Hospital acquired pathogens and antibiotic susceptibility in Düzce University Medical school intensive care unit

This study was done by retrospectively of patient data who were hospitalized in the intensive care unit and were followed for a minimum of 48 hours between January 2009 and December 2013. Centers for Disease Control and Prevention (CDC) criteria were used in the diagnostic of hospital infections. To calculate the density of hospital-acquired infections (The number of hospital infections / patient day)x1000 formula has been used. Identification of the causative microorganism and antibiotic susceptibility were performed according to CLSI standards. During the study 893 episodes of infection is advanced in 447 cases of 2612 patients; 934 microorganisms is obtained of the in 785 (%87,9); in 108 (%12,1) Attackes there was no factor. HE speed is %32,1 and the incidence density is 33. Of the patients with HE %55,5 of them are women,%45.5 of them are men. Women's average age was 64,4 and men's average age was 70,1. Among the most common comorbid causes hypertension (%49.1) and diabetes (%32.5) were located. The most common hospital-acquired pneumonia in HE, the second most common hospital-acquired bacteraemia and third most frequent urinary tract infections were detected. %98.1 of hospital-acquired pneumonia was ventilator-associated pneumonia, %34.8 of hospital-acquired bacteraemia was central venous catheter-related bacteremia. %26.2 of isolated bacterial infection in intensive care agent was Acinetobacter spp., %26 was Pseudomonas spp., %9.9 was Escherichia coli, %8.5 was Methicillin-resistant S. aureus (MRSA), %5.3 was Candida spp. and %4.7 was Enterococcus spp. While tigecycline, colistin was the most sensitive antimicrobials of Acinetobacter species, of Pseudomonas spp. they are colistin, amikacin, piperacillin-tazobactam. ICU infections are a serious problem for our hospitals as well as all over the world. Surveillance studies are essential in ensuring the control of these infections. In order to ensure the control of hospital infections maintaining the surveillance study each center should define their own distribution of infection, microorganisms that form the hospital flora, the resistance patterns and should generalize the correct use of antibiotics for empiric therapy. In order to take precautions for infection occurring more specifically in the intensive care unit and to increase compliance with infection control standards further studies are required.