An INVS survey shows that the fight against nosocomial infections is progressing in intensive care units. Urinary tract infections fell by 53% between 2004 and 2012.
Progress in the fight against nosocomial infections in intensive care units! Between 2004 and 2012, the number of urinary tract infections decreased by 53%, and the number of lung diseases associated with intubation also decreased by 9.8%. These results come from the Alert, Investigation and Surveillance Network for Nosocomial Infections in Intensive Care (ICU) (Grape) who surveyed 196 services.
You should know that nosocomial infections are under surveillance in all hospital departments, but with even more vigilance in intensive care units where hospitalized people have a higher risk because of their critical condition and the invasive medical devices to which they are exposed. , such as tubes, catheters, or intubation equipment. Each year, the voluntary services collect data for 6 months on any patient hospitalized for more than 2 days. This survey thus observed 29,554 patients, on average 63 years old, hospitalized for an average of 11.6 days.
10% less pneumonia
Of the patients monitored, 2,690 presented at least one episode of pneumonia. In over 90% of cases, pneumonia is associated with intubation, resulting in a cumulative incidence rate of 12.49 pneumonia per 100 intubated patients and an incidence rate of 14.66 pneumonia per 1000 days of intubation. Between 2004 and 2012, the number of pneumopathies in intensive care units therefore fell by 9.8%.
1,115 patients had at least one episode of bacteremia, which means the presence of pathogenic bacteria in the blood. Here too, the trend is downward: – 6.9% over these 8 years.
The number of urinary tract infections divided by 2
The most notable improvement concerns urinary tract infections. 1,086 patients experienced at least one episode of urinary tract infection. In 94.7% of cases, it is associated with urinary catheterization, which gives an incidence rate of 3.85 urinary tract infections per 1000 days of catheterization. In 2004, the incidence was almost twice as high. These good results are all the more remarkable since since 2004, patients have aged, they are more exposed to antibiotics and invasive devices … These are all situations that favor nosocomial infections.
Remember that all services combined, nosocomial infections are the direct cause of more than 4000 deaths per year. As much as the number of people killed on the road. The Minister of Health announced last February the establishment of the 1st national patient safety program.
.
