La sorveglianza delle infezioni in terapia intensiva. Risultati preliminari di uno studio multicentrico GiViTI su 71 TI

Translated title of the contribution: Infection surveillance in intensive care units. Preliminary results of a multicenter GiViTI study in 71 Italian ICUs

P. Malacarne, A. Stella, D. Giudici, G. Bertolini

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Aim. Infection surveillance and control in ICU is believed to be a means to improve the quality of assistance. The importance of this activity is supported by both epidemiological (rate and severity of infection in ICU) and economic (efficiency, cost-benefit and cost-effectiveness analysis) evaluations. Many authors thinks that infection surveillance and control should be performed with a routine tool in order to obtain remarkable data without too much time loss, and used by many ICUs, in order to compare the data. Methods. A prospective observational study in 71 Italian ICUs participating in GiViTi. All patients admitted in each ICU during 6 month (except those discharged alive within 48 hours from admission) were enrolled and surveyed. Demographic and clinical data, data relating to nosocomial and at admission infections, risk factors, responsible micro-organisms, antibiotics use and outcome were collected. Results. A total of 5 814 patients (98% of eligible patients) were surveyed. The overall incidence of infected patients was 43%. The incidence of patients with nosocomial infection was 18% (1 062 patients). Pneumonia, bacteraemia and urinary tract were the main sites. The major isolated micro-organism responsible of infection were staphylococcus (29.7%) and pseudomonas (16.2). Only 17% of all patients was not treated with antibiotics, and 72% of patients without infection was treated with antibiotics. Conclusion. These preliminary data confirm the importance of infection in ICU and the need of continuous surveillance. We propose a tool that can be useful for continuous and multicentric infection surveillance in ICU.

Original languageItalian
Pages (from-to)321-328
Number of pages8
JournalMinerva Anestesiologica
Volume70
Issue number5
Publication statusPublished - May 2004

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Multicenter Studies
Intensive Care Units
Infection
Cost-Benefit Analysis
Infection Control
Anti-Bacterial Agents
Incidence
Cross Infection
Bacteremia
Pseudomonas
Urinary Tract
Staphylococcus
Observational Studies
Pneumonia
Economics
Demography
Prospective Studies

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

La sorveglianza delle infezioni in terapia intensiva. Risultati preliminari di uno studio multicentrico GiViTI su 71 TI. / Malacarne, P.; Stella, A.; Giudici, D.; Bertolini, G.

In: Minerva Anestesiologica, Vol. 70, No. 5, 05.2004, p. 321-328.

Research output: Contribution to journalArticle

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