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J Trop Med. 2014;2014:545160. doi: 10.1155/2014/545160. Epub 2014 Sep 17.

A descriptive study of nosocomial infections in an adult intensive care unit in fiji: 2011-12.

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College of Medicine, Nursing & Health Sciences, Fiji National University, Suva, Fiji.
Colonial War Memorial Hospital, Ministry of Health, Suva, Fiji.
Public Health Division, Secretariat of the Pacific Community, Noumea, New Caledonia ; National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australia.
International Union Against Tuberculosis and Lung Disease, Paris, France ; Centre for International Child Health, Department of Paediatrics, University of Melbourne and Murdoch Children Research Institute, Royal Children's Hospital, Melbourne, VIC, Australia.
International Union Against Tuberculosis and Lung Disease, Paris, France ; The University of Auckland, Auckland, New Zealand.


Nosocomial infections in an intensive care unit (ICU) are common and associated with a high mortality but there are no published data from the Oceania region. A retrospective study in Fiji's largest ICU (2011-12) reported that 114 of a total 663 adult ICU admissions had bacteriological culture-confirmed nosocomial infection. The commonest sites of infection were respiratory and bloodstream. Gram negative bacteria were the commonest pathogens isolated, especially Klebsiella pneumoniae (extended-spectrum β-Lactamase-producing), Acinetobacter, and Pseudomonas species. Mortality for those with a known outcome was 33%. Improved surveillance and implementation of effective preventive interventions are needed.

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