Nosocomial Infections in Medical Intensive Care Unit at Pathum Thani Hospital-โรคติดเชื้อในโรงพยาบาลที่ห้องผู้ป่วยหนักอายุรกรรมโรงพยาบาลปทุมธานี

บทคัดย่อ

         Nosocomial infections is well recognized as the main cause of the sufferings and even death of patients. This retrospective descriptive study on nosocomial infections among cases in medical intensive care unit at Pathum Thani hospital, was conducted during 1 September - 31 October 2007.
The main objectives of the study were to find out: infection rates, their effects complications, causative agents and effective antibiotics. It was found that there were 72 patients, 14 of which were infected while being hospitalized in medical intensive care unit. The average age was 71 years. The rate of infections was 19.44 percent of the number of patient in medical intensive care unit. The
most common infection region on the body was the respiratory system and 12 bacterium infection agents were identified, the common of which was Acinetobacter baumannii. The causative infection agents most frequently found in the respiratory system was Acinetobacter baumannii (26.67%). In relation to urinary system, Escherichia coli, Staphylococus saprophyticus and Streptococci group D (not enterococi) were reported once in a separate case. For cases with bed sore, Pseudomonas aeruginosa, Acinetobacter baumannii and Enterobacter aerogenes were also reported as causative agents. The antibiotics found to be most effective in treating the infections were Cefoperazone+Sulbactam Amikacin, Netilmycin, Impenem, Meropenem, Gentamicin and Ciprofloxacin.

Key words: nosocomial infections, intensive care unit, critically ill patients