[Risk factors for the acquisition of Pseudomonas aeruginosa in a surgical intensive care unit].

Autor:	Duchamp CB; Service d'épidémiologie et d'hygiène hospitalières, Hôpital du Bocage., Neuwirth C, Milesi-Defrance N, Aho LS
Jazyk:	francouzština
Zdroj:	Presse medicale (Paris, France : 1983) [Presse Med] 2002 Mar 23; Vol. 31 (11), pp. 498-502.
Abstrakt:	Objectives: To investigate the risk factors for the acquisition (infection and/or colonization) of Pseudomonas aeruginosa, which is frequently associated with nosocomial infections, in a surgical intensive care unit in Dijon. Method: A retrospective case-control study was performed on 57 cases matching with 114 controls, between December 1996 and February 1999. The statistical method used was a conditional multiple logistic regression model. Results: Three groups of variables were studied (patient characteristics--invasive procedures--previous administration of antibiotics). The multiple logistic regression analysis confirmed 3 risk factors: duration of sedation, infection with another bacteria and cranio-encephalic trauma. These factors are commonly involved in nosocomial infections. Conclusion: This study confirms the interest of infection control measures and the prevention of nosocomial infections, especially in cranio-encephalic trauma. The hypothetical relationship between acquisition of Pseudomonas aeruginosa and previous administration of antibiotics was not confirmed. A more powerful study would perhaps specify this relationship.
Databáze:	MEDLINE
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