ABSTRACT

Aim

In this article, we aimed to discuss studies on decreasing intensive care infection rates in two different ICU of Burdur State Hospital under the light of 8 years of surveillance data.

Materials and Methods

Education, correction of physical conditions, number of beds and category changes were examined for the corrective actions in order to reduce the infection rate. For the determination of infection rate; held surveillance data was considered between 01/01/2008 and 30/11/2015.

Results

In two different ICU, total 5354 patient, 28164 patients day was evaluated. In 8 years, surgical intensive care unit’s (SICU) bed count elevated 5, internal intensive care unit’s (IICU) 9 and degree from 1 to2. Training was organized for all ICU staff. The average annual was 45.8. In the use of invasive instruments; there was no significant difference observed in urinary catheterization, however there was a reduction in the use of central venous catheters and ventilator in this period. Hospital infection rates decresed from 46.67% to 3.76% in SICU and from 39.68% to 4.87% in IICU. Catheter-associated urinary tract infections was decresed 21.35% in SICU and 22.8% in IICU. Decrease in ventilator-associated pneumonia was observed as 19% in SICU and 17.37% in IICU. Also decrease in catheter related infections was observed as 3.87% in SICU and 9.22% in IICU.

Conclusion

A multidisciplinary approach is needed for the control of infections in intensive care unit. As the reducing the use of invasive instruments, critical importance of hygiene rules should be noted during the use of these tools. For this purpose, performing a qualified and targeted education with the participation of all staff in intensive care unit would be beneficial.