Enfermedades infecciosas y microbiología clínica
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Enferm. Infecc. Microbiol. Clin. · Dec 2009
[Impact of a prevention program for catheter-related bloodstream infection in the intensive care unit of a tertiary hospital].
Catheter-related bloodstream infection (CR-BSI) is a cause of morbidity and mortality in intensive care units, and the optimal approach for preventing these infections is not well defined. Comparison of CR-BSI rates with those provided by programs such as the National Nosocomial Infection Surveillance System (NNISS) from the USA and the Spanish National Nosocomial Infection Surveillance Study (ENVIN), enable determination of the need to implement control measures. In 2000, we found that the CR-BSI rates in UCIs of our hospital were much higher than the data reported by ENVIN. ⋯ Application of a prevention program for CR-BSI and a system for monitoring BSI rates led to a significant, sustained reduction in these infections.
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Enferm. Infecc. Microbiol. Clin. · Dec 2009
Comparative Study[Impact of infection on mortality in burn patients. Multivariate study in 1,773 intensive care unit patients].
Infections may play an important role in mortality in burn patients, but this impact is not manifested in multivariate analyses that calculate the probability of death on admission. ⋯ Estimation of the risk of death in ICU burn patients should be re-evaluated at 10 days after admission.