Agentes multiresistentes en asociación con la mortalidad en UCI
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Las infecciones relacionadas a las instituciones de salud, se encuentran asociadas al
incremento de la morbimortalidad hospitalaria y condiciona un gasto en los costos sociales
y económicos. El objetivo fue determinar los agentes bacterianos multiresistentes
asociados a mortalidad en cuidados intensivos en el Hospital General Del Norte De
Guayaquil Los Ceibos durante el periodo de enero a junio del 2018, Identificar los agentes
bacterianos y su perfil de sensibilidad a drogas, causas de mortalidad de pacientes de la UCI.
Mediante un estudio descriptivo, transversal, retrospectivo, observacional con un universo
coincidente a la muestras de 80 pacientes. Obteniéndose los siguientes resultados: Los
gérmenes más asociados a la tasa de mortalidad en la UCI, fueron Klebsiella pneumoniae
40 pacientes (50%); Acinetobacter baumanii 20 pacientes (25%); Staphylococcus
epidermidis 15 pacientes (18,75%); y Pseudomona aeruginosa 5 pacientes correspondiente
(6,25%); Los agentes bacterianos con mayor porcentaje de sensibilidad fueron Klebsiella
pneumoniae 50%; colistina y Acinetobacter baumanii 25% amikacina. Determinamos las
causas de mortalidad: neumonía asociada a ventilación mecánica 43,75%; infecciones
asociada a catéter intravascular 25%; uro sepsis asociada a asociada a catéter intravesical
18,75%; shock séptico asociado a otras causas 12,5%. Los agentes etiológicos prevalentes
en infecciones intrahospitalarias, de la Unidad de Cuidados Intensivos del Hospital General
del Norte del IESS Los Ceibos (2017-2018) fueron: Klebsiella pneumoniae, Acinetobacter
baumanii, Sstaphylococcus epidermidis, Pseudomona aeruginosa lo cual permite obtener
el perfil epidemiológico bacteriano de esta unidad de cuidados críticos
Infections related to health institutions are associated with an increase in hospital morbidity and mortality and condition an expenditure on social and economic costs. The objective was to determine the multiresistant bacterial agents associated with mortality in intensive care at the General Del Norte Hospital in Guayaquil Los Ceibos during the period from January to June 2018, to identify bacterial agents and their sensitivity to drugs, causes of mortality patients of the ICU. Through a descriptive, cross-sectional, retrospective, observational study with a universe coinciding with the samples of 80 patients. Obtaining the following results: The germs most associated with the mortality rate in the ICU were Klebsiella pneumoniae 40 patients (50%); Acinetobacter baumanii 20 patients (25%); Staphylococcus epidermidis 15 patients (18.75%); and Pseudomonas aeruginosa 5 corresponding patients (6.25%); The bacterial agents with the highest percentage of sensitivity were Klebsiella pneumoniae 50%; colistin and Acinetobacter baumanii 25% amikacin. We determined the causes of mortality: pneumonia associated with mechanical ventilation, 43.75%; infections associated with intravascular catheter 25%; uro sepsis associated to intravesical catheter associated 18.75%; Septic shock associated with other causes 12.5%. The etiological agents prevalent in nosocomial infections, of the Intensive Care Unit of the North General Hospital of IESS Los Ceibos (2017-2018) were: Klebsiella pneumoniae, Acinetobacter baumanii, Sstaphylococcus epidermidis, Pseudomonas aeruginosa, which allows to obtain the bacterial epidemiological profile of this critical care unit.
Infections related to health institutions are associated with an increase in hospital morbidity and mortality and condition an expenditure on social and economic costs. The objective was to determine the multiresistant bacterial agents associated with mortality in intensive care at the General Del Norte Hospital in Guayaquil Los Ceibos during the period from January to June 2018, to identify bacterial agents and their sensitivity to drugs, causes of mortality patients of the ICU. Through a descriptive, cross-sectional, retrospective, observational study with a universe coinciding with the samples of 80 patients. Obtaining the following results: The germs most associated with the mortality rate in the ICU were Klebsiella pneumoniae 40 patients (50%); Acinetobacter baumanii 20 patients (25%); Staphylococcus epidermidis 15 patients (18.75%); and Pseudomonas aeruginosa 5 corresponding patients (6.25%); The bacterial agents with the highest percentage of sensitivity were Klebsiella pneumoniae 50%; colistin and Acinetobacter baumanii 25% amikacin. We determined the causes of mortality: pneumonia associated with mechanical ventilation, 43.75%; infections associated with intravascular catheter 25%; uro sepsis associated to intravesical catheter associated 18.75%; Septic shock associated with other causes 12.5%. The etiological agents prevalent in nosocomial infections, of the Intensive Care Unit of the North General Hospital of IESS Los Ceibos (2017-2018) were: Klebsiella pneumoniae, Acinetobacter baumanii, Sstaphylococcus epidermidis, Pseudomonas aeruginosa, which allows to obtain the bacterial epidemiological profile of this critical care unit.
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INFECCIÓN HOSPITALARIA, AGENTES MULTIRESISTENTES, MORTALIDAD, UNIDADES DE CUIDADOS INTENSIVOS, EPIDEMIOLOGÍA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, HOSPITAL DEL IESS LOS CEIBOS, RESPIRACIÓN ARTIFICIAL, SEPSIS, CANTÓN GUAYAQUIL, ECUADOR