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Infecciones asociadas al cuidado de la salud en la Unidad de Cuidados Intensivos de Adultos en un hospital terciario en el periodo de enero de 2015 a junio de 2016
| Content Provider | Semantic Scholar |
|---|---|
| Author | Leinez, García Priscila, Jennifer |
| Copyright Year | 2016 |
| Abstract | Background: Nosocomial infections are not present when the patient is admitted to the hospital. It is a major health problem worldwide because it increases mortality rate, length of stay and economic burden. The incidence depends on many factors, including the use of devices, especially in the Intensive Care Unit. Methods: A retrospective cross-section was performed to determine the incidence of infections associated with the use of mechanical ventilation, urinary catheter and central venous catheter in the Intensive Care Unit at the Hospital de los Valles. All patients older than 15 years admitted to the ICU for more than 48 hours were included. Results: In this study the overall rate of infections related to the use of devices in the Intensive Care Unit was 8.75%. The most common infection was ventilator-associated pneumonia (30.4%), followed by catheter associated urinary tract infection (5.56%) and central line associated bloodstream infection (2.02%). VAP rate per 1000 ventilator days was 43.48, the rate of CAUTI associated with urinary catheter use per 1000 catheter days was 10,75; and CLABSI rate was 3,51 per 1000 central line days. Statistically significant predictors of infection were age (p value 0.03, 95% CI), trauma as the type of admission (p value 0.003, 95% CI), length of stay more than 3 days (p value <0.0001, 95% CI) and the number of devices required (p value 0.001, 95% CI). The most commonly isolated microorganisms were Gram-negative bacilli, the most common Klebsiella pneumoniae (32.35%) followed by Pseudomonas aeruginosa (20.6%). Discussion: The incidence of infections in the hospital acquired was relatively low, the most common was pneumonia and ventilator-associated risk factors for the development of infections found. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://repositorio.usfq.edu.ec/bitstream/23000/5143/1/124528.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
