Navarro ÁS, Hurtado MJA, Ojeda VSC, Trujillo TR, Batista CMC, Rivas LRM, Volker SML

Language: Spanish
References: 18
Page: 59-65
PDF size: 130.34 Kb.

ABSTRACT

Nosocomial infections (NI) are a problem in every hospital. The diagnosis of these infections is underestimated though, as well as its reports, for such a reason there are few reliable statistics. The objective of this study is to present the annual incidence of NI as well as describing the nosocomial germs (NG) found in a second-level hospital.
Material and methods. The NI data base of the Tijuana’s General Hospital was analyzed —all the NI reported in 2007 were included, and the results were described in rates percent debits, by services, month and the isolated NG as well as the most commonly found infections.
Results. From a total amount of 15 299 debits there were reported 541 NI (3.53 percents debits), after excluding the obstetric service from the analysis there were an increased rate of NI to a 8.2 percents debits. The services with greater rate of NI were the adult and neonatal units of intensive cares (ICU and NICU), with rates of 58 and 55 percents debits, respectively. Gram negative rods were the most frequently isolated germs followed by the Gram positive bacteria, and by far less incidence yeasts were isolated. Enterobacteriaceae family were the most frequently Gram negative bacteria, followed by the nonfermenter bacteria. The most common Gram positive isolated bacteria were Staphylococcus coagulase negative species, followed by S. aureus. Pneumonias and bacteriemias were the most frequently NI reported. ICU and bacteriemia followed by pneumonias were the most common ones at the NICU.
Conclusions. The present report allows us to see our own NI statistic and to know all the red spots in our hospital. It also helps us to create strategies to diminish pneumonias and bacteriemias, which are the principal NI in our hospital. Another contribution is facilitating to authorize a greater economic budget for microbiology laboratory.

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