Bacterias causantes de IAAS en pacientes de UCI del IESS Portoviejo
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Las IAAS son infección que los pacientes adquieren aproximadamente 72 horas después de su ingreso a una institución de salud y estas no se habían manifestado y no estaban en periodo de incubación en el momento de su ingreso, estas pueden ser causadas por diferentes agentes infecciosos como son virus, bacterias, hongos. Las IAAS son consideradas como un evento perjudicial producto de una atención inadecuada Objetivo determinar las bacterias causantes de IAAS aisladas en muestras biológicas obtenidas de pacientes hospitalizados en el área de UCI del hospital IEES Portoviejo en el periodo de junio a diciembre del 2015. Metodología: No experimental de corte transversal, correlacional; se fundamenta en la recolección de datos durante el periodo establecido incluyendo a los paciente que cumplieron con los criterios de inclusión. Resultados: se revisaron 268 historias clínicas de las cuales se tomaron 75 que fueron las que cumplieron con los criterios de inclusión, se obtuvo un porcentaje de bacterias Gram negativas de un 72% y dentro de este grupo tenemos una frecuencia de klebsiella pneumonie de un 29,63%, seguida de pseudomona aureginosa en un 25,78%, y E.coli con un 20,37%. Las muestras biológicas con mayor importancia clínica para este estudio fueron los hemocultivos y seguida y los aspirados traqueales, y por último pero no menos importante los urocultivos. Conclusiones: al realizar este estudio se determinó que las bacterias más frecuentes fueron la klebsiella pneumonie y de segunda la pseudomona auriginosa y las infecciones de mayor importancia clínica son las bacteriemias y neumonías.
The IAAS are infection that patients acquire approximately 72 hours after admission to a health institution and these had not manifested itself and were not in incubation period at the time of their entry, they can be caused by different infectious agents such as viruses, bacteria, fungi. The IAAS are considered a harmful event product of inadequate care objective determine the bacteria that cause IAAS isolated in biological samples obtained from patients hospitalized in the ICU of the Hospital IESS Portoviejo area in the period of june to december 2015. Methodology: non-experimental of cross section, correlational; is based on data collection for the period including the patient who met the inclusion criteria. results is reviewed 268 stories clinical of which is took 75 that were that met with the criteria of inclusion, is obtained a percentage of bacteria gram negative of a 72% and within this group have a frequency of klebsiella pneumoniae of a 29,63%, followed of pseudomonas aureginosa in a 25,78%, and E.coli with a 20,37%. Them samples biological with greater importance clinical for this study were the blood cultures and followed and them aspirated tracheal, and last but not less important them urine cultures. Conclusions when this study was determined that the most frequent bacteria were klebsiella pneumoniae and second the pseudomonas aeruginosa and more clinically important infections are bacteremia and pneumonia.
The IAAS are infection that patients acquire approximately 72 hours after admission to a health institution and these had not manifested itself and were not in incubation period at the time of their entry, they can be caused by different infectious agents such as viruses, bacteria, fungi. The IAAS are considered a harmful event product of inadequate care objective determine the bacteria that cause IAAS isolated in biological samples obtained from patients hospitalized in the ICU of the Hospital IESS Portoviejo area in the period of june to december 2015. Methodology: non-experimental of cross section, correlational; is based on data collection for the period including the patient who met the inclusion criteria. results is reviewed 268 stories clinical of which is took 75 that were that met with the criteria of inclusion, is obtained a percentage of bacteria gram negative of a 72% and within this group have a frequency of klebsiella pneumoniae of a 29,63%, followed of pseudomonas aureginosa in a 25,78%, and E.coli with a 20,37%. Them samples biological with greater importance clinical for this study were the blood cultures and followed and them aspirated tracheal, and last but not less important them urine cultures. Conclusions when this study was determined that the most frequent bacteria were klebsiella pneumoniae and second the pseudomonas aeruginosa and more clinically important infections are bacteremia and pneumonia.
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Unidades de Cuidados Intensivos, Pacientes hospitalizados, Infección, Hospital IESS Portoviejo, Cantón Portoviejo, Ecuador