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2013, Number 2

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Rev Cub Med Mil 2013; 42 (2)

Nosocomial sepsis in Multipurpose Intensive Care Units

Nistal MJ, García GA, Miranda GO, Gutiérrez GL, Planes NN, García GME

Language: Spanish
References: 15
Page: 191-200
PDF size: 142.11 Kb.


ABSTRACT

Introduction: the prevalence of nosocomial sepsis in Intensive Care Units is 20-57 cases per 1000 patients daily what constitutes an important health problem.
Objective: to determine the incidence of nosocomial sepsis in a Multipurpose Intensive Care Unit.
Methods: a descriptive retrospective study was performed. The sample was composed of 682 patients. The patients under study were those who presented some type of nosocomial infection. Complementary exams, clinical signs and factors predicting a bad prognosis were all analysed. Risk factors associated to sepsis were taken into account.
Results: 153 patients developed nosocomial sepsis. It predominated in men who represented a 69.3 %. The mean age was 56 years. The group over 70 years of age had the highest incidence. The 47.06 % of sepsis had a clinical cause. A 66.01 % of the cases developed respiratory infections. The 88.20 % presented factors that predict a bad prognosis, being the temperature elevation over 39 o C the most frequent one. The 98.04 % of patients had risk factors to develop sepsis. Acinetobacter calcoaceticus was isolated in a 33.33 % of the cases and Klebsiella pneumoniae was isolated in the 30.07 % of the cases as well.
Conclusions: the high rates of nosocomial infections had a clinical cause. Almost all patients presented signs predicting a bad prognosis and the most isolated germs were the Acinetobacter calcoaceticus and the Klebsiella pneumoniae.


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