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  • Meeting abstract
  • Open Access

Microbiological predominance in an intensive care unit

  • 1,
  • 1,
  • 1,
  • 1,
  • 1,
  • 1 and
  • 1
Critical Care20037 (Suppl 3) :P65

https://doi.org/10.1186/cc2261

  • Published:

Keywords

  • Public Health
  • Intensive Care Unit
  • Decision Making
  • Emergency Medicine
  • Data Statistic

Introduction

It is of essential importance to be acquainted with the microbiological predominance profile (bacteria and fungi) in an intensive care unit (ICU), and with this to better lead the therapy offered to the patient, to guide the treatment, to establish the procedures, preventive actions and prolonged education, to influence clinical decision making, to understand problems connected to hospital contamination and to take administrative-directed decisions.

Objective

Being acquainted with the predominance tendency and the fungal and bacterial profiles in the Albert Einstein Jewish Hospital Intensive Care Unit.

Materials and methods

Data statistics analysis of bacterial and fungal cultures in the Albert Einstein Jewish Hospital Intensive Care Unit in the period of 1 January 2001–10 March 2003, totaling 405 samples.

Results

See Tables 1 and 2.

Table 1

Place of collection

n

%

Urine

160

39.50

Bloodstream

88

21.72

Airway secretion

71

17.53

Central venous line

19

4.69

Bronchoalveolar lavage

13

3.20

Peritoneal liquid

9

2.22

Skin

6

1.48

Pleural liquid

5

1.23

Incision infection

4

9.87

Other places

30

7.40

Total

405

100.0

Table 2

Agent

n

%

Pseudomonas aeruginosa

99

24.44

Enterobacteriacia spp

61

15.06

Candida spp.

44

10.86

Enterococcus faecalis

34

8.39

Acinetobacter baümanii

33

8.14

Staphylococcus aureus

26

6.41

Staphylococcus epidermidis

25

6.17

Enterobacter cloacae

20

4.93

Serratia marcescens

7

1.72

Stenotrophomonas malthophylia

6

1.48

Enterobacter aerogenes

5

1.23

Others

45

11.11

Total

405

100.0

Conclusion

Pseudomonas aeruginosa predominance is very high. Acnetobacter baumanni and Candida albicans are similar to the worldwide literature. Staphylococcos aureus has a low value, in our point of view, due to the impact of medical actions, educative procedures and administrative rules inserted in the service.

Authors’ Affiliations

(1)
Centro de Terapia Intensiva, Hospital Israelita Albert Einstein, Av Albert Einstein 627, São Paulo, SP, CEP 05651-901, Brazil

Copyright

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