Dr. Vaishali C. Shelgaonkar & Dr. Annu Choudhary

ABSTRACT

Background: Hospital acquired infection is one of the common causes of increased morbidity and mortality. The situation is more alarming in Indian set up. As compared to other places, the incidence rate is much higher in ICU due to multiple reasons. So, this study was planned to know the incidence, risk factors and outcome of infection to plan preventive measures accordingly. Methods: This hospital-based observational study was carried out from Jan 2016 to Dec2016 in the 8-bedded surgical intensive care unit (SICU) of a tertiary care hospital. Results: A total of 554 patients were admitted in the ICU. 490 of these were included in the study. 45 of these patients developed HAI with a frequency of 9.18%. The incidence rate (IR) of central line related blood stream infections (CLBSI) was 15.32/1000, Catheter-associated urinary tract infections (CAUTI) 9.62/1000 and ventilator-associated pneumonias (VAP) was 17.59/1000. Length of stay was found to be an independent risk factor. Conclusion: Routine surveillance is necessary to know the severity of problem and plan preventive measures and hospital antibiotic policy accordingly. Keywords-Hospital acquired infection, risk factors, Infection control