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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.

A Descriptive Study of Nosocomial Infections in an Adult Intensive Care Unit in Fiji: 2011-12