Pardinas-Llergo MJ, Alarcón-Sotelo A, Ramírez-Angulo C, Rodríguez-Weber F, Díaz-Greene EJ

Language: Spanish
References: 0
Page: 28-40
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ABSTRACT

Background: Sepsis is defined as the possible or documented presence of infection along with systemic manifestations of infection. Blood culture is the first-line study in patients with suspected infection, the main objective of blood cultures consists of confirming bacteremia. Literature reports that sensitivity for diagnosis of bacteremias is low, with a growth in crops ‹10%; in other words, blood cultures are positive in only 1/3 of the cases.
Objetives: To determine the rate of positive blood cultures at Hospital Angeles Pedregal, Mexico City, as well as to describe the most commonly found microorganisms and their resistances.
Material and Method: A descriptive observational retrospective study was carried out. We reviewed all blood cultures performed at the Hospital Angeles Pedregal, Mexico, City, from January 2015 to December 2015.
Results: Of the total sample (1,598 blood cultures), only 213 were positive, finding a probability of success of 13%. The most common microorganisms were Escherichia coli (43%) of whom 35 (16%) were resistant organisms (BLEE), Burkholderia cepacia (6%) and Enterococcus faecalis (5%) in the gram-negative group. Staphylococcus epidermidis (9%) and Staphyloccocus aureus (6%) in the gram-positive group.
Conclusions: Number of blood positive cultures at Hospital Angeles Pedregal, Mexico City, is slightly higher than that reported in literature. In addition, more positivity was found for Escherichia coli, confirming that the populations of microorganisms will be different at each hospital.