Ramirez Barba Ector Jaime, Rosenthal Victor Daniel, Higuera Francisco, Oropeza Martha Sobreyra, Hernández Hector Torres, López Martha Sánchez, Lona Elia Lara, Duarte Pablo, Ruiz Javier, Hernandez Raul Rojas, Chavez Amalia, Cerrato Irma Perez, Ramirez Gloria Elena, Safdar Nasia
Public Health Institute, Secretary of Health, Guanajuato, México.
Am J Infect Control. 2006 May;34(4):244-7. doi: 10.1016/j.ajic.2005.05.024.
Routine surveillance of nosocomial infections has become an integral part of infection control and quality assurance in US hospitals.
As part of the International Nosocomial Infection Control Consortium, we performed a prospective nosocomial infection surveillance cohort study in 5 adult intensive care units of 4 Mexican public hospitals using the Centers for Disease Control and Prevention National Nosocomial Infections Surveillance system definitions. Site-specific nosocomial infection rates were calculated.
The overall nosocomial infection rate was 24.4% (257/1055) and 39.0 (257/6590) per 1000 patient days. The most common infection was catheter-associated bloodstream infection, 57.98% (149/257), followed by ventilator-associated pneumonia, 20.23% (52/257), and catheter-associated urinary tract infection, 21.79% (56/257). The overall rate of catheter-associated bloodstream infections was 23.1 per 1000 device-days (149/6450); ventilator-associated pneumonia rate was 21.8 per 1000 device-days (52/2390); and catheter-associated urinary tract infection rate was 13.4 per 1000 device-days (56/4184).
Our rates are similar to other hospitals of Latin America and higher than US hospitals.
医院感染的常规监测已成为美国医院感染控制和质量保证不可或缺的一部分。
作为国际医院感染控制联盟的一部分，我们使用疾病控制与预防中心国家医院感染监测系统的定义，在墨西哥4家公立医院的5个成人重症监护病房进行了一项前瞻性医院感染监测队列研究。计算了特定部位的医院感染率。
总体医院感染率为24.4%（257/1055），每1000个患者日为39.0（257/6590）。最常见的感染是导管相关血流感染，占57.98%（149/257），其次是呼吸机相关性肺炎，占20.23%（52/257），以及导管相关尿路感染，占21.79%（56/257）。导管相关血流感染的总体发生率为每1000个器械日23.1例（149/6450）；呼吸机相关性肺炎发生率为每1000个器械日21.8例（52/2390）；导管相关尿路感染发生率为每1000个器械日13.4例（56/4184）。
我们的感染率与拉丁美洲的其他医院相似，但高于美国医院。
