Nosocomial Infection Rate Comparison of Military and Civilian Intensive Care Units.
- Author:
Sang Oh LEE
;
Jae Gyun LIM
;
Jin Ok PARK
;
Hyung Suk NOH
;
Jae Seok CHOI
;
Alexander D SHIN
- Publication Type:Original Article
- Keywords:
Device-day infection rates;
Intensive care unit;
Military hospital
- MeSH:
Arm;
Cardiovascular System;
Central Nervous System Infections;
Central Venous Catheters;
Cross Infection*;
Hospitals, Military;
Humans;
Intensive Care Units*;
Critical Care*;
Military Personnel*;
Pneumonia;
Pneumonia, Ventilator-Associated;
Rivers;
Skin;
Urinary Catheters;
Urinary Tract;
Ventilators, Mechanical
- From:Korean Journal of Nosocomial Infection Control
2001;6(1):1-7
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study was undertaken to compare nosocomial infection rates between intensive care units of military and civilian hospitals. METHODS: From July to December 2000, we surveyed the intensive care unit of Armed Forces Capital Hospital (AFCH). We compared device use ratios and device-day infection rates with those of Korean Society for Nosocomial Infection Control (KOSNIC) and National Nosocomial Infections Surveillance (NNIS) system. RESULTS: During the period of study, 185 cases were admitted and 24 nosocomial infections were detected: 7 cases of pneumonia, 6 urinary tract, 3 blood stream, 3 cardiovascular system, 3 surgical site infections, 1 skin and soft tissue, and 1 central nervous system infection. Ventilator, urinary catheter and central venous catheter use ratios were 0.14 (95% confidence interval, 0.12-0.16), 0.58 (0.56-0.60) and 0.33 (0.31-0.35). The ratios of NNIS were 0.41, 0.67 and 0.50. Ventilator-, urinary catheter- and central venous catheter-day infection rates were 18.69(11.36-53.32), 6.65 (3.36-14.20) and 1.95 (1.44-9.92). However, the rates of KOSNIC were 9.93, 5.29 and 3.62. The rates of NNIS were 11.24, 6.14 and 5.55. CONCLUSIONS: In AFCH ventilators were used less frequently than NNIS, but more ventilator-associated pneumonia were developed than KOSNIC and NNIS.
