Neurosurgery Intensive Care Unit Infections; Single Center Retrospective Study Medical Science

Aim: Nasocomial infections are the most important cause of mortality and morbidity of the intensive care units. In this study, we evaluated that developed infections in neurosurgery care unit. Patients and methods: 277 cases with the diagnosis of nosocomial infection out of 2381 patients followed up in the neurosurgical intensive care units of our center between 2008 and 2013 were retrospectively evaluated. Results: In our clinic, infection rate was 11.6%, its incidence density was detected as 22.2/1000 patient-days. Pneumonia was the most frequently seen type of infection. Most frequently Staphylococcus aureus (20.15%) and Pseudomonas aeruginosa (14.83%) were detected. Overall mortality rate of the patients who became infected was 12.7 percent. However mortality rate of the patients without infection was 2.6 percent. In 28 patients more than one episode of infection developed which resulted in death of 21 (75%) cases. Conclusion: During monitorization in the intensive care unit, one of the important factors which effect morbidity and mortality is nosocomial infections. In order to be able to prevent infections, routine surveillance studies should be performed and infection control measures should be evolved.