Korean J Nosocomial Infect Control.  2001 Jun;6(1):1-7.

Nosocomial Infection Rate Comparison of Military and Civilian Intensive Care Units

• Lee SO
• Lim JG
• Park JO
• Noh HS
• Choi JS
• Shin AD

Abstract

BACKGROUND
This study was undertaken to compare nosocomial infection rates between intensive care units of military and civilian hospitals.
METHODS
From July to December 2000, we surveyed the intensive care unit of Armed Forces Capital Hospital (AFCH). We compared device use ratios and device-day infection rates with those of Korean Society for Nosocomial Infection Control (KOSNIC) and National Nosocomial Infections Surveillance (NNIS) system.
RESULTS
During the period of study, 185 cases were admitted and 24 nosocomial infections were detected: 7 cases of pneumonia, 6 urinary tract, 3 blood stream, 3 cardiovascular system, 3 surgical site infections, 1 skin and soft tissue, and 1 central nervous system infection. Ventilator, urinary catheter and central venous catheter use ratios were 0.14 (95% confidence interval, 0.12-0.16), 0.58 (0.56-0.60) and 0.33 (0.31-0.35). The ratios of NNIS were 0.41, 0.67 and 0.50. Ventilator-, urinary catheter- and central venous catheter-day infection rates were 18.69(11.36-53.32), 6.65 (3.36-14.20) and 1.95 (1.44-9.92). However, the rates of KOSNIC were 9.93, 5.29 and 3.62. The rates of NNIS were 11.24, 6.14 and 5.55.
CONCLUSIONS
In AFCH ventilators were used less frequently than NNIS, but more ventilator-associated pneumonia were developed than KOSNIC and NNIS.

Keyword

Device-day infection rates; Intensive care unit; Military hospital

MeSH Terms

Arm
Cardiovascular System
Central Nervous System Infections
Central Venous Catheters
Cross Infection*
Hospitals, Military
Humans
Intensive Care Units*
Critical Care*
Military Personnel*
Pneumonia
Pneumonia, Ventilator-Associated
Rivers
Skin
Urinary Catheters
Urinary Tract
Ventilators, Mechanical