International Journal of Infectious Diseases
Volume 58, 2017, Pages 111-114

Community acquired infections among refugees leading to Intensive Care Unit admissions in Turkey (Article) (Open Access)

Turktan M. , Ak O. , Erdem H.* , Ozcengiz D. , Hargreaves S. , Kaya S. , Karakoc E. , Ozkan-Kuscu O. , Tuncer-Ertem G. , Tekin R. , Birbicer H. , Durmus G. , Yilmaz C. , Kocak F. , Puca E. , Rello J.
  • a Cukurova University School of Medicine, Department of Anesthesiology and Reanimation Adana, Turkey
  • b Dr. Lutfi Kirdar Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
  • c Gulhane Medical Academy, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
  • d Cukurova University School of Medicine, Department of Anesthesiology and Reanimation Adana, Turkey
  • e International Health Unit, Section of Infectious Diseases and Immunity, Imperial College London, Commonwealth Building, Hammersmith Campus, London, United Kingdom
  • f Gazi Yasargil Training and Research Hospital, Department of Infectious Diseases and Clinical MicrobiologyDiyarbakir, Turkey
  • g Cukurova University School of Medicine, Department of Internal MedicineAdana, Turkey
  • h Cukurova University School of Medicine, Department of Internal MedicineAdana, Turkey
  • i Ankara Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
  • j Dicle University School of Medicine, Department of Infectious Diseases and Clinical MicrobiologyDiyarbakir, Turkey
  • k Mersin University School of Medicine, Department of Anesthesiology and Reanimation, Mersin, Turkey
  • l Bursa Yüksek Ihtisas Training and Research Hospital, Department of Infectious Diseases and Clinical MicrobiologyBursa, Turkey
  • m Bursa Yüksek Ihtisas Training and Research Hospital, Department of Anesthesiology and ReanimationBursa, Turkey
  • n Basaksehir State Hospital, Department of Anesthesiology and Reanimation, Istanbul, Turkey
  • o University Hospital Center “Mother Teresa”, Department of Infectious Diseeases, Tirana, Albania
  • p Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Universitat Autonoma de Barcelona, Spain

Abstract

Objectives Data on the impact of refugees on Intensive Care Units (ICUs) are lacking in the literature, in particular for community-acquired (CA) infectious diseases, for which they are known to be at higher risk. We did a descriptive, multicenter study to analyze CA infections among refugee patients requiring ICU admission. Methods Inclusion criteria were adult refugee patients admitted to an ICU due to CA infections. Anonymized data were collected between January 1, 2010 and December 30, 2015 across 10 referral centers. Results 29.885 patients were admitted to the ICUs in the study period. 37 patients were included the study, the majority were from Syria (n = 31, 83.8%). Mean (SD) age of the patients was 45.92 ± 20.16 years. The 5-year prevalence rate was 123.8 per 100.000 patients in the ICUs. All patients had at least one comorbid condition. Forty-nine CA infections were diagnosed. The most common CA infection was pneumonia (49%) followed by urinary-tract infections (16.3%). 21 patients (56.7%) hospitalized in the ICU had trauma history. Mortality rate was high at 22 patients (59.5%) with 5 (22.7%) deaths directly attributed to CA infections. Conclusions Refugees presented to ICUs with CA infections similar to the host populations (pneumonia and urinary-tract infections) but had high mortality rates (59.5%). It seems that Turkish ICUs were not congested with the refugee patients’ influx for CA infections. More research needs to be done to better understand how to deliver preventative and timely health care services to this group of patients. © 2017 International Society for Infectious Diseases

Author Keywords

intensive-care unit community-acquired infections Turkey Refugees Syria

Index Keywords

intensive care hospital admission monotherapy clinical outcome Community-Acquired Infections hospitalization refugee multicenter study urinary tract infection clinical trial Syrian Arab Republic quinolone derivative human Refugees middle aged statistics and numerical data Turkey (republic) tuberculous meningitis Aged intensive care unit ethnology tigecycline beta lactam derivative glycopeptide Young Adult beta lactamase inhibitor Humans community acquired infection lung tuberculosis tuberculostatic agent Adolescent male female Aged, 80 and over very elderly prevalence Intensive Care Units combination drug therapy Article Retrospective Studies major clinical study adult mortality antibiotic therapy mortality rate pneumonia Syria Turkey medical history Urinary Tract Infections head injury gunshot injury retrospective study cause of death metronidazole
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017433881&doi=10.1016%2fj.ijid.2017.02.022&partnerID=40&md5=d52276ff31d9ae05c5e017c68e32df29
DOI: 10.1016/j.ijid.2017.02.022
ISSN: 12019712
Cited by: 4
Original Language: English