Withdrawal of Staphylococcus aureus from intensive care units in Turkey

Am J Infect Control. 2013 Nov;41(11):1053-8. doi: 10.1016/j.ajic.2013.01.041. Epub 2013 May 8.

Abstract

Background: In the past, Staphylococcus aureus infections have displayed various patterns of epidemiologic curves in hospitals, particularly in intensive care units (ICUs). This study aimed to characterize the current trend in a nationwide survey of ICUs in Turkey.

Methods: A total of 88 ICUs from 36 Turkish tertiary hospitals were included in this retrospective study, which was performed during the first 3 months of both 2008 (period [P] 1) and 2011 (P2). A P value ≤.01 was considered significant.

Results: Although overall rates of hospital-acquired infection (HAI) and device-associated infection densities were similar in P1 and P2, the densities of HAIs due to S aureus and methicillin-resistant S aureus (MRSA) were significantly lower in P2 (P < .0001). However, the proportion of HAIs due to Acinetobacter was significantly higher in P2 (P < .0001).

Conclusions: The incidence of S aureus infections is declining rapidly in Turkish ICUs, with potential impacts on empirical treatment strategies in these ICUs.

Keywords: Critical; Epidemiology; Incidence; Staphylococcus.

MeSH terms

  • Cross Infection / epidemiology*
  • Cross Infection / microbiology*
  • Humans
  • Incidence
  • Intensive Care Units
  • Retrospective Studies
  • Staphylococcal Infections / epidemiology*
  • Staphylococcus aureus / isolation & purification*
  • Tertiary Care Centers
  • Turkey / epidemiology