Ramírez SMLP, Barragán PE, Robles AJF, Varela RMA, Escudero CJL, Pérez AS, Nava CAD, Arellano LA

Language: Spanish
References: 16
Page: 94-100
PDF size: 171.55 Kb.

ABSTRACT

The pediatric intensive care unit (PICU) is an area that provides care to all children who deserve continued life support to survive and, according to the underlying disease, sometimes extends hospital stay and additional mechanisms applied to arrive to an accurate diagnosis and effective treatment, these patients are at risk to acquire a nosocomial infection (NI) at any time and often have several events of nosocomial infection. The objective of this study is to describe the epidemiology of NIs in all children admitted to the PICU between January 1, 2009 to May 31, 2010. The study design was prospective, descriptive, observational; case operational definitions were taken from the NOM 045-SSA2-2005 and the CDC (Centers for Disease Control). Results: During the study period were admitted to the PICU 195 patients, of whom 65 children (33.3%) met the operational definition IN case they were taken for analysis. In relation to sex, children were the most affected with 35 cases (53.8%), the age distribution was more common among children in the group older than two months to one year of age, with 26 cases (40%). The distribution by site of infection was first to the IN system associated with catheter with 45 cases (69%) was second ventilator-associated pneumonia (VAP) with 15 patients (23%). The group most affected in both types of infection was in children under two months and less than 12 months old. The distribution showed that the pathogens associated with catheter IN, coagulase-negative Staphylococcus was the most frequent agent isolated with 37.9% and 31.5% NAV. Gram-negative germs were isolated less frequently, as for fungi. In infectious endocarditis was isolated germ and no diagnosis was made by clinical signs such as prolonged fever and echocardiography with intracardiac mass data. In urinary tract infection (UTI) the most frequently isolated microorganism was E. coli.

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