Clinical-epidemiological characteristics of patients with hospital acquired infections in a service of internal medicine from Santiago de Cuba
Keywords:
hospital acquired infection, Klebsiella pneumoniae, internal medicine rooms, bacterial bronchopneumonia.Abstract
Introduction: The cross or hospital infections constitute an important health problem in all the hospitals of the world.
Objective: To describe the clinical and epidemiological characteristics of patients with hospital infections.
Methods: A descriptive and cross-sectional study of 57 patients with hospital acquired infections was carried out. They were admitted to the Internal Medicine Service of Saturnino Lora Clinical-surgical Teaching Provincial Hospital of Santiago de Cuba, from October to December, 2019, for which the variables age, associated diseases, predisposing factors, type of infection and isolated germs were analyzed.
Results: In the series the 60-69 years age group and hypertension as concomitant chronic disease (26.0 %) were notable. Among the predisposing factors nicotine addiction (32.8 %) was more frequent and the preponderant type of infection was the bacterial bronchopneumonia (47.0 %) whose causal germ in most of the cases (35.1 %) was the Klebsiella pneumoniae.
Conclusions: The hospital acquired infections mainly afflicted patients of advanced age with associated chronic diseases, as diabetes mellitus and hypertension. It is necessary to highlight the importance of knowing the existent microbial flora in the service where the infection is acquired, in order to achieve boththe prevention, the opportune diagnosis and the appropriate treatment.
Downloads
References
2. Watkins J, Gross C, Godfrey-Johnson D, Allen-Bridson K, Hebden JN, Wright MO. Healthcare-associated infections studies project: An American Journal of Infection Control and National Healthcare Safety Network data quality collaboration. Am J Infect Control. 2021 [citado 27/09/2021];49(8):1075-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7948031/pdf/main.pdf
3. Tartari E, Tomczyk S, Pires D, Zayed B, Coutinho Rehse AP, Kariyo P, et al. Implementation of the infection prevention and control core components at the national level: a global situational analysis. J Hosp Infect. 2021 [citado 27/09/2021];108:94-103. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7884929/
4. Hernández Palazón J, Fuentes García D, Burguillos López S, Domenech Asensio P, Sansano Sánchez TV, Acosta Villegas F. Análisis de la insuficiencia de órganos y mortalidad en la sepsis por peritonitis secundaria. Med Intensiva. 2013 [citado 16/05/2020];37(7):461-7. Disponible en: https://www.medintensiva.org/es-pdf-S0210569112002501
5. Cerda Cortaza JL, López Reyna MA. Resultados de la reanimación preoperatoria en sepsis grave y choque séptico en pacientes con infección intraabdominal. Cir Gen. 2014 [citado 16/05/2020];36(4):199-204. Disponible en: http://www.elsevier.es/es-revista-cirujano-general-218-pdf-X1405009914739699-S300
6. Valdéz Suárez O. ¿Puede ser prevenida la disfunción endotelial en el paciente crítico? Revista Cubana de Medicina Intensiva y Emergencia. 2015 [citado 16/05/2020];14(4):82-9. Disponible en: http://www.revmie.sld.cu/index.php/mie/article/view/119/html_35
7. Rodríguez-Montoya R, Sandoval-Oliva V, Cabrejo Paredes J, Chacón Angulo N, Chinquinta Ramos G, Rodríguez Montoya M. Variables asociadas a costos en Cuidados intensivos. Rev Asoc Mex Med Crit Ter Int. 2015 [citado 16/05/2020];29(3):138-44. Disponible en: https://www.medigraphic.com/pdfs/medcri/ti-2015/ti153c.pdf
8. Pérez Abreu M, Gómez Tejeda J, Cruz Díaz J, Diéguez Guach R. Infecciones nosocomiales en la Unidad de Cuidados Intensivos del Hospital General de Gibara: 2013-2018. Correo Científico Médico. 2021 [citado 27/09/2021];25(3). Disponible en: http://www.revcocmed.sld.cu/index.php/cocmed/article/view/3776/1971
9. Pérez Verea L, Fernández Ferrer A, Olivera Reyes Y, Puig Miranda Y, Rodríguez Méndez A. Infecciones nosocomiales y resistencia antimicrobiana. Rev Cub Med Int Emerg. 2019 [citado 16/05/2020];18(1):1-17. Disponible en: http://www.revmie.sld.cu/index.php/mie/article/view/475/html_191
10. Pertuz-Meza Y, Pérez-Quintero C, Pabón-Varela Y. Aspectos epidemiológicos de la sepsis, en unidades de cuidados intensivos Santa Marta, Colombia. Duazary. 2016 [citado 17/05/2020];13(2):126-32. Disponible en: https://revistas.unimagdalena.edu.co/index.php/duazary/article/view/1718/1215
11. Ortiz-Ramírez L, Agudelo-Restrepo C, Patiño-López M, Builes-Manrique D, Ocampo-Higuita D, Becerra-Mateus JC, et al. Factores asociados: características clínicas, microbiológicas y perfiles de resistencia en infecciones urinarias asociadas a catéter en dos hospitales de alta complejidad. Infectio. 2022 [citado 07/02/2022];26(2):161-7. Disponible en: http://www.scielo.org.co/pdf/inf/v26n2/0123-9392-inf-26-02-161.pdf
12. Daryabor G, Atashzar MR, Kabelitz D, Meri S, Kalantar K. The Effects of Type 2 Diabetes Mellitus on Organ Metabolism and the Immune System. Front Immunol. 2020 [citado 23/05/2020];11:1582. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7387426/
13. Saleem Z, Godman B, Hassali MA, Hashmi FK, Azhar F, Rehman IU. Point prevalence surveys of health-care-associated infections: a systematic review. Pathog Glob Health. 2019 [citado 16/05/2020];113(4):191-205. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758614/
14. Huerta-Gutiérrez R, Braga L, Camacho-Ortiz A, Díaz-Ponce H, García Mollinedo L, Guzmán-Blanco M, et al. One-day point prevalence of health care-associated infections and antimicrobial use in four countries in Latin America. Int J Infect Dis. 2019 [citado 23/05/2020];86:157-66. Disponible en: https://www.sciencedirect.com/science/article/pii/S1201971219302619/pdfft?md5=4505d8e4f1c62bba126794692e78527b&pid=1-s2.0-S1201971219302619-main.pdf
15. Braga IA, Campos PA, Gontijo-Filho PP, Ribas RM. Multi-hospital point prevalence study of healthcare-associated infections in 28 adult intensive care units in Brazil. J Hosp Infect. 2018;99(3):318-24.
16. Artero A, Inglada L, Gómez-Belda A, Capdevila JA, Diez LF, Arca A, et al. The clinical impact of bacteremia on outcomes in elderly patients with pyelonephritis or urinary sepsis: A prospective multicenter study. PLoS One. 2018 [citado 17/05/2020];13(1):e0191066. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5783370/
17. Léotoing L, Barbier F, Dinh A, Breilh D, Chaize G, Vainchtock A, et al. French hospital discharge database (PMSI) and bacterial resistance: Is coding adapted to hospital epidemiology? Med Mal Infect. 2018 [citado 17/05/2020];48(7):465-73. Disponible en: https://www.sciencedirect.com/science/article/pii/S0399077X17307072/pdfft?md5=2da048e3bdeba885f5c31482273af5b7&pid=1-s2.0-S0399077X17307072-main.pdf
18. Papazian L, Klompas M, Luyt CE. Ventilator-associated pneumonia in adults: a narrative review. Intensive Care Med. 2020 [citado 23/01/2021];46(5):888–906. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7095206/
19. Pillonetto M, de Souza Jordão RT, Andraus GS, Bergamo R, Barreto Rocha FB, Onishi MC, et al. The Experience of Implementing a National Antimicrobial Resistance Surveillance System in Brazil. Front Public Health. 2021 [citado 27/09/2021];8:575536. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7841397/
20. World Health Organization. WHO report on surveillance of antibiotic consumption: 2016-2018 early implementation. Geneva: WHO; 2018 [citado 10/03/2020]. Available from: https://apps.who.int/iris/rest/bitstreams/1167986/retrieve
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.