CME in I.C.U on 18th May 2017

Topic – NOSOCOMIAL INFECTIONS IN ICU

Speaker - Dr. Mahaaluxmi (I/C of I.C.U) and Dr. Prashant (JR)

 

NOSOCOMIAL infection amounts to 11.98% of infection in I.C.U. The increased mortality and morbidity is a matter of serious concern today. In a prospective observational study in 12 bedded combined MICU and SICU of 242 patients admitted for more than 48 hours in I.C.U, it was found pneumonia was most frequently detected infection (62-70%) followed by urinary tract infection and central venuous catheter associated bloodstream infection. NOSOCOMIAL infection resulted in statistically significant increase in length of the I.C.U.


An effective program for NOSOCOMIAL infection surveillance can reduce rate by one-third. Blood agar analysis revealed Gram Negative Enterobacteriacae was mostly isolated followed by pseudomonas species. Broad spectrum antibiotics, specially ceftazidime tazobactum, linezolid, clindamycin group have revealed that rate was reduced more in combination that single therapy.


We follow the above guidelines with the result the infection rate in our I.C.U has reduced by more than 30% over the past 1½ year.
CME was attended by Vice Chairperson, Senior Advisor, Medical Superintendent, and Residents of I.C.U, Surgery, Medicine, and Other Surgical Specialities besides faculties from Medicine Department (Prof. K. Prasad and Dr. Subhash Jha, Assistant Professor)