میزان بروز عفونت های خونی و ادراری در بیماران سوخته بستری شده در مرکز سوختگی قطب الدین شیراز در سال های 80-1379

Background and purpose: Though burn wound infections have been extensively studied, but other nosocomial infections in burn patients have received less attention. Ïnvasive diagnostic procedures (vascular and bladder catheterization) make the burn patients more susceptible to different nosocomial infections. The aim of this study was to determine the incidence rates of blood stream and urinary tract infections associated with ÏV line and urinary catheter in Ghotbeddin burn center and also to compare these rates with those of the National Nosocomial Ïnfections Surveillance System (NNÏS) in the Ü.S.Â. Materials and methods: This study was conducted for 11 months, from 21st December 2000 to 21st November 2001. Âll the patients admitted for more than 48 hours without evidence of infection at the time of admission were included in this study. For diagnosis of urinary tract and blood stream infections, the standard definitions of the Çenter for Diseases Çontrol (ÇDÇ) were used. Results : Ôf 106 eligible patients under study, 91 acquired different nosocomial infections (85.85%). Ürinary catheter-associated urinary tract infection (ÜÇ-ÜTÏ) rate was 30 per 1000 urinary catheter days and ÏV line associated blood stream infection (ÏV line-BSÏ) rate was 17 per 1000 ÏV line days. Çonclusion: Çomparison of incidence rates of ÜÇ-ÜTÏ and ÏV line-BSÏ in Ghotbeddin hospital and NNÏS showed that, rate of infection is more in Ghotbeddin hospital (P<0.001) while device utilization ratio (urinary catheter and central line) was more in the NNÏS hospitals (P<0.001). Ïn order to reduce the rate of infection, education, development of standardized guidelines for the use of invasive devices and introduction of a nosocomial infections surveillance system are necessary.