PMID: 9442407Jan 27, 1998Paper

Nosocomial infection in an intensive-care unit: identification of risk factors

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
R Fernández-CrehuetJ Masa-Calles

Abstract

To identify risk factors predictive of nosocomial infection in an intensive-care unit (ICU) and to identify patients with a higher risk of nosocomial infection using a predictive model of nosocomial infection in our ICU. Prospective study; daily concurrent surveillance of intensive-care-unit patients. All patients admitted for at least 24 hours to the ICU of a tertiary-level hospital from February to November 1994 were followed daily. Variables measuring extrinsic and intrinsic risk factors for nosocomial infection were collected on each patient during their ICU stay, and the Cox Proportional Hazards multivariable technique was used to identify the variables significantly associated with infection. The population studied consisted of 944 patients. The main risk factors identified were intrinsic; the significant extrinsic risk factors identified were head of the bed in a horizontal (< 30 degrees) position (this variable presented the highest increase of the infection hazard ratio) and the use of sedative medication. Patients presenting the highest risk scores using the predictive model are those with the highest risk of nosocomial infection. The important preventive measures derived from our results are that underlying condition...Continue Reading

Citations

Nov 1, 2004·Environmental Health and Preventive Medicine·Machi SukaJun Takezawa
Mar 30, 2007·Intensive Care Medicine·Konstantin BalonovA Murat Kaynar
Apr 26, 2007·Intensive Care Medicine·Leonardo LorenteMaría L Mora
Nov 16, 2010·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Chia-Ying LiuShan-Chwen Chang
Jul 13, 2000·Critical Care Medicine·N Singh-NazM M Pollack
Mar 13, 2002·Critical Care Medicine·François StephanChristophe Delclaux
Feb 22, 2003·Journal of the American Medical Informatics Association : JAMIA·Thomas A OnikiT Allan Pryor
Aug 12, 2008·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Margaret M OldfieldSusan M Fox-Wasylyshyn
Apr 10, 1999·American Journal of Infection Control·H HurrM C McCarthy
May 4, 2006·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·L PokornyJ Vilarasau

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