USEFULNESS OF SEVERITY INDEXES IN INTENSIVE-CARE MEDICINE AS A PREDICTOR OF NOSOCOMIAL INFECTION RISK

被引:22
作者
BUENOCAVANILLAS, A
RODRIGUEZCONTRERAS, R
LOPEZLUQUE, A
DELGADORODRIGUEZ, M
GALVESVARGAS, R
机构
[1] UNIV GRANADA HOSP,DEPT MED PREVENTIVA & SALUD PUBL,GRANADA,SPAIN
[2] UNIV GRANADA HOSP,SERV MED INTENS,GRANADA,SPAIN
[3] HOSP GEN VIRGEN NIEVES,GRANADA,SPAIN
关键词
NOSOCOMIAL INFECTION; INFECTION RISK; APACHE-II; TISS; SEVERITY; INFECTION;
D O I
10.1007/BF01716192
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
To evaluate the relationship between severity and nosocomial infection in critical patients, we have conducted a prospective study at the Intensive Care Unit of the University of Granada Hospital (Spain). Patients' severity was evaluated by APACHE II and TISS. We found a positive association with nosocomial infection risk for an APACHE II score greater than 12 points (RR = 2.45) and for first-day TISS greater than 20 points (RR = 2.51). With a multivariate analysis we did not find an association between APACHE II and nosocomial infection risk, but each TISS point suggests an infection risk increment of 6%. We concluded TISS may be considered a good infection risk predictor. TISS could also be taken into account when nosocomial infection rates from several ICUs are compared.
引用
收藏
页码:336 / 339
页数:4
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