Development of antibiotic resistance in Intensive Care Units (ICUs) is a worldwide problem. The purpose of this study was to evaluate the effect of an antibiotic stewardship program (ASP) by carbapenems restriction on gram-negative antimicrobial resistance in ICU. The study was designed in a 21 bedded general ICU of a teaching hospital with two wings (one and two) in Tehran, Iran. Carbapenem pr...

A large proportion of patients admitted to the intensive care unit (ICU) are unable to express themselves, often due to acute illness, shock or trauma, and this precludes any communication and/or consent for care that might reflect their wishes and opinions. In such cases, the only solution for the ICU physician is to include the patient's family in the healthcare decisions. This can represent ...

INTRODUCTION Delirium in the intensive care unit (ICU) is associated with increased morbidity and mortality. Using an assessment tool has been shown to improve the ability of clinicians in the ICU to detect delirium. The confusion assessment method for the ICU (CAM-ICU) is a validated delirium-screening tool for critically ill intubated patients. The aim of this project was to establish the fea...

AIM The present study was performed in order to document costs of intensive care in a Norwegian university hospital and to perform an average cost-effectiveness study using the expected remaining life-years in survivors after 18 months. MATERIALS AND METHODS Patients admitted to the general intensive care unit (ICU) at Haukeland University Hospital from 1997 to 1999 were followed up to 18 mon...

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Introduction. The effect of post-intubation hypertension in severe traumatic brain injury (TBI) patients remains uncertain. We aimed to determine the relationship between post-intubation hypertension (mean arterial pressure (MAP) > 110mmHg) and outcomes in severe TBI. Methods. In this retrospective cohort study, adults who presented with isolated TBI and a MAP 70mmHg were assessed. Data were re...

INTRODUCTION This report describes the case mix, outcome and activity for admissions to intensive care units (ICUs) of patients who require prior chronic renal dialysis for end-stage renal failure (ESRF), and investigates the effect of case mix factors on outcome. METHODS This was a secondary analysis of a high-quality clinical database, namely the Intensive Care National Audit & Research Cen...

objectives the present study aimed to determine the effect of increased visitation time on physiological indices of the patients hospitalized in icus. materials and methods this clinical trial study was conducted in the icus of vail-e-asr hospital in arak city, iran. a total of 60 subjects were randomly assigned to the intervention and control groups with visitation time for 10 minutes 3 times ...

the objective of this study was to determine the frequency of microorganisms isolated from blood samples of patients admitted to intensive care unit (icu), and the rate of their resistance to common administered antibiotics in an iranian icu. one-hundred patients with systemic inflammatory response syndromes (sirs), hospitalized in icu of sina hospital, tehran, iran, were entered to this cross-...