2006, Number 78
Rev Enfer Infec Pediatr 2006; 19.20 (78)
Report of 17 years of the epidemiologic monitoring of nosocomial infections in the National Institute of Pediatrics
González-Saldaña N, Castañeda-Narváez JL, Hernández-Orozco H, Saldaña-Maldonado C, Monroy-Díaz A, Lucas-Resendiz E, Vázquez-Tsuji O, Campos-Rivera T, Colsa-Ranero A
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ABSTRACTObjective: to describe the results of 17 years of the epidemiologic monitoring of the nosocomial infections in the National Institute of Pediatrics (INP).
Material and methods: a retrospective, descriptive, observational and cross-sectional study of the epidemiologic monitoring of the nosocomial infections in the INP was made during period 1888-2005. The criteria of nosocomial infection according to the NOM-EM-002-SSA2-2003 were used. The monitoring was made of active way by means of the revision of the clinical files of the patients with IN, visits daily the services of high risk and three times per week to the rest of the services. The passive monitoring was generated by means of the analysis of the reports of the doctors and the laboratories of bacteriology, parasitology and virology. The results of rate x were reported 100 debits and percentage of the services.
Results: the services most frequently were: infectology (25,86%), UTI (13,96%), neonatology (10,79%), general surgery (8,93%), oncology (7,02%). The reported events were: bacteremias (40,7%), pneumonias (19,70%), urosepsis (13,0%), infection of surgical wound (5,31%), GEPI (5,15%). Bacteriology: S. epidermidis occupies the first place of gram positive (28,40%) followed of S. aureus (4,66%), of gram negative: K. pneumoniae (17,80%), E. coli ((10,50%), P. aeruginosa (8,15%), E. cloacae (5,37%). Of the fungi: Candida sp (2,64%), Candida albicans (0,80%). Of the virus: rotavirus (0,54%)
Conclusions: during 18 years of monitoring epidemiologist the rates of IN have shown a diminution by the reinforcing of the control measures that have settled down; nevertheless it is needed to reinforce the strategies that allow a diminution that repels in one better attention of the quality of the patients.