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Journal of Tropical Medicine
Volume 2014, Article ID 545160, 5 pages
Research Article

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

1College of Medicine, Nursing & Health Sciences, Fiji National University, Suva, Fiji
2Colonial War Memorial Hospital, Ministry of Health, Suva, Fiji
3Public Health Division, Secretariat of the Pacific Community, Noumea, New Caledonia
4National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australia
5International Union Against Tuberculosis and Lung Disease, Paris, France
6Centre for International Child Health, Department of Paediatrics, University of Melbourne and Murdoch Children Research Institute, Royal Children’s Hospital, Melbourne, VIC, Australia
7The University of Auckland, Auckland, New Zealand

Received 26 June 2014; Accepted 25 August 2014; Published 17 September 2014

Academic Editor: Peter Leggat

Copyright © 2014 Keshni Naidu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.