Characteristics of nosocomial bloodstream infections at a Hungarian cardiac surgery centre

• DOI: 10.1556/amicr.59.2012.2.12
• Publication Date: 2012-07-02T19:31:51Z
• Authors: András Trethon; Gyula Prinz; Andrea Varga; István Kocsis
• Keywords: Bloodstream infection; Bacteremia

Nosocomial bloodstream infection (BSI) is a common finding in cardiac surgery intensive care units and associated with excess mortality hospital costs. Additional data are needed about incidence, characteristics, predictors, microorganisms of nosocomial BSI surgical patients order to refine measures prevent infections improve recovery outcomes this patient population. The 3912 cardio-thoracic from all age groups were admitted the study at Gottsegen György Hungarian Institute Cardiology between January 1999 December 2000. In each demographic, epidemiological clinical variables recorded along potential risk factors. Incidence pathogens their possible sources evaluated outcome factors assessed. There total 134 episodes BSI. incidence was 34.25 per 1000 admissions. leading staphylococci (37.7%). Bacteremic developed secondary an identifiable source 27.6% cases, or catheter-related (16.4%). 56% cases not identified. crude rate 33.3%. Higher intracardial grafts (p < 0.05), low left ventricular ejection fraction 0.04), diabetes mellitus above 16 years 0.02), severe sepsis 0.001) high APACHE II score 0.001). As identified main intravascular lines, could probably be reduced by paying more attention prevention, early recognition prompt management device infections.