Abstract

RODRIGUEZ LLERENA, Belkys; IRAOLA FERRER, Marcos; MOLINA DIAZ, Félix  and  PEREIRA VALDES, Eddy. Hospital infection at the Polyvalent Intensive Care Unit of a Cuban university hospital. Rev Cubana Invest Bioméd [online]. 2006, vol.25, n.3, pp. 0-0. ISSN 1561-3011.

Summary A retrospective descriptive study of 212 patients with hospital infection was undertaken. Acts and statistical reports were reviewed to obtain indicators such as hospital infection rates, types of hospital infections, deceased individuals and isolated microorganisms. The infection risk of some procedures was expressed by accumulated incidence rate per 100 patients and incidence density x 1 000 d of the procedure. The average hospital infection was 7.9 %. 247 hospital infections were reported. The respiratory infection showed the highest incidence with predominance in patients that receive mechanical ventilation. This procedure presented the greatest risk rates. Multiresistant Acinetobacter baumannii and staphylococcus prevailed in the 244 isolates. Of the reported patients, 28.3 % died associated with hospital infections and 6.7 for this reason. Hospital infection in this unit has maintained acceptable general rates with predominance of the respiratory infection in patients undergoing mechanical ventilation and of intravascular infection in patients with inserted intravenous catheters, procedures with a high risk proved. The presence of Acinetobacter baumanni and staphylococcus as the most isolated microorganisms demand a better control and prevention strategies. The knowledge of the behavior of the CPCIH indicators is a useful working tool to trigger the making of necessary decisions and to continuously improve the quality of work.

Keywords : Hospital infection; infection rate; infection risk; deaths.