Abstract

ESPINOSA RIVERA, Fidel; HART CASARES, Marcia; HALLEY POSADA, María del Carmen  and  ZAMORA MARIN, René. Multidisciplinary control of nosocomial infection in tertiary level hospital. Rev cubana med [online]. 2011, vol.50, n.1, pp. 40-48. ISSN 1561-302X.

Basis and objective: The great isolation and spreading of multiresistance germs in care units to critical patients, contribute to increase of stay, costs, hospital morbidity and mortality only controlled with an efficient, multidisciplinary and interdisciplinary work by physician groups. Methods: The main microorganisms are showed isolated in 2008, with its resistance patterns of admitted patients. A methodology for the hospital sepsis control is presented by the interdisciplinary groups according to the proposed work algorithm. Results: Acinetobacter sp was in the first place over 2008 included into the more frequent isolated germs being the causal agent of more reports on hospital infection with high patterns of resistance to all in vitro study antibiotics, in particular, to Ceftriaxione with the 98.1 %; for Colistin the resistance was only of 2 %. The resistance of Escherichia coli, Klebsiella sp and Enterobacter sp to Ceftriaxione was of 59.4, 75 and 83.3 %, respectively. Conclusion: The multidisciplinary and interdisciplinary work of all medical specialties and expert groups is essential to control the appearance and spreading of nosocomial infections provoked by multiresistance germs of great isolation frequency at present time. The high bacterial resistance of main isolated microorganisms to Ceftriaxone is a work objective for its prevention by the different committees or medical expert groups.

Keywords : Nosocomial infection; resistance; multiresistance; bacterial strain; cephalosporines; cefotaxime; ceftazidim; ceftriaxone.

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