial infection rate was 12.48 in medical. ICU (MICU), 9.59 in medical surgical ICU (MSICU), 14.76 in surgical ICU (MSICU), and 11.60 in other lCU. Device-associated infection rates were as follow: 1) rates of urinary catheter-associated urinary tract infection were 4.26 in MICU, 3.17 in SICU, 4.88 in MSICU, and 5.87 in other ICU; 2) rates of central line-associated bloodstream infection were 3.24 in MICU, 1.56 in SlCU, 2.36 in MSICU, and 1.78 in other ICU; 3) rates of ventilator-associated pneumonia were 3.61 in MlCU, 13.05 in SICU, 1.68 in MSICU, and 4.84 in other lCU. Staphylococcus aureus was the most frequently identified microorganism in this study; 93% of S. aurues were resistant to methicillin; 17% of Pseudomonas aeruginosa isolated were resistant to imipenem; 11% of Enterococcus faecium and 18% of Enterococcus faecalis showed resistance to vancomycin. Over a half of Acinetobacter spp, Stenotrophomonas maltophilia, Klebsiella pneumoniae, and Escherichia coli showed resistant to fluoroquinolone. Conclusion: This study shows the seriousness of antimicrobial resistance and the importance of infection control in the lCU in Korea. This study should provide a theoretical strategy to enforce the infection control.
