Professional paper

Colonisation with resistant microorganisms of the predilection region in cardiology patients as a possible cause of infection associated with health care

ile Raštegorac ; Opća županijska bolnica Požega, Odjel kardiologije
Zdravko Andrić ; Opća županijska bolnica Požega, Odjel infektologije
Blaža Krakar ; Opća županijska bolnica Požega, Odjel za mikrobiološku dijagnostiku i parazitologiju

Abstract

Despite the advances in modern medicine, a number of hospitalized patients gain infections of different intensity related to health care. The first goal of this work is to determine the number of patients in which colonization by resistant strains was registered, and to detect the possible existence of differences in the number and type of colonization among institutions we work with. Considered that collaborative centers had not performed microbiological screening of predilection sites on the day of patient’s admission, we used data from the microbiological screening made in our hospital. The aim of the study was to assess whether the return of patients who had invasive diagnostics and therapy in other tertiary centers caused an increase in colonization with predilection region resistant microorganisms and thus prolonged hospitalization in our hospital and increased treatment costs in our department. The participants in this study were patients of the Department of Cardiology of Požega General County Hospital in the period from January 1, 2014 to December 31, 2014 who had undergone invasive diagnostics and therapy in other centers. During this time, 145 patients went from our institution to other centers of whom 131 returned to our department. We isolated potential pathogens from sample swabs taken from the predilection region in 77 patients, 42 men and 35 women (54% of total patients sent to other centers). Taking into account the average hospitalization days expressed in-patient hospital days, during 2012 and 2013 amounted to 8.4 ± 0.6, and in 2014 7.9 ± 0.54, we did not find that the new situation prolonged hospitalization, and neither made it more expensive. Costs for antibiotic therapy were higher during years earlier than 2014. In conclusion, we can state that the care of acute coronary syndrome by the existing national program does not extend the treatment, and does not cause increased treatment costs if it takes into account treatment costs of nosocomial infections.

Keywords

infection associated with the care of patients; resistance; antibiotics; colonization

Hrčak ID:

159881

URI

https://hrcak.srce.hr/159881

Publication date:

7.6.2016.

Article data in other languages: croatian

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