Resumo

FROMETA SUAREZ, Ileana; IZQUIERDO CUBAS, Francisco  e  LOPEZ RUIZ, Martha. Nosocomial infections in a third level hospital: A 5-year experience. Rev cubana med [online]. 2008, vol.47, n.3, pp. 0-0. ISSN 1561-302X.

The system of epidemiological surveillance of nosocomial infections at "Hermanos Ameijeiras" Hospital is applied with a selective approach. The use of health care quality indicators allows to establish immediate control strategies. In this paper, it is described the behavior of these indicators in 4 years of follow-up, stratified by type of invasive procedure. An observational, descriptive and retrospective study was conducted. The rates of incidence and the density of incidence by invasive procedures were calculated. A rate of nosocomial infection of 3.1 % per discharged patient accumulated from 2000 to 2004 was found. It was proved that the sepsis of the lower respiratory tract was the most frequent cause of morbidity with 32 %,the global rate of the surgical wound was 1.4 %, pneumonia associated with mechanical ventilation was 4.2 per 1 000 patient days, whereas UTI in patients with vesical catheter was 2.2 per 1 000 patient days. BSI associated with central venous catheter was present at a rate of 2.4 x 1 000 day patients. The rates of incidence of nosocomial infection are comparable with the international patterns and similar to those of the countries with efficient nosocomial infection control programs.

Palavras-chave : Nosocomial infection; epidemiology; hospital infection; nosocomial surveillance.

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