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Review
. 1994 Jul;15(7):428-34.
doi: 10.1086/646946.

Mortality attributable to nosocomial infections in the ICU

J Y Fagon  1 , A Novara, F Stephan, E Girou, M Safar
Affiliations
Review

Mortality attributable to nosocomial infections in the ICU

J Y Fagon et al. Infect Control Hosp Epidemiol. 1994 Jul.

Abstract

Although a direct relationship between nosocomial infection and mortality in intensive care unit (ICU) patients has not always been demonstrated formally, it is possible to conclude that nosocomial infections increase the risk of death in critically ill patients. A more precise analysis indicates that: 1) this effect is highly probable for pneumonia, doubtful for bacteremia, and uncertain for urinary tract infection; 2) risk increases with duration of stay in the ICU; 3) bacterial etiology modifies the risk; and 4) this effect is stronger in less severely ill patients, probably because the severity of underlying disease remains the most significant factor.

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