Díaz MLM, Medina GM, Duque GAC, Miguélez NR

Language: Spanish
References: 0
Page: 197-210
PDF size: 118.31 Kb.

ABSTRACT

Introduction: Health-care associated infections are a global problem due to their economic, legal, ethical, and medical implications.
Objectives: To determine the behavior of health-care associated infections in the internal medicine service at Manuel Fajardo Hospital.
Methods: Descriptive, retrospective and cross-sectional study of 105 patients with health-care associated infections was conducted. These patients were admitted to the Internal Medicine Service at Manuel Fajardo Hospital, from January 2013 to December 2015. Descriptive statistics and national and international information were related to the results.
Results: The affected patients were mainly 60 or older, without differences in sex. The most common diagnosis was bronchopneumonia (55.2 %). The main comorbidities were hypertension (52.4 %), cerebrovascular accident (37.1 %), diabetes mellitus (35.2 %) and ischemic heart disease (35.2 %). Antibiotic biotherapy was the most common modality. In most cases an antibiotic therapy cycle was used, but it was often necessary to do two or more cycles of antibiotic treatment. Mortality showed a significant relationship with age and predominated in patients who were 60 or older and in patients with bronchopneumonia (40.3 %).
Conclusions: Health-care associated infections prevailed in an aging population, frequently associated with comorbidity, and mortality was mainly grouped in elderly patients with bronchopneumonia.