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2014, Number 2

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Rev Cub Med Int Emerg 2014; 13 (2)

Nosocomial pneumonia in intensive care unit. Hospital 'Dr. Carlos J. Finlay,' January- December 2011

García GA, Brito RY, Gutiérrez GL, Pradere PJC, Leal CO

Language: Spanish
References: 41
Page: 180-192
PDF size: 186.95 Kb.


ABSTRACT

Introduction: The nosocomial infections constitute a problem of health. They are of clinical and epidemic importance because they condition higher rates of morbility and mortality. Objective: It was carried out a clinical epidemic characterization of the nosocomial pneumonia in the intensive care unit of the Hospital "Dr. Carlos J. Finlay" in the understood period from January to December of the 2011. Method: Retrospective, descriptive study. Results: The 22.1% of the patients presented nosocomial pneumonia and 67.8% of mortality. The average age was from 58,5 ± 20.5 years. The group with age of 61 to 80 years had the greater number of patients, and the highest percent of patients in the group of dead patients (31,1%). The factors of risks more frequently found were: use of nasogastric plumb (16,5%), use of central endovenous catheter (15,4%) and the mechanical ventilation (13,2%). A 70% percent of the patients had necessity of mechanical ventilation, and they had the greater number of dying (52,2%). The three main obtained germs were: Pseudomona [sp]. (20,6%), Klebsiella [sp]. (18,4%) and Acinetobacter calcoaceticus (14.7%). The first direct cause of death was the bacterial bronchopneumonia (60,6%). Conclusion: The nosocomial pneumonia is a frequent infection in the intensive care unit with high mortality.


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