medigraphic.com
Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2008, Number 1

<< Back Next >>

Rev Esp Med Quir 2008; 13 (1)

Bacteriological statistics of nosocomial infections in the Regional Hospital Adolfo Lopez Mateos. A nine-year follow-up

Colmenero EMJ, Sánchez OA

Language: Spanish
References: 32
Page: 3-7
PDF size: 196.43 Kb.


ABSTRACT

Objective: To identify the predominant flora of nosocomial infection in a third level teaching hospital.
Material and methods: This is a nine-year longitudinal observational study of 2,175 patients with nosocomial infection which included 2,902 infectious events: 1,861 of these were confirmed by laboratory culture. The most common microorganisms and their behavior were analyzed in general and according to the hospital service.
Results: The most common microorganism was Candida, followed by Pseudomonas. Candida was predominant in the pediatric services, especially Candida albicans, whereas Pseudomonas aeruginosa was the main microorganism both in the intensive care units and in the hospital wards.
Conclusions: The service with the largest number of nosocomial infections was Internal Medicine, with 886 cases (40.7%).


REFERENCES

  1. Dixon RC. Historical perspective: The Landmark Conference in 1980. Am J Med 1991;91:6-7.

  2. Vargas de la Rosa R, Gutiérrez G, Peniche A. Prevalencia de infecciones hospitalarias y uso de antibióticos. Salud Pública Méx 1980;5:521-9.

  3. Eickhoff TC. Historical perspective: The Landmark Conference in 1970. Am J Med 1991; 91:3-5.

  4. Tenover FC. Novel and emerging mechanisms of antimicrobial resistance in nosocomial pathogens. Am J Med 1991;91:76-81.

  5. Haley RW. Measuring the costs of nosocomial infections: methods for estimating economic burden on the hospital. Am J Med 1991;91:32-38.

  6. Linnemann C, Moore P, Staneck JL, Pfaller MA. Reemergence of epidemic methicillin-resistant Staphylococcus aureus in a general hospital associated with changing Staphylococcal strains. Am J Med 1991;91:238-44.

  7. Proyecto de Norma Oficial Mexicana PROY-NOM-045-SSA2-2005. Para la Vigilancia Epidemiológica, Prevención y Control de las Infecciones Nosocomiales Secretaría de Salud.

  8. Wenzel RP, Pfalles MA. Infection control: The premier quality assessment program in United States hospitals. Am J Med 1991;91:27-31.

  9. Wenzel RP, Streed SA, Martin MA, Henderson DK, et al. Infecciones nosocomiales: Mandell GL, Gordon D, Bennett JE. Enfermedades Infecciosas Principios y Práctica. Buenos Aires: Médica Panamericana, 1991;pp:2311-96.

  10. Emori TG, Banerjee SN, Culver DH. Nosocomial infections in elderly patients in the United States. 1986-1990. Am J Med 1991;91:289S-293S.

  11. Brawley RL, Weber DJ, SRutala WA. Multiple nosocomial infections. Am J Epid 1989;130:769-80.

  12. Goldmann DA. Contemporary Challenges for Hospital Epidemiology. Am J Med 1991;91:8S-15S.

  13. Cohen SH, Morita MM, Bratfoud MD. A seven-year experience with methilcillin-resistant Staphylococcus aureus. Am J Med 1991;91:233S-237S.

  14. Haley RW. Nosocomial infections in surgical patients: Developing valid measures of intrinsic patient risk. Am J Med 1991;91:145S-151S.

  15. Gross PA. Striving for Benchmark infection rates: Progress in control for patient mix. Am J Med 1991;91:16S-20S.

  16. Schberg DR, Culver DH, Gaynes RP. Major trends in the microbial etiology of nosocomial infection. A J Med 1991;91:72S -75S.

  17. Walter J, Hierholzer WJ. Health Care data, the epidemiologist’s sand: Comments on the quantity and quality of data. Am J Med 1991;91:21S-26S.

  18. Nettleman MD, Trilla A, Fredrickson M, Pfaller M. Assigning responsibility: Using feedback to achieve sustained control of methicillin- resistant Staphylococcus aureus. Am J Med 1991;91:228S-232S.

  19. Stamm WE. Catheter-associated urinary tract infections: epidemiology, pathogenesis and prevention. Am J Med 1991;91:65S-71S.

  20. León-Ramírez A, Casta-Cruz M, Ávila-Figueroa C, Aranda Patrón E, et al. Infecciones nosocomiales en el Hospital Infantil de México. Rev Enf Infec Microbiol 1996;16:219-23.

  21. Craven DE, Steger KA, Barber TW. Preventing nosocomial pneumonia: State of the art and perspectives for the 1990s. Am J Med 1991;91:44S-53S.

  22. Jarvis WR. Nosocomial Outbreaks: The centers for disease control’s hospital infections program experience, 1980-1990. Am J Med 1991;91:101S-106S.

  23. Derlot E, Courvalin P. Mechanisms and implications of glycopeptide resistance in enterococci. Am J Med 1991;91:82S-85S.

  24. Viana ZC, Molina PF, Díez VM, Castro AP. Guía clínica de manejo de las infecciones urinarias en el adulto. www.fisteria.com/guías 2/itu.htm.

  25. Catalejo J. Comisión de infecciones y política antimicrobiana: infección urinaria. La Conina: Complejo Hospitalario. Manuales de profilaxis y terapéutica antimicrobiana. 1999.

  26. Otón TM, Winter C, Tiu F, Stamm WE. Randomized comparative trial and costa analysis of 3 day antimicrobial regimens for treatment o acute cystitis in woman. JAMA 1995;4:41-45.

  27. Weinstein RA. Epidemiology and control of nosocomial infections in adult intensive care units. Am J Med 1991;91:179S-184S.

  28. Al-Obeid S, Collatz E, Gutmann L. Mechanism of Resistanse to Vancomycin in Enterococcus faecium D366 and Enterococcus faecalis A256. Antimicrob Agents Chemother 1990; 34:252-6.

  29. Kunin C M, Gilbert DN, Ronald AR, Jacoby GA, Joseph M, McGowan JE, et al. Report from the Antimicrobial Agents Committee. J Infect Dis 1987;156:700-5.

  30. Roe E, Lowbury EJL. Changes in antibiotic sensitivity patterns of Gram-negative bacilli in burns. J Clin Path 1972; 25:176-8.

  31. Núñez-Tinoco F, Cashat-Cruz M, Ávila C, Pérez-Miravete, Santos JI. Infecciones nosocomiales por bacilos gramnegativos no fermentadores en el Hospital Infantil de México. Enfermedades Infecciosas y Microbiología 1997;17:16-19.

  32. Glenister H, Taylor L, Bartlett C, Cooke M, Sedgwick J, Leigh D. An assessment of selective surveillance methods for detecting hospital- acquired infection. Am J Med 1991; 91:121S-124S.




2020     |     www.medigraphic.com