Abstract

FONSECA-RUIZ, NELSON JAVIER  and  GRUPO NACIONAL DE VIGILANCIA EPIDEMIOLOGICA DE LAS UNIDADES DE CUIDADOS INTENSIVOS DE COLOMBIA (GRUVECO) et al. Device-associated nosocomial infections in academics vs nonacademics intensive care units. Is there a difference?. CES Med. [online]. 2014, vol.28, n.2, pp.221-232. ISSN 0120-8705.

Device-Associated Nosocomial Infections (DANI) increase morbidity and mortality in intensive care units (ICU). The presence of students can theoretically increase the risk of such infections. Objective: The objective of this trial was to assess whether or not being a teaching hospital increases the incidence of DANI at ICU. Method: Prospective cohort study from the GRUVECO (Colombian National Group of Infection Surveillance) database since November 2007 to December 2009. We evaluated the association of academic nature and the presence of any DANI through bivariate and multivariate analysis. Results: A total of 31.863 patients were studied. The incidence of DANI was 5.2%, mainly ventilator-associated pneumonia Bivariated analysis demonstrated that risk factors for DANI were: academic ICUs, APACHE II score, admission for trauma, poisoning or lung disease and surgical ICUs; differences among geographic locations were also noticed. Variables associated with DANI in the multivariated analysis were: city 1, city 2, city 7 or city 4 and diagnosis of trauma or surgery, but no association was found with academic nature of ICU. Conclusions: Academic ICUs were not associated with increased incidence of DANI

Keywords : Intensive care units; Nosocomial infection; Training hospitals; Teaching; Catheter-related infections; Ventilator-associated pneumonia.

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