Comparison of the healthcare-associated infections in intensive care units in Turkey before and during COVID-19

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dc.authoridsari, sema/0000-0002-1977-8547
dc.authoridMengi, Tugce/0000-0002-0639-0957
dc.authoridSARI, AHMET/0000-0002-7368-8147
dc.authoridtatlisuluoglu, derya/0000-0002-4493-4353
dc.authoridAnkarali, Handan/0000-0002-3613-0523
dc.authoridVAHABOGLU, Haluk/0000-0001-8217-1767
dc.authoridAltinkaya Cavus, Mine/0000-0003-2584-0463
dc.contributor.authorSari, Sema
dc.contributor.authorArslan, Ferhat
dc.contributor.authorTuran, Sema
dc.contributor.authorMengi, Tugce
dc.contributor.authorAnkarali, Handan
dc.contributor.authorSari, Ahmet
dc.contributor.authorCavus, Mine Altinkaya
dc.date.accessioned2024-11-07T13:35:13Z
dc.date.available2024-11-07T13:35:13Z
dc.date.issued2023
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractBackgroundSecondary bacterial infections are an important cause of mortality in patients with coronavirus disease 2019 (COVID-19). All healthcare providers acted with utmost care with the reflex of protecting themselves during the COVID-19 period. We aimed to compare the rates of ventilator-associated pneumonia (VAP) and bloodstream infections (BSIs) in our intensive care units (ICUs) before and during the COVID-19 outbreak surges.MethodsThis multicenter, retrospective, cross-sectional study was performed in six centers in Turkey. We collected the patient demographic characteristics, comorbidities, reasons for ICU admission, mortality and morbidity scores at ICU admission, and laboratory test data.ResultsA total of 558 patients who required intensive care from six centers were included in the study. Four hundred twenty-two of these patients (males (62%), whose mean age was 70 [IQR, 58-79] years) were followed up in the COVID period, and 136 (males (57%), whose mean age was 73 [IQR, 61-82] years) were followed up in the pre-COVID period. BSI and VAP rates were 20.7 (19 events in 916 patient days) and 17 (74 events in 4361 patient days) with a -3.8 difference (P = 0.463), and 33.7 (31 events in 919 patient days) and 34.6 (93 events in 2685 patient days) with a 0.9 difference (P = 0.897), respectively. The mortality rates were 71 (52%) in pre-COVID and 291 (69%) in COVID periods.ConclusionProtective measures that prioritize healthcare workers rather than patients and exceed standard measures made no difference in terms of reducing mortality.
dc.description.sponsorshipWe are thankful to all dedicated healthcare workers at tertiary hospitals in the SARS-CoV-2 pandemic.
dc.description.sponsorshipWe are thankful to all dedicated healthcare workers at tertiary hospitals in the SARS-CoV-2 pandemic.
dc.identifier.doi10.1186/s43162-023-00215-2
dc.identifier.issn1110-7782
dc.identifier.issn2090-9098
dc.identifier.issue1
dc.identifier.pmid37091305
dc.identifier.urihttps://doi.org/10.1186/s43162-023-00215-2
dc.identifier.urihttps://hdl.handle.net/11480/16382
dc.identifier.volume35
dc.identifier.wosWOS:001062767800002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringernature
dc.relation.ispartofEgyptian Journal of Internal Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectBloodstream infections
dc.subjectHealthcare-associated infections
dc.subjectCOVID-19
dc.subjectIntensive care unit
dc.subjectVentilator-associated pneumonia
dc.titleComparison of the healthcare-associated infections in intensive care units in Turkey before and during COVID-19
dc.typeArticle

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