medigraphic.com
ISSN 2448-8909 (Print)

1999, Number 6

Next >>

Med Crit 1999; 13 (6)

Nosocomial infection at an intensive care unit. Experience of Clínica Londres

Sánchez VLD, Vázquez FS, Huerta TJ

Language: Spanish
References: 12
Page: 179-183
PDF size: 107.96 Kb.


ABSTRACT

Objective: To describe the epidemiology of nosocomial infections in a multidisciplinary ICU.
Design: Prospective cohort study.
Setting: ICU of a private general hospital in Mexico City.
Patients: A total of 238 patients were enrolled in this study during a twelve-month period.
Measurements and main results: The nosocomially infected patient rate was 26.1%. Lower respiratory tract infections were most frequent (31.9%) followed by urinary tract infections (17.4%), wound infections (15.9%) and primary bloodstream infections (12.3%). Gram-positive cocci (30%) and gram-negative bacilli were the most common organisms isolated. An increase of the use of mechanical ventilation, invasive interventions and nutritional support in infected patients were observed (p ‹ 0.05).
Conclusions: The nosocomially infected patient rate is high in our ICU. It increases the cost of medical care.


REFERENCES

  1. Caicedo YS. Epidemiología e infección. En: Malagón-Londoño G, Hernández LE, editores. Infecciones hospitalarias. Bogotá: Panamericana; 1995: 69-86.

  2. Bueno AC, Delgado MR, Cueto AE, Gálvez RV. Vigilancia epidemiológica de la infección hospitalaria. Rev Clin Esp 1987; 181: 92-7.

  3. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: A severity of disease classification system. Crit Care Med 1985; 13: 818-29.

  4. Knaus WA, Wagner DP, Draper EA, Zimmerman DP, Bergner M, Bastos PG et al. The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest 1991; 100: 1619-36.

  5. Le Gall JR, Lemeshow S, Saulnier F. A new simplified acute physiology score (SAPS II) based on a European/North American multicenter study. JAMA 1993; 270: 2957-63.

  6. Cullen DJ, Civetta JM, Briggs BA et al. Therapeutic intervention scoring system: A method for quantitative comparison of patient care. Crit Care Med 1974; 2: 57.

  7. Garner JS, Jarvis WR, Emori TG et al. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988; 16: 128-40.

  8. Trilla A. Epidemiology of nosocomial infections in adult intensive care units. Intensive Care Med 1994; 20: S1-S4.

  9. Bueno AC, Rodríguez RC, López AL, Delgado MR, Gálves RV. Usefulness of severity indices in intensive care medicine as a predictor of nosocomial infection risk. Intensive Care Med 1991; 17: 336-9.

  10. Molinar RF, Vázquez RV, Domínguez ChG, Ponce de León RS, Rangel FS. Resultado del estudio de prevalencia de infecciones en unidades de cuidados intensivos en México (EPIC México). Trabajo presentado en el XXIV Congreso Nacional de Medicina Crítica y Terapia Intensiva, 1997.

  11. Vincent JL, Bihari DJ, Suter PM, Bruining HA, White J, Nicolas-Chanoin MH et al. The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. JAMA 1995; 274: 639-44.

  12. Sánchez-Velázquez LD, Rodríguez RS, Cerón DUW, Sierra UA. Infecciones nosocomiales en una unidad de terapia intensiva general. Rev Asoc Mex Med Crit y Ter Int 1997; 11: 64-70.




2020     |     www.medigraphic.com