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2014, Number 3

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Medisur 2014; 12 (3)

Characterization of Nosocomial Infection in a Pediatric Intensive Care Unit. Cienfuegos 2005-2009

Duany BLE, Losa PD, Ávila RM, Barletta CJE, Hernández MS, Gómez MA

Language: Spanish
References: 25
Page: 462-469
PDF size: 171.73 Kb.


ABSTRACT

Background: children can frequently develop nosocomial infections in pediatric intensive care units.
Objective: to characterize nosocomial infections in pediatric patients treated in intensive care units.
Methods: a retrospective case series study was conducted in the Intensive Care Unit at Pediatric Hospital of Cienfuegos, between 2005 and 2009. The sample consisted of 70 patients who developed nosocomial sepsis and were admitted directly to the service. The variables studied were age, procedures performed during hospitalization, type of sepsis by site, isolated germs, microbiological support (microbiology tests) and condition at discharge (recovered or deceased).
Results: nosocomial infections showed a rate of 3.2 per 100 patients discharged. Children under 1 year (41.4 %) were the most frequently affected. Pneumonia associated with mechanical ventilation was the most common infection (29.4%). Venous catheterization was used in all cases. Microbiology tests were performed in 84.2 % of cases, 85.3% of them had a positive result. Pseudomonas aeruginosa was the most frequently isolated bacteria and was also associated with highest mortality.
Conclusion: nosocomial sepsis in this service was more frequent in children under one year, as a result of mechanical ventilation. Malnutrition and chronic illness were an important predisposing factor in these patients.


REFERENCES

  1. Olaechea PM, Insausti J, Blanco A, Luque P. Epidemiología e impacto de las infecciones nosocomiales. Med Intensiva [revista en Internet]. 2010 [ cited 16 Ago 2013 ] ; 34 (4): [aprox. 23p]. Available from: http://scielo.isciii.es/scielo.php?pid=S0210-56912 010000400006&script=sci_arttext.

  2. Luján Hernández M. Tendencias y pronósticos de las infecciones nosocomiales en la Provincia de Cienfuegos. Rev Cubana Hig Epidemiol [revista en Internet]. 2002 [ cited 16 Ago 2013 ] ; 40 (1): [aprox. 9p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S1561-30032002000100004.

  3. Valverde Torres Y. Aspectos epidemiológicos y clínicos de la sepsis en niños ingresados en unidades de cuidados intensivos. MEDISAN [revista en Internet]. 2010 [ cited 16 Ago 2013 ] ; 14 (5): [aprox. 9p]. Available from: http://www.bvs.sld.cu/revistas/san/vol_14_5_10/s an12510.htm.

  4. Zaragoza Crespo R, Palomar Martínez M. Puesta al día de medicina intensiva sobre el enfermo crítico con infección grave: ¿qué hemos aprendido?. Med Intensiva [revista en Internet]. 2011 [ cited 24 Abr 2014 ] ; 35 (3): [aprox. 4p]. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext &pid=S0210-56912011000300008&lng=es.

  5. Olaechea PM, Insausti J, Blanco A, Luque P. Epidemiología e impacto de las infecciones nosocomiales. Rev Med Intensiva [revista en Internet]. 2010 [ cited 24 Abr 2014 ] ; 34 (4): [aprox. 26p]. Available from: http://scielo.isciii.es/pdf/medinte/v34n4/puesta2. pdf.

  6. Suárez Sarmiento EC, Bastanzuri Pagés M, González Piñera J, Talledo Ramos L, Almanza Martínez C, González Hernández T. Algoritmos para la vigilancia de la infección hospitalaria en una unidad de cuidados intensivos. Rev Cubana Med Trop [revista en Internet]. 2010 [ cited 24 Abr 2014 ] ; 62 (3): [aprox. 8p]. Available from: http://scielo.sld.cu/scielo.php?pid=S0375-076020 10000300003&script=sci_arttext.

  7. Izquierdo-Cubas F, Zambrano Cárdenas A, Frómeta Suárez I, Báster ampaña M, Durañones Rodríguez L, Santín Peña M. Resultados de la vigilancia de infecciones nosocomiales en Cuba. 2001-2007. Rev Cubana Hig Epidemiol [revista en Internet]. 2009 [ cited 24 Abr 2009 ] ; 47 (3): [aprox. 40p]. Available from: http://bvs.sld.cu/revistas/hie/vol47_3_09/hie0830 9.pdf.

  8. Morales García B, Báez Martínez R, Ibarra Bancas J, Ponce de León Rosales S. Validación de un programa de vigilancia de las infecciones nosocomiales. Salud Pública Méx [revista en Internet]. 1999 [ cited 24 Abr 2014 ] ; 14 Suppl 1: [aprox. 11p]. Available from: http://bvs.insp.mx/rsp/articulos/articulo.php?id=0 00668.

  9. Rodríguez B, Iraola M, Molina F, Pereira E. Infección hospitalaria en la Unidad de Cuidados Intensivos Polivalente de un hospital universitario cubano. Rev Cubana Invest Biomed [revista en Internet]. 2006 [ cited 18 Abr 2013 ] ; 25 (3): [aprox. 11p]. Available from: http://bvs.sld.cu/revistas/ibi/vol25_3_06/ibi03306. htm.

  10. Ministerio de Salud Pública. Anuario Estadístico de Salud. La Habana: Ministerio de Salud Pública; 2008.

  11. Díaz E, Lorente L, Valles J, Rello J. Neumonía asociada a la ventilación mecánica. Med Intensiva [revista en Internet]. 2010 [ cited 18 Abr 2013 ] ; 34 (5): [aprox. 17p]. Available from: http://scielo.isciii.es/scielo.php?pid=S0210-56912 010000500005&script=sci_arttext.

  12. Falcó V, Burgos J. Neumonía neumocócica: cambios epidemiológicos, diagnósticos y terapéuticos. Enferm Infecc Microbiol Clin [revista en Internet]. 2011 [ cited 18 Abr 2013 ] ; 29 (4): [aprox. 6p]. Available from: http://zl.elsevier.es/es/revista/enfermedades-infe cciosas-microbiologia-clinica-28/neumonia-neum ococica-cambios-epidemiologicos-diagnosticos-te rapeuticos-90002583-editorial-2011.

  13. Ruiz JP, García O, Medina C. Malnutrición en pacientes con patología quirúrgica en cirugía general: Hospital de San José, marzo 2009 a agosto 2009. Repert Med Cir [revista en Internet]. 2010 [ cited 18 Abr 2013 ] ; 19 (2): [aprox. 14p]. Available from: http://repertorio.fucsalud.net/repertorio/pdf/vol19 -02-2010/155-160.pdf.

  14. Álvarez Lerma F, Sierra Camerino R, Álvarez Rocha L, Rodríguez Colomo Ó. Política de antibióticos en pacientes críticos. Med Intensiva [revista en Internet]. 2010 [ cited 18 Abr 2013 ] ; 34 (9): [aprox. 20p]. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext &pid=S0210-56912010000900005.

  15. González Aguilera JC, Fonseca Muñoz JC, González Pompa JA, Rosabal Rosales DD, Marin Montejo ML. Infección relacionada con los cuidados sanitarios en la unidad de cuidados intensivos. MULTIMED [revista en Internet]. 2012 [ cited 26 Feb 2013 ] ; 16 (3): [aprox. 19p]. Available from: http://www.multimedgrm.sld.cu/articulos/2012/v1 6-3/2.html.

  16. Luján Hernández M, García Hernández E. Riesgo de infección intrahospitalaria en la unidad de cuidados neonatales. Medisur [revista en Internet]. 2006 [ cited 18 Abr 2013 ] ; 4 (1): [aprox. 8p]. Available from: http://www.medisur.sld.cu/index.php/medisur/arti cle/view/173/4861#.

  17. Hernández Orozco H, Castañeda Narváez JL, González Saldaña N. Infecciones nosocomiales asociadas a métodos invasivos en un hospital pediátrico de alta especialidad. Rev Enfer Infec Pediatr. 2009 ; 22 (8): 115-20.

  18. Dudeck MA, Horan TC, Peterson KD, Allen-Bridson K, Morrell G, Pollock DA, Edwards JR. National Healthcare Safety Network (NHSN) Report, Data Summary for 2011, device-associated module [Internet]. Atlanta: CDC; 2013. [ cited 20 Dic 2013 ] Available from: http://www.cdc.gov/nhsn/PDFs/dataStat/NHSN-Re port-2011-Data-Summary.pdf.

  19. Sandoval M, Guevara A, Torres K, Viloria V. Epidemiología de las infecciones intrahospitalarias por el uso de catéteres venosos centrales. Kasmera [revista en Internet]. 2013 [ cited 16 Sep 2013 ] ; 41 (1): [aprox. 15p]. Available from: http://www.scielo.org.ve/scielo.php?script=sci_art text&pid=S0075-52222013000100002.

  20. Kanj S, Kanafani Z, Sidani N, Alamuddin L, Zahreddine N, Rosenthal V. International nosocomial infection control consortium findings of device-associated infections rate in an intensive care unit of a Lebanese university hospital. J Glob Infect Dis. 2012 ; 4 (1): 15-21.

  21. Dogru A, Sargin F, Celik M, Sagiroglu AE, Goksel MM, Sayhan H. The rate of Device-Associated Nosocomial Infections in a Medical Surgical Intensive Care Unit of a training and research hospital in Turkey: one years-outcome. Jpn J Infect Dis. 2010 ; 63 (2): 95-8.

  22. Inan A, Ozgultekin A, Akcay SS, Engin DO, Turan G, Ceran N, et al. Alterations in Bacterial Spectrum and Increasing Resistance Rates in Isolated Microorganism from Device-Associated Infections in an Intensive Care Unit of a Teaching Hospital in Istanbul (2004-2010). Jpn J Infect Dis. 2012 ; 65 (2): 146-51.

  23. Allegranzi B, Bagheri S, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet. 2011 ; 377 (9761): 228-41.

  24. Guggenbichler J, Assadian O, Boeswald M, Kramer A. Incidence and clinical implication of nosocomial infections associated with implantable biomaterials-catheters, ventilator-associated pneumonia, urinary tract infections. GMS Krankenhhyg Interdiszip. 2011 ; 6 (1): Doc18.

  25. Ávila González JL. Método práctico para el diagnóstico y control de un brote de infección intrahospitalaria en un servicio de neonatología. Rev Cubana Salud Pública [revista en Internet]. 2011 [ cited 27 May 2013 ] ; 37 (4): [aprox. 11p]. Available from: http://scielo.sld.cu/scielo.php?pid=S0864-346620 11000400008&script=sci_arttext.




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