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[秘鲁利马一家国立医院重症监护病房中与侵入性器械相关的医院感染]

[Nosocomial infections associated to invasive devices in the intensive care units of a national hospital of Lima, Peru].

作者信息

Chincha Omayra, Cornelio Elia, Valverde Violeta, Acevedo Mónica

出版信息

Rev Peru Med Exp Salud Publica. 2013 Oct-Dec;30(4):616-20.

Abstract

In order to describe the incidence of nosocomial infections associated to invasive devices in intensive care units (UCI) of the National Hospital Cayetano Heredia, a retrospective observational study was conducted using the data from the Office of Epidemiology and Environmental Health from 2010 to 2012. A total number of 222 nosocomial infections were reported; the general medicine UCI reported the highest incidence of pneumonia cases associated to a mechanical ventilator in 1000 days of use of the device (28.6); infection of the blood stream associated to central venous catheter (11.9), and infection of the urinary tract associated to a catheter (8,1). The main infectious agents isolated were Pseudomona sp. (32.3%) in the emergency UCI, negative Staphylococcus coagulasa (36%) in the general medicine UCI and Candida sp (69.2%) in the Surgery UCI. The rates of infections associated to invasive devices were high as in other national hospitals with limited resources and infrastructure.

摘要

为描述卡耶塔诺·埃雷迪亚国立医院重症监护病房(ICU)中与侵入性设备相关的医院感染发生率,利用2010年至2012年流行病学与环境卫生办公室的数据进行了一项回顾性观察研究。共报告了222例医院感染;普通内科ICU报告了在设备使用1000天中与机械通气相关的肺炎病例的最高发生率(28.6);与中心静脉导管相关的血流感染(11.9),以及与导尿管相关的尿路感染(8.1)。分离出的主要感染病原体在急诊ICU中为假单胞菌属(32.3%),在普通内科ICU中为凝固酶阴性葡萄球菌(36%),在外科ICU中为念珠菌属(69.2%)。与侵入性设备相关的感染率很高,与其他资源和基础设施有限的国立医院情况相同。

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