Author/Editor     Beović, Bojana; Matos, Boštjan; Bošnjak, Roman; Seme, Katja; Mueller-Premru, Manica; Hergouth-Križan, Veronika; Čižman, Milan
Title     Prevention of nosocomial lower respiratory tract infections in patients after intracranial artery aneurysm with a short course of antimicrobials
Type     članek
Source     Int J Antimicrob Agents
Vol. and No.     Letnik 22, št. 1
Publication year     2003
Volume     str. 60-6
Language     eng
Abstract     Nosocomial infections at a department of neurosurgery were followed prospectively. In 1999, a high incidence of nosocomial lower respiratory tract infections (NLRTI) was observed in patients after intracranial artery aneurysm surgery (ICAAS). From February to December 2000, a short course of ciprofloxacin and co-trimoxazole was given prophylactically to all patients with ICAAS. The incidence of nosocomial infections in patients after ICAAS fell from 78.4 to 30.9% (P <0.0001). The incidence of NLRTI fell from 43.3 to 13.6% (P < 0.0001) and the incidence of urinary tract infections from 12.4 to 2.5% (P = 0.015). No significant change in antibiotic sensitivity at the department was observed. Antibiotic use decreased from 100.4 defined daily doses (DDD) to 85.4 DDD per 100 bed-days.
Descriptors     CEREBRAL ANEURYSM
ANTIBIOTIC PROPHYLAXIS
CROSS INFECTION
RESPIRATORY TRACT INFECTIONS
CIPROFLOXACIN
HOSPITAL DEPARTMENTS
NEUROSURGERY