Intensive care unit: Difference between revisions
(Created page with "{{:Stub}} == Infection in the ICU == <section begin="A&IC" />Although intensive care units (ICUs) account for fewer than 10% of total beds in most hospitals, more than 20% of all nosocomial infections are acquired in ICUs. ICU-acquired infections account for substantial morbidity, mortality, and expense. Most bacterial infections that occur on the ICU have some sort of anti-microbial resistance. Most common infections: * Catheter-associated ...") |
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== Infection in the ICU == | == Infection in the ICU == | ||
<section begin="A&IC" />Although intensive care units (ICUs) account for fewer than 10% of total beds in most hospitals, more than 20% of all [[Nosocomial infection|nosocomial infections]] are acquired in ICUs. ICU-acquired infections account for substantial morbidity, mortality, and expense. Most bacterial infections that occur on the ICU have some sort of anti-microbial resistance. | <section begin="A&IC infection" />Although intensive care units (ICUs) account for fewer than 10% of total beds in most hospitals, more than 20% of all [[Nosocomial infection|nosocomial infections]] are acquired in ICUs. ICU-acquired infections account for substantial morbidity, mortality, and expense. Most bacterial infections that occur on the ICU have some sort of anti-microbial resistance. | ||
Most common infections: | Most common infections: | ||
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* Education of staff | * Education of staff | ||
* Etc. | * Etc. | ||
<section end="A&IC" /> | <section end="A&IC infection" /> | ||
[[Category:Intensive care]] | [[Category:Intensive care]] | ||
Latest revision as of 18:33, 27 October 2024
This article is a stub, meaning that it is unfinished. It will eventually be expanded.
Infection in the ICU
Although intensive care units (ICUs) account for fewer than 10% of total beds in most hospitals, more than 20% of all nosocomial infections are acquired in ICUs. ICU-acquired infections account for substantial morbidity, mortality, and expense. Most bacterial infections that occur on the ICU have some sort of anti-microbial resistance.
Most common infections:
- Catheter-associated UTI
- Ventilator-associated pneumonia (VAP) – occurs > 48 hours after initiation of invasive ventilation
- Gram-negatives (pseudomonas, E. coli)
- S. aureus
- Central line-associated blood stream infection (CLABSI)
Most problematic pathogens:
- Vancomycin-resistant enterococci (VRE)
- MRSA
- Pseudomonas aeruginosa
- Multidrug-resistant gram-negative bacteria
Risk factors:
- Patients in poor condition
- Invasive interventions and devices
- Older age
- Comorbidities
- Long duration of hospitalization
- Antibiotic use
Prevention:
- Proper hygienic measures
- Ensure sterility during procedures
- Avoid invasive procedures when possible
- Discontinue indwelling sources of infection when possible
- Education of staff
- Etc.