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ISSN 1729-6935 (Electronic)
16 de abril

2021, Number 282

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16 de abril 2021; 60 (282)

Effect of the measures applied on health care-associated infections in therapy

Cecilia-Paredes EE, Echevarria-Cruz A, Cecilia-Paredes E, García-Peña EA, Soto-Álvarez EM, Santaya-Labrador JM

Language: Spanish
References: 25
Page: 1-7
PDF size: 297.87 Kb.


ABSTRACT

Introduction: at the dawn of the 21st century, infectious diseases constitute one of the first causes of death and the first of years of healthy life lost due to disability in the world.
Objective: to evaluate the effect of the measures applied on infections associated with healthcare in the Intensive Care Unit of the “Dr. León Cuervo Rubio”.
Method: an observational, analytical, longitudinal and prospective study was carried out that included 285 patients admitted to the intensive care unit of the Hospital “León Cuervo Rubio” in the period from September 2018 to November 2019. Results: no differences were found with relationship to sex. In 2018, 81 % of the ventilated patients had ventilator-associated pneumonia, and in 2019 17 % (x2 = 44.01; p = 0.00), bacteremia: 15% and 5.6 % (x2 = 4, 33; p = 0.03), urinary tract infections: 28.4 % and 7.9 % in 2018 and 2019 (x2 = 19.13; p = 0.00001) respectively in each case. Enterobacter was isolated in 33% of pneumonias associated with early-onset ventilation, E. coli in 77 % of urinary infections and in 37% of bacteremia, showing a resistance above 50 % to cephalosporins of third and fourth generation.
Conclusions: there was a significant decrease in the infections associated with health care evaluated with the application of the measures.


REFERENCES

  1. Blanquera J, Aspa J, AnzuetoA, Ferrer M, Gallego M, RajasO, et al. Normativa SEPAR: Neumoníanosocomial. Arch Bronconeumol[Internet]. 2017 [citado el 21/02/2020]; 47(10): [aprox. 5 p.].Disponible en: https://www.archbronconeumol.org/es-normativa-separ-neumonia-nosocomial-articulo-S0300289611002146

  2. Sánchez García M. Bacteriemiaprimaria y bacteriemia relacionadacon catéter por estafilococoscoagulasa-negativos. ¿Unacomplicación sin importancia?Med Intensiva [Internet]. 2018 [citadoel 18/11/ 2020]; 35(4): [aprox. 2p.]. Disponible en: http://scielo.sld.cu/scielo.php.

  3. Grupo de Trabajo de EnfermedadesInfecciosas. EstudioNacional de Vigilancia de InfecciónNosocomial en Servicios de MedicinaIntensiva [Internet]. España:Sociedad Española de MedicinaIntensiva Critica y Unidades Coronarias;[Internet]. 2018 [citado el18/11/2020]. Disponible en: http://hws.vhebron.net/envin-helics/.

  4. Mandell LA, Wunderink RG,Anzueto A. Infectious Diseases Societyof America/American ThoracicSociety consensus guidelineson the management of community-acquired pneumonia in adults.Clin Infect Dis [Internet]. 2017 [citadoel 18/11/2020]; 44(2): [aprox. 6p.]. Disponible en: http://cid.oxfordjournals.org/content/44/Supplement_2/S27.full.pdf+html

  5. D Hunter J. Neumoníaasociada a la ventilación mecánica.Estrategias para su prevención.Arch Bronconeumol [Internet]. 2017[citado 22/02/2020]; 20(4): [aprox.7 p.]. Disponible en: http://www.intramed.net/.

  6. Álvarez Lerma F, TorresMartí A, Rodríguez de Castro F.Recomendaciones para el diagnósticode la neumonía asociadaa ventilación mecánica. Arch Bronconeumol[Internet]. 2016 [citado el18/11/2020]; 37(8): [aprox. 10 p.].Disponible en: http://www.sciencedirect.com/science/article/pii/S0210569101797021

  7. Moossa AR, Hart ME, EasterDW. Complicaciones Quirúrgicas.En: Sabinton DC. Tratado depatología quirúrgica. 18 ed. 2008,T-1. La Habana: Editorial Científico–Técnico; 2008. p. 367- 86.

  8. Rocha Alamazán M, SánchezAguilar M, Belmares TaboadaJ, Esmer Sánchez D, Tapia Pérez JH, Gordillo Moscoso A. Infección delsitio operatorio en cirugía abdominalno traumática. Cir Ciruj [Internet].2018 [citado el 22/02/2020];76:(2) [aprox. 9 p.]. Disponible en:http://www.medigraphic.com/pdfs/circir/cc-2008/cc082e.pdf

  9. Donahoe L, Mc Donald E,kho ME, Maclennan M, StratfordPW, Cook DJ. Increasing Reliabilityof APACHE II Scores in a Medical-Surgical Intensive Care Unit:A Quality Improvement Study. AmJ CritCare [Internet]. 2017 [citadoel 22/02/2020]; 18(1):[aprox. 5p.]. Disponible en: http://ajcc.aacnjournals.org/content/18/1/58.short

  10. Pineda LA, Saliba RG, ELSolh AA. Efectt of oral decontaminationwith clorhexidine in the incidenceof nosocomial pneumonia:a metanalysis. CritCare [Internet].2018 [citado el 22/02/2020]; 10(2):[aprox. 11 p.]. Disponible en: http://ccforum.com/content/10/1/R35

  11. Chlebicki MP, Safdar N.Tropical clorhexidine for preventionof ventilator-associatedpneumonia: a meta-analysis. Crit-Care Med [Internet]. 2017 [citadoel 22/02/2020]; 35(2):[aprox.7 p.]. Disponible en: http://journals.lww.com/ccmjournal/Abstract/2007/02000/Topical_chlorhexidine_for_prevention_of.37.aspx

  12. Rello J, Diaz E. Pneumoniain the Intensive Care Unit. Crit-Care Med [Internet]. 2016 [citadoel 04/03/2020]; 31(10):[aprox.9 p.]. Disponible en: http://journals.lww.com/ccmjournal/Abstract/2003/10000/Pneumonia_in_the_intensive_care_unit.21.aspx

  13. Pronovost P, NeedhamD, Berenholtz S, Sinopoli D, ChuH, Cosgrove S. An intervention todecrease catheter-related bloodstream infections in the ICU.NEngl J Med [Internet]. 2016 [citadoel 06/03/2020]; 355(1):[aprox.8 p.]. Disponible en: http://www.nejm.org/doi/full/10.1056/nejmoa061115

  14. Vincent JL, Rello J, MarshallJ, Silva E, Anzueto A, Martin CD.International study of the prevalenceand infection in intensive careunits. JAMA [Internet]. 2017 [citadoel 07/052020]; 302(21):[aprox.7 p.].Disponible en: http://jama.jamanetwork.com/article.aspx?articleid=184963

  15. Cook DJ, Walter SD, CookRJ, Griffith LE, Guyatt GH, LeasaD. Incidence and risk factors forventilator-associated pneumoniain critically ill patients. Ann InternMed [Internet]. 2018 [citado el22/06/2020]; 129(6):[aprox. 7 p.].Disponible en: http://annals.org/article.aspx?articleid=711674

  16. Olaechea PM, Insausti J,Blanco A, Luque P. Epidemiologíae Impacto de las infeccionesnosocomiales. Med Intensiva [Internet].2016 [citado el citado el18/11/2020]; 34(4):256-267. Disponibleen: http://www.sciencedirect.com/science/article/pii/S0210569109001673

  17. Leone M, Garnier F, AvidanM, Martin C. Catheter associatedurinary tract infections inintensive care units. MicrobesInfect [Internet]. 2019 [citado el13/06/2020]; 6 (11): [aprox. 7 p.].Disponible en: http://www.sciencedirect.com/science/article/pii/S1286457904002060

  18. National Nosocomial InfectionsSurveillance System.National Nosocomial InfectionsSurveillance (NNIS) System Report,datasummary from January2010 through June 2012, issuedOctober 2012. Am J Infect Control[Internet]. 2017 [citado el22/02/2020]; 32:[aprox. 5 p.]. Disponibleen: http://www.jstor.org/stable/10.1086/657140

  19. Gould CV, Umscheid CA,Agarwal RK, Kuntz G, PeguesDA.Guideline for prevention ofcatheter-associated urinarytractinfections 2009. Infect ControlHosp Epidemiol [Internet]. 2016[22/06/2020]; 31:[aprox. 5 p.]. Disponible en: http://www.jstor.org/stable/10.1086/651091

  20. Hooton TM, Bradley SF,Cardenas DD, Colgan R, GeerlingsSE,Rice JC. Diagnosis, prevention,and treatment ofcatheter-associatedurinary tract infection in adults:2009International Clinical PracticeGuidelines from the InfectiousDiseasesSociety of America. Clin-InfectDis [Internet]. 2016 [citadoel 22/06/2020]; 50(5):[aprox. 6 p.].Disponible en: http://cid.oxfordjournals.org/content/50/5/625.short

  21. Espinosa F. Patógenosmultirresistentes emergentes. RevActa Médica [Internet]. 2018 [citadoel 22/02/2020]; 13(1) [aprox. 9p.]. Disponible en: http://new.medigraphic.com/cgi-bin/resumen-Main.cgi?IDARTICULO=49345

  22. Martínez Martínez L, CalvoJ. The growing problem ofantibiotic resistance in clinicallyrelevant Gram-negative bacteria:Current situation. EnfermInfeccMicrobiolClin[Internet]. 2018 [citadoel20/06/2020]; 28 (S2): [aprox. 6 p.].Disponible en: http://europepmc.org/abstract/MED/21130927

  23. Woodford N, Turton JF,Livermore DM. MultiresistantGram-negative bacteria: The roleof high-risk clones in the disseminationof antibiotic resistance.RevMicrobiol [Internet]. 2016[15/06/2020]; 35 (5):[aprox. 3 p.].Disponible en:http://onlinelibrary.wiley.com/doi/10.1111/j.1574 -6976.2011.00268.x/full

  24. Canton R, Valverde A,Novais A, Baquero F, Coque T.Evolución y panorama actual delas BLEE. Enferm Infecc Microbiol[Internet]. 2017 [citado el22/06/2020]; 25(2):[aprox. 8 p.].Disponible en: http://www.elsevier.es/sites/default/files/elsevier/pdf/28/28v25nSupl.2a13112082pdf001.pdf

  25. Magiorakos AP, SrinivasanA, Carey RB, Carmeli Y, FalagasME, Giske CG. Multidrug-resistant,extensively drug-resistantand pandrug-resistant bacteria:An international expert proposalfor interim standard definitions foracquired resistance. Clin MicrobiolInfect [Internet]. 2019 [citado el22/02/2020]; 18 (3):[aprox. 7 p.].Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/j.1469-0691.2011.03570.x/full




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