Management of Nosocomial Infections in Clinical Practice in the Intensive Care Unit (ICU) In Soebandi Hospital

Abstract

Nosocomial infections have high mortality and morbidity, especially in the Intensive Care Unit (ICU). Ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CLABSI), urinary catheter-related infections, and surgical site infections are the most common types of nosocomial infections that can happen in the ICU. We present a case of a 26-year-old male with severe burn Injury with Grade IIAB –III total 36% BSA + Inhalation Trauma et causa disaster victims. The problems of this patient are extensive wounds, metabolic problems such as hypoalbumin, impaired liver and kidney function, electrolyte and acid-base disturbances, and infection. Definitely, this case needs a multidisciplinary team from plastic surgeon, anesthesiologist, internist, nutritionist, and pharmacist to solve this case to prevent mortality.