Hostname: page-component-848d4c4894-x24gv Total loading time: 0 Render date: 2024-05-20T11:23:14.615Z Has data issue: false hasContentIssue false
  • English
  • Français

Hospital-Acquired Pneumonia in the Intensive Care Units of Polish Hospitals

Published online by Cambridge University Press:  21 June 2016

Jadwiga Wójkowska-Mach ,
Małgorzata Bulanda ,
Anna Różańska ,
Piotr Kochan  and
Piotr B. Heczko
Jadwiga Wójkowska-Mach*
Affiliation:
Jagiellonian University Medical College, Cracow, Poland
Małgorzata Bulanda
Affiliation:
Jagiellonian University Medical College, Cracow, Poland
Anna Różańska
Affiliation:
Jagiellonian University Medical College, Cracow, Poland
Piotr Kochan
Affiliation:
Jagiellonian University Medical College, Cracow, Poland
Piotr B. Heczko
Affiliation:
Jagiellonian University Medical College, Cracow, Poland
*
Jagiellonian University Medical College, 18 Czysta Street, 31-121 Cracow, Poland (mbmach@cyf-kr.edu.pl)
Get access Rights & Permissions [Opens in a new window]

Abstract

We analyzed the epidemiological characteristics of pneumonia in intensive care units of Polish hospitals. Among 11,587 patients, there were 191 cases of hospital-acquired pneumonia (HAP). The incidence of HAP was 5.6%, and that of ventilator-associated pneumonia (VAP) was 17.9%. The overall mortality rate was 12.6%, and the mortality rate for patients who received artificial ventilation was 15.0%. The predominant organisms causing HAP and VAP were Pseudomonas aeruginosa and Escherichia coli, and 21.1% of Staphylococcus aureus isolates were resistant to methicillin.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 27 , Issue 7 , July 2006 , pp. 784 - 786
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Boyce, JM, Potter-Bynoe, G, Dziobek, L, Solomon, SL. Nosocomial pneumonia in Medicare patients: hospital costs and reimbursement patterns under the prospective payment system. Arch Intern Med 1991; 151:1109–1114.Google Scholar
2. Emori, TG, Gaynes, RP. An overview of nosocomial infections, including the role of the microbiology laboratory. Clin Microbiol Rev 1993; 6:428–442.Google Scholar
3. Lai, KK, Baker, SP, Fontecchio, SA. Impact of a program of intensive surveillance and interventions targeting ventilated patients in the reduction of ventilator-associated pneumonia and its cost-effectiveness. Infect Control Hosp Epidemiol 2003; 24:859–863.CrossRefGoogle ScholarPubMed
4. Vincent, JL. Ventilator-associated pneumonia. J Hosp Infect 2004; 57:272–280.Google Scholar
5. Fagon, JY, Chastre, J, Domart, Y, et al. Nosocomial pneumonia in patients receiving continuous mechanical ventilation: prospective analysis of 52 episodes with use of a protected specimen brush and quantitative culture techniques. Am Rev Respir Dis 1989; 139:877–884.Google Scholar
6. Heyland, DK, Cook, DJ, Griffith, L, Keenan, SP, Brun-Buisson, C. The attributable morbidity and mortality of ventilator-associated pneumonia in the critically ill patient. The Canadian Critical Trials Group. Am J Respir Crit Care Med 1999; 159:1249–1256.CrossRefGoogle ScholarPubMed
7. Kappstein, I, Schulgen, G, Beyer, U, Geiger, K, Schumacher, M, Daschner, FD. Prolongation of hospital stay and extra costs due to ventilator-associated pneumonia in an intensive care unit. Eur J Clin Microbiol Infect Dis 1992; 11:504–508.Google Scholar
8. Tablan, OC, Anderson, LJ, Besser, R, Bridges, C, Hajjeh, R. Guidelines for preventing health-care-associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR Recomm Rep 2004; 53:1–36.Google Scholar
9. Central Statistical Office. Statistical Yearbook of the Republic of Poland. Warsaw: Statistical Publishing Establishment; 2004:242.Google Scholar
10. Garner, JS, Jarvis, WR, Emori, TG, Horan, TC, Hughes, JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988; 16:128–140.Google Scholar
11. Bonten, MJ, Kollef, MH, Hall, JB. Risk factors for ventilator-associated pneumonia: from epidemiology to patient management. Clin Infect Dis 2004; 38:1141–1149.Google Scholar
12. Eggimann, P, Hugonnet, S, Sax, H, Touveneau, S, Chevrolet, JC, Pittet, D. Ventilator-associated pneumonia: caveats for benchmarking. Intensive Care Med 2003; 29:2086–2089.Google Scholar
13. National Nosocomial Infections Surveillance (NNIS) System. Report, data summary from January 1992–June 2001, issued August 2001. Am J Infect Control 2001; 29:404–421.Google Scholar
14. Sall, J, Creighton, L, Lehman, A. JMP Start Statistics, ed. 3. London: Thomson Brooks/Cole; 2004:115–158.Google Scholar
15. Pietrzyk, A, Wojkowska-Mach, J, Bulanda, M, Heczko, PB. Hospital acquired pneumonia-analysis of frequency and etiology in Polish hospitals in 1998. Przegl Epidemiol 2000; 54:259–269.Google Scholar
16. Gastmeier, P, Sohr, D, Geffers, C, Nassauer, A, Daschner, F, Ruden, H. Are nosocomial infection rates in intensive care units useful benchmark parameters? Infection 2000; 28:346–350.Google Scholar
17. National Nosocomial Infections Surveillance System. National Nosocomial Infections Surveillance (NNIS) System report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 2004; 32:470–485.Google Scholar
18. Horan, TC, Gaynes, RP. Surveillance of nosocomial infection. In:Mayhall, CG. Hospital Epidemiology and Infection Control, 3rd ed. Philadelphia: Lippincott, Williams & Wilkins; 2004:1660–1702.Google Scholar
19. Misset, B, Timsit, JF, Dumay, MF, et al. A continuous quality-improvement program reduces nosocomial infection rates in the ICU. Intensive Care Med 2004; 30:395–400.Google Scholar
20. L'Heriteau, F, Alberti, C, Cohen, Y, Troche, G, Moine, P, Timsit, JF. Nosocomial infection and multidrug-resistant bacteria surveillance in intensive care units: a survey in France. Infect Control Hosp Epidemiol 2005; 26:13–20.Google Scholar