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Validación de un programa de vigilancia de infecciones nosocomiales
| Content Provider | Semantic Scholar |
|---|---|
| Author | Rangel-Frausto Morales-García, D. |
| Copyright Year | 1999 |
| Abstract | Objective. To validate the nosocomial infections surveillance system, establish its impact in morbi-mortality. Material and methods. Surveillance of every single patient admited during a one month period was done by one of us (DMG). Each posibile case was discussed with two other hospital epidemiologists (SPLR, MSRF). This intensive surveillance was compared against the routinely surveillance performed by the nurses. We included all hospitalized patients between 11 th July and 12 th of August according to CDC (Atlanta, GA) nosocomial infections definitions. Patients were followed everyday and information about age, gender, underlying diagnosis, microorganisms responsible for nosocomial infections, hospital length of stay and mortality. Results. During the study period 429 were admitted, 45 developed a nosocomial infection (cases) and 384 did not (controls). The incidence of nosocomial infections was 10.48 cases/ 100 discharges. The sensitivity and specificity of the surveillance system was 95.3 and 98.7%, respectively. Mortality in infected was 11.11% and in non infected was 2.4%. The average length of stay was 20 and 11days for cases and non infected respectively (p< 0.01). Urinary tract infections were the most common NI (42%), secondary bacteremia (14≤ %), pneumonia (11.11%) and deep surgical site infection (9.25%). The surgical wound infection rates were: 1.3%, 1.9% and 1.9% for clean, clean-contaminated and contaminated wounds. Patients with rapidly fatal diseases had an increased frequency of infections. The microorganisms most commonly isolated were Escherichia coli (28%), Staphylococcus aureus (11.11%), and Pseudomonas aeruginosa (8.6%). The level of antibiotic resistance was in average of 43% for those antibiotics tested. Conclusions. The sensitivity and specifiRangel-Frausto MS, Morales-Garcia D, Baez-Martinez R, Ibarra-Blancas J, Ponce de Leon-Rosales S. Validacion de un programa de vigilancia de infecciones nosocomiales. Salud Publica Mex 1999;41 suppl 1:S59-S63. |
| File Format | PDF HTM / HTML |
| DOI | 10.1590/S0036-36341999000700011 |
| Alternate Webpage(s) | https://www.scielosp.org/article/ssm/content/raw/?resource_ssm_path=/media/assets/spm/v41s1/v41s1a09.pdf |
| Alternate Webpage(s) | http://www.saludpublica.mx/index.php/spm/article/download/4557/4405 |
| Alternate Webpage(s) | http://www.saludpublica.mx/index.php/spm/article/download/62/62 |
| Alternate Webpage(s) | https://doi.org/10.1590/S0036-36341999000700011 |
| Volume Number | 41 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
