Pacheco MM, Oliva SJE, Ordóñez ÁLY, González MML

Language: Spanish
References: 0
Page: 14-24
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ABSTRACT

Introduction: multiresistant microorganisms are epidemiologically defined as those that are antibiotic resistant; to one or more types of antibiotics.
Objective: to characterize antimicrobial resistance in the Intensive Care Units at Abel Santamaria Cuadrado General Hospital, from June to December 2015.
Methods: an observational, descriptive and cross-sectional study was conducted. The sampling universe was composed of all germs isolated in different cultures at the intensive care units of Abel Santamaria Cuadrado General Teaching Hospital, from June to December 2015.The sample consisted of 418 germs (n = 418), which were isolated in different cultures during the corresponding months. Data were obtained through microbiological maps provided by the Microbiology Laboratory at Abel Santamaria Cuadrado General Teaching Hospital.
Results: Gram negative germs prevailed over Gram positive, Enterobacteriaceae and coagulase-negative Staphylococcus epidermis were the most representative for each group respectively. The microbiological culture showing the highest rate of isolation was the one corresponding to the endotracheal secretions. Cephalosporins were the antibiotic group with the highest antimicrobial resistance, and among them ceftriaxone (Rocephin) was the antibiotic showing the highest rate of resistance by the main germs.
Conclusions: the presence of microorganisms having resistance to multiple antibiotics complicates the management and evolution of critically-ill patients. The intensive care professionals, in their daily activity, face this problem because of their responsibility for the prevention and control of complications, and the challenge to prescribe appropriate antibiotic therapy for a possible infection was proved.