Galván-Meléndez MF, Castañeda-Martínez LY, Galindo-Burciaga M, Morales-Castro ME

Language: Spanish
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ABSTRACT

Background: Infections associated with health care (HAIs) are a direct result of comprehensive hospitalized inpatient care; the environment plays an important role where from the nosocomial pathogens guests spread in different ways, and they are characterized by increased virulence and antimicrobial resistance. HAIs are a major public health worldwide, more emphasis in emerging countries like Mexico.
Objetive: Identify infections associated with health care and it´s antimicrobial resistance in a Hospital of ISSSTE.
Material and Methods: Descriptive, observational and retrospective study. Medical records that had positive culture results were reviewed; HAIs 100 confirmed cases in 76 patients were included; the definition of the Mexican official standard - 045 was used. Descriptive statistics were applied in SPSS^®v22, the information obtained was kept confidential.
Results: It was obtained from the patients age 15.3 ± 63.8 years and a hospital stay of 19 (3-223) days; 51% were male. Strains that were the most isolated from HAIs were Escherichia coli, Pseudomonas aeruginosa and Staphylococcus epidermidis; the highest percentage was antimicrobial resistance to ampicillin, penicillin and oxacillin; the catheter was the most widely used medical implement 97%, and urine culture requested the study with 30%.
Conclusions: HAIs found are partly failures in the hospital basic sanitation; High antimicrobial resistance was found in some antibiotics introduced every day. This invites us to reflect on tighter to implement strategies that actually control these public health problems surveillance.