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A 5-Year Epidemiological Study of Nosocomial Bloodstream Infections in a Neurosurgery Department

Published online by Cambridge University Press:  02 January 2015

Parmenion P. Tsitsopoulos ,
Elias Iosifidis ,
Charalampos Antachopoulos ,
Maria Tsivitanidou ,
Ioannis Anagnostopoulos ,
Emmanuel Roilides  and
Philippos D. Tsitsopoulos
Parmenion P. Tsitsopoulos
Affiliation:
Second Department of Neurosurgery, Hippokration General Hospital, Thessaloniki, Greece
Elias Iosifidis
Affiliation:
Infectious Diseases Unit, Third Department of Pediatrics, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
Charalampos Antachopoulos
Affiliation:
Infectious Diseases Unit, Third Department of Pediatrics, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
Maria Tsivitanidou
Affiliation:
Department of Microbiology, Hippokration General Hospital, Thessaloniki, Greece
Ioannis Anagnostopoulos
Affiliation:
Second Department of Neurosurgery, Hippokration General Hospital, Thessaloniki, Greece
Emmanuel Roilides*
Affiliation:
Infectious Diseases Unit, Third Department of Pediatrics, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
Philippos D. Tsitsopoulos
Affiliation:
Second Department of Neurosurgery, Hippokration General Hospital, Thessaloniki, Greece
*
Third Department of Pediatrics, Hippokration Hospital, Konstantinoupoleos 49, GR54642 Thessaloniki, Greece (roilides@med.auth.gr)
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Abstract

The characteristics of nosocomial bloodstream infections (BSIs) in a neurosurgical department were studied over a 5-year period. The rate of nosocomial BSI was 3.0%. Gram-negative bacteria were the most commonly isolated pathogens (65.9% of isolates). For all the pathogens isolated, the rate of resistance to commonly used antimicrobial agents was high. Of the 101 patients with nosocomial BSI, 50 (49.5%) died during their stay at the Department of Neurosurgery. At the same time, overall mortality rate among neurosurgical inpatients without nosocomial BSI was 5.4% (ie, 175 of 3,216 patients died).

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 4 , April 2010 , pp. 414 - 417
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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References

1. Wisplinghoff, H, Bischoff, T, Tallent, SM, Seifert, H, Wenzel, RP, Edmond, MB. Nosocomial bloodstream infections in US hospitals: analysis of 24,179 cases from a prospective nationwide surveillance study [published corrections appear in Clin Infect Dis 2004;39:1093 and Clin Infect Dis 2005;40:1077]. Clin Infect Dis 2004;39:309–317.Google Scholar
2. Warren, DK, Zack, JE, Elward, AM, Cox, MJ, Fraser, VJ. Nosocomial primary bloodstream infections in intensive care unit patients in a non-teaching community medical center: a 21-month prospective study. Clin Infect Dis 2001;33:1329–1335.Google Scholar
3. Arunodaya, GR. Infections in neurology and neurosurgery intensive care units. Neurol India 2001;49(suppl 1):S51–S59.Google ScholarPubMed
4. Yang, LJS, Hoff, JT. Infectious disease. In: Andrews, BT, ed. Intensive Care in Neurosurgery. New York, NY: Thieme, 2003:95-124.Google Scholar
5. Orsi, GB, Scorzolini, L, Franchi, C, Mondillo, V, Rosa, G, Venditti, M. Hospital-acquired infection surveillance in a neurosurgical intensive care unit. J Hosp Infect 2006;64:23–29.Google Scholar
6. Laupland, KB, Kirkpatrick, AW, Church, DL, Ross, T, Gregson, DB. Intensive-care-unit-acquired bloodstream infections in a regional critically ill population. J Hosp Infect 2004;58:137–145.Google Scholar
7. Dettenkofer, M, Ebner, W, Hans, FJ, et al. Nosocomial infections in a neurosurgery intensive care unit. Acta Neurochir (Wen) 1999;141:1303–1308.Google Scholar
8. Albrecht, SJ, Fishman, NO, Kitchen, J, et al. Reemergence of gram-negative health care-associated bloodstream infections. Arch Intern Med 2006;166:1289–1294.Google Scholar
9. Marchaim, D, Zaidenstein, R, Lazarovitch, T, Karpuch, Y, Ziv, T, Weinberger, M. Epidemiology of bacteremia episodes in a single center: increase in gram-negative isolates, antibiotics resistance, and patient age. Eur J Clin Microbiol Infect Dis 2008;27:1045–1051.Google Scholar
10. Gnanalingham, KK, Elsaghier, A, Kibbler, C, Shieff, C. The impact of methicillin-resistant Staphylococcus aureus in a neurosurgical unit: a growing problem. J Neurosurg 2003;98:8–13.Google Scholar