International Journal of Contemporary Medicine
  • Year: 2017
  • Volume: 5
  • Issue: 2

Profile of Micro-organisms in Intensive Care Unit of a Neurotrauma Centre: A Retrospective Study

  • Author:
  • Neeraj Kumar1, Saurabh Suman1, Kapil Rastogi2, Ghanshyam Yadav3, Manish Kumar4, Jiut Ram Keshari5,
  • Total Page Count: 5
  • Page Number: 113 to 117

1Senior Resident, Department of Anaesthesiology and Critical Care, AIIMS, Patna

2Senior Resident, Department of Anaesthesiology and Critical Care, IMS, BHU, Varanasi

3Associate Professor, Department of Anaesthesiology and Critical Care, IMS, BHU, Varanasi

4Assistant Professor, Department of Pharmacology, IGIMS, Patna

5Associate Professor, Department of Biochemistry, IGIMS, Patna

*Corresponding Author: Dr. Jiut Ram Keshari, Associate Professor, Department of Biochemistry, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-800014, Bihar. Mob: 08986170490, Email: jiutram@rediffmail.com

Online published on 18 January, 2018.

Abstract

Highly specialized ICU care is needed by patients who have undergone trauma. Most in times recovery of ICU patient become complicated by infections. Aim of this study was to determine the profile of pathogens and their impact on outcome among these patients.

The clinical records of 150 patients who were admitted for more than 48-hrs in ICU during Jun-Dec 2015 were analysed. All patients were evaluated for the presence of infection. Various specimens used to identify the pathogen include blood, urine, Broncho alveolar lavage (BAL) and aspiration of collection located at any site.

A total 1200 samples were analysedand cultured. Among the specimens, urine 480 (40%) was the most common, followed by blood 360 (30%), Catheter Tip 180 (15%), BAL 120 (10%), pus/tissue aspirate 36 (3%) and miscellaneous were 24 (2%). 20% Gram negative pathogens wereresistant to all drugs, 48% with carbapenems, 60% with beta-lactum+ beta-lactamase inhibitors, 65% with Aminoglycosides, 69% with

3rd generation cephalosporins and 75% with fluoroquinolones.

Isolation of multi-drug resistant pathogens is common among trauma patients admitted in ICU and is associated with increased mortality and could impact on the consumption of hospital resources. The importance of high rate of fungal isolation needs to be studied among these patients.

Keywords

Drug resistance, Intensive Care Unit, mortality, micro-organisms, nosocomial infection, trauma