Incidence of healthcare-associated infection in 66 patients undergoing heart transplantation in a cardiovascular surgical intensive care unit
10.3969/j.issn.1671-9638.2016.08.004
- VernacularTitle:心血管外科ICU66例心脏移植患者医院感染发病率
- Author:
Xiaohong HU
;
Min DENG
;
Jiawei SHI
- Publication Type:Journal Article
- Keywords:
heart transplantation;
cardiovascular surgical department;
intensive care unit;
ICU;
healthcare-asso-ciated infection;
targeted monitoring
- From:
Chinese Journal of Infection Control
2016;15(8):552-555
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the status and pathogenic characteristics of healthcare-associated infection (HAI)in cardiovascular surgical intensive care unit (ICU)patients undergoing heart transplantation.Methods Pa-tients who underwent heart transplantation in a hospital between July 1 ,2013 and June 30,2014 were performed targeted monitoring.Results Of 66 patients undergoing heart transplantation,16 developed 18 times of HAI,inci-dence of HAI was 24.24%.Incidence of HAI and ventilator-associated pneumonia(VAP)in patients undergoing heart transplantation were both higher than non-transplantation patients (24.24% vs 6.24%,χ2 =33.718;7.58%vs 1 .72%,χ2 =12.199,respectively,both P <0.001 ).The infection tyes were as follows:lower respiratory tract infection(n=7),VAP (n=6),bacteremia (n=3),superficial incision infection (n =1 ),as well as skin and soft tissue infection (n = 1 ). The isolated pathogens were fungus (n = 8 ),Klebsiella pneumoniae (n = 3 ), Staphylococcus aureus (n=2),Acinetobacter baumannii (n=2),Enterobacter cloacae (n=1 ),Acinetobacter hae-molyticus (n=1 ),and Citrobacter freundii (n =1 ).Conclusion Incidence of HAI is high in patients undergoing heart transplantation,the main infection type is lower respiratory tract infection,the major pathogen is fungus.
