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2001, Number 4

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Med Crit 2001; 15 (4)

Nosocomial infection in an oncologic intensive care unit

Sánchez-Velázquez LD, González AVM, Laura Ortíz SL, González GA

Language: Spanish
References: 11
Page: 117-120
PDF size: 102.04 Kb.


ABSTRACT

Objective: To determine the cumulative incidence rate of nosocomial infection and their anatomical sources and etiology, in cancel patients. Design: Prolective cohort study. Setting: ICU of an oncological hospital, Mexico City. Patients: Three hundred ninety-eight patients. Interventions: None. Results: Mean age was 50 ± 18 years and ICU stay 3 days (median). There were 107 episodes of nosocomial infection in 68 patients and the cumulative incidence rate of nosocomial infection was 17 patients /100 discharges. The rate of ventilator-associated pneumonia was 43.8/100 days-ventilator, urinary tract infections 7.9/1000 days urinary-catheters and bacteriemia 3.7/1000 days-venous central catheters. Infections were detected in lungs 40 (37%), surgical wounds 23 (21%), urinary tract 17 (16%), blood 8 (7%) and others 19 (18%). It was found the following germs:gram-negative bacilli (36.4%), fungi (32.7%) and gram-positive cocci (30.9%). Conclusions: The nosocomial infection rate in our ICU is similar to the national rate.


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