Risk Factors of the Multidrug-resistant in Surgical II Intensive Care Unit, Suratthani Hospital.
Keywords:
Risk Factor, Multidrug-resistant Microorganism Infection, ICU, Modify Sequential Organ Failure Assessment Score, MSOFAAbstract
This hospital-based retrospective research aimed to study the risk factors of multidrug-resistant microorganism infection in surgical Intensive Care Unit II at Suratthani Hospital. All data were retrieved from medical records of admitted patients in Surgical Intensive Care Unit II during the period of October, 2018 to September, 2019, inclusively. There were a total of 69 cases with multidrug-resistant microorganism infection. Data were analyzed by using percentage, mean, standard deviation, chi-square test and Fisher’s exact test.
Results revealed the following. Most of patients were aged <60 years. Their average number of comorbidity was 1-2 diseases. Most were admitted in surgical Intensive Care Unit II over 5 days, and were admitted in Suratthani Hospital ≥20 days in total.
Most were referred from other hospitals, having never been admitted in a hospital, even less admitted in an Intensive Care Unit.
Modify Sequential Organ Failure Assessment (MSOFA) score was 5 -10. They received medication from cephalosporin group prior to treatment in surgical Intensive Care Unit II, the times of MDR during treatment was 1 time and discharge status was improved.
Risk factors of Multidrug- resistant microorganism infection in the surgical Intensive Care Unit II were: 1) age being ≥ 60 years, 2) ever received carbapenem, 3) number of comorbidity over 2 diseases, 4) modify sequential organ failure assessment score ranged from 5 - 10, and 5) taking medication from carbapenem group prior to treatments in Surgical Intensive Care Unit II.
The correlation among those factors and the Multidrug- resistant microorganism infection in the surgical Intensive Care Unit II were statistically significant (p < 0.05). Therefore, health personnel should be aware of those 5 factors in order to prevent and control the dissemination of multidrug-resistant microorganism infection.
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