Factores relacionados con infección nosocomial en pacientes con laparostomía contenida en la UCI del Hospital Luis Vernaza
Fecha
2017
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Frente a la prevalencia de infección nosocomiales en paciente con laparostomía contenidas, es prioritario determinar los factores relacionados y establecer normas de prevención para disminuir la morbimortalidad. Objetivo: Determinar los facores relacionados con infección nosocomial en papcientes con laparosotomía contenida en la UCI del Hospital LUis Vernaza durante el año 2016. Metodología: Diseño de investigación no experimental, descriptiva, analítica de corte transversal. Resultados: Cumplimiento de los objetivos y políticas de calidad 88,89%. Cumplimiento con los cultivados para detección de agentes microbianos 75%. Participación en talleres para prevención de infecciones 75%. La laparotomía presentó una mortalidad del 4% en los pacientes con tratamientos de inmunosupresores. La mortalidad por IN asociadas por sepsis abdominal fue del 52,94%. El grupo etario con mayor incidencia fue 70 a 89 años de edad con el 20,59%. Asociación mortalidad y la estanci hospitalaria del 26,47% en mujeres que permanecieron hasta 46 días y 26,47% en hombres que permanecieron hasta 62 días. Agentes causles relacionados con la mortalidad: KPC con el 15,25% y las infecciones por E. Coli Blee con 10,17%. Los antibioticos vacomicina y el tazobactan con la piperacilina se los utilizó en el 57% con una resistencia del 30,51% Conclusiones: Mediante normas de prevención se evitarán asentamiento de infecciones nosocomiales, en los pacientes con sepsis abdominal y trauma abdominal severo que son expuesto a Laparostomía Contenida y cumplen procesos de revisiones constantes, exponiendo al medio la cavidad peritoneal, por lo que es imperativo el control de los factores de riesgos
In view of the prevalence of nosocomial infection in a patient with contained laparostomy, it is a priority to determine the related factors and establish prevention norms to reduce morbidity and mortality. Objective: To determine the factors related to nosocomial infection in patients with laparosotomy contained in the ICU of the LUis Vernaza Hospital during 2016. Methodology: Design of non-experimental, descriptive, cross-sectional analytical research. Results: Compliance with quality objectives and policies 88.89%. Compliance with those grown for detection of 75% microbial agents. Participation in workshops for infection prevention 75%. Laparotomy presented a mortality of 4% in patients with immunosuppressive treatments. The mortality due to IN associated with abdominal sepsis was 52.94%. The age group with the highest incidence was 70 to 89 years old with 20.59%. Association mortality and hospital stay of 26.47% in women who remained up to 46 days and 26.47% in men who remained up to 62 days. Causal agents related to mortality: KPC with 15.25% and E. Coli Blee infections with 10.17%. The antibiotics vacomycin and tazobactan with piperacillin were used in 57% with a resistance of 30.51%. Conclusions: By means of prevention regulations we will avoid settlement of nosocomial infections, in patients with abdominal sepsis and severe abdominal trauma who are exposed to Contained Laparostomy and comply with constant review processes, exposing the peritoneal cavity to the environment, so it is imperative to control risk factors
In view of the prevalence of nosocomial infection in a patient with contained laparostomy, it is a priority to determine the related factors and establish prevention norms to reduce morbidity and mortality. Objective: To determine the factors related to nosocomial infection in patients with laparosotomy contained in the ICU of the LUis Vernaza Hospital during 2016. Methodology: Design of non-experimental, descriptive, cross-sectional analytical research. Results: Compliance with quality objectives and policies 88.89%. Compliance with those grown for detection of 75% microbial agents. Participation in workshops for infection prevention 75%. Laparotomy presented a mortality of 4% in patients with immunosuppressive treatments. The mortality due to IN associated with abdominal sepsis was 52.94%. The age group with the highest incidence was 70 to 89 years old with 20.59%. Association mortality and hospital stay of 26.47% in women who remained up to 46 days and 26.47% in men who remained up to 62 days. Causal agents related to mortality: KPC with 15.25% and E. Coli Blee infections with 10.17%. The antibiotics vacomycin and tazobactan with piperacillin were used in 57% with a resistance of 30.51%. Conclusions: By means of prevention regulations we will avoid settlement of nosocomial infections, in patients with abdominal sepsis and severe abdominal trauma who are exposed to Contained Laparostomy and comply with constant review processes, exposing the peritoneal cavity to the environment, so it is imperative to control risk factors
Descripción
PDF
Palabras clave
Infección hospitalaria, Técnicas de abdomen abierto, Factores de riesgo, Medicina preventiva, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador, Unidades de Cuidados Intensivos