Nosocomial infection in an oncologic intensive care unit

Luis David Sánchez-Velázquez; Víctor Manuel González Aceves; Laura Ortíz Silva; Angélica González González

2001, Number 4

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Med Crit 2001; 15 (4)

Nosocomial infection in an oncologic intensive care unit

Sánchez-Velázquez LD, González AVM, Laura Ortíz SL, González GA

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Language: Spanish
References: 11
Page: 117-120
PDF size: 102.04 Kb.

ABSTRACT

Objective: To determine the cumulative incidence rate of nosocomial infection and their anatomical sources and etiology, in cancel patients. Design: Prolective cohort study. Setting: ICU of an oncological hospital, Mexico City. Patients: Three hundred ninety-eight patients. Interventions: None. Results: Mean age was 50 ± 18 years and ICU stay 3 days (median). There were 107 episodes of nosocomial infection in 68 patients and the cumulative incidence rate of nosocomial infection was 17 patients /100 discharges. The rate of ventilator-associated pneumonia was 43.8/100 days-ventilator, urinary tract infections 7.9/1000 days urinary-catheters and bacteriemia 3.7/1000 days-venous central catheters. Infections were detected in lungs 40 (37%), surgical wounds 23 (21%), urinary tract 17 (16%), blood 8 (7%) and others 19 (18%). It was found the following germs:gram-negative bacilli (36.4%), fungi (32.7%) and gram-positive cocci (30.9%). Conclusions: The nosocomial infection rate in our ICU is similar to the national rate.

REFERENCES

Ponce de León RS, García MLG, Volkow PF. Resultados iniciales de un programa de vigilancia de infecciones nosocomiales en los institutos nacionales de salud. Salud Pública Mex 1986; 28(6): 583-92.
Cortés BV, Casco JASJ, Benítez MC. Infecciones en una unidad de cuidados intensivos general. Rev Asoc Mex Med Crit Ter Inten 1987; 1(3): 15-20.
Olivares HM, Elizalde JJG, Peláez TM et al. Infección adquirida en terapia intensiva. Rev Asoc Mex Med Crit y Ter Inten 1990; 4: 174-178.
Rentería MCA, Pizaña AD, Morales IC. Gérmenes más frecuentes en la unidad de cuidados intermedios. Rev Asoc Mex Med Crit y Ter Inten 1993; 3: 99-104.
Muñoz JR, Fajardo RV, Aguilar TR et al. Infecciones nosocomiales en la unidad de cuidados intensivos. Rev Asoc Mex Med Crit Ter Inten 1993; 7(1): 11-16.
Benítez MC. Importancia de las infecciones en el enfermo crítico: análisis epidemiológico y características clínicas. Rev Iberolat C Inten 1996; 5(3 Supl): 2-7.
Sánchez-Velázquez LD, Rodríguez RS, Cerón UWD, Sierra AU. Infecciones nosocomiales en una unidad de terapia intensiva general. Rev Asoc Mex Med Crit Ter Inten 1997; 11(3): 64-70.
Sánchez-Velázquez LD, Vázquez SF, Huerta TJ. Infección nosocomial en una unidad de terapia intensiva. Experiencia de la Clínica Londres. Rev Asoc Mex Med Crit Ter Inten 1999; 13(6): 179-83.
Ponce de León RS, Molinar RF, Domínguez ChG, Rangel FMS, Vázquez MVG. Prevalence of infections in intensive care units in Mexico: A multicenter study. Crit Care Med 2000; 28: 1316-21.
Velasco E, Thuler LC, Martins CA, Días LM, Goncalves VM. Nosocomial infections in an oncology intensive care unit. Am J Infect Control 1997; 25(&): 458-62.
Berghmans T, Crokaert F, Markiewicz E, Sculier JP. Epidemiology in the adult medical intensive care unit of a cancer hospital. Support Care Cancer 1997; 5(3): 234-40.