Resumo

CULAY PEREZ, Alexis et al. Infections in patients with traumatic brain injury in Polytrauma Service: Camagüey 2013-2015. AMC [online]. 2017, vol.21, n.2, pp. 246-257. ISSN 1025-0255.

Background: nosocomial infections or in its broadest concept hospital-acquired infections, are now one of the main problems in intensive care units, there are several factors contributing to the development of these infections in patients with traumatic brain injury, favoring the development of secondary brain injury during the post-traumatic period, correlating this event with the doubling of mortality rate. Objective: To characterize of nosocomial infections in patients with traumatic brain injury. Methods: a descriptive transversal study was conducted in hospitalized patients in the Polytrauma Service of the University Hospital of Camagüey Manuel Ascunce Domenech, during the period January 2013 to December 2015. The study group consisted of 64 patients admitted with the diagnosis traumatic brain injury which a pathogenic microorganism was isolated. Studied variables: age groups, gender, need for artificial mechanical ventilation, discharge status, stay, isolated pathogenic microorganisms and their localizations. Results: the highest frequency of patients belonged to male who aged between 48-57 years. Almost all of them aged between 48 and 57 years old needed artificial mechanical ventilation, and more than one third died, the stay was presented a higher frequency in patients with 21 or more days in hospital, the most frequent isolated microorganism the acinetobacter spp, and locations of the most frequent infections were the pneumonia associated to mechanical ventilation artificially and catheter bacteremia. Conclusions: there was a prevalence of male patients corresponding to the age group from 48-57 years old. The most frequent findings were the acinetobacter spp as isolated microorganism and pneumonia associated to artificial mechanical ventilation as well as catheter bacteremia.

Palavras-chave : CRANIOCEREBRAL TRAUMA; CROSS INFECTION; RESPIRATION, ARTIFICIAL; ACINETOBACTER; EPIDEMIOLOGY, DESCRIPTIVE.

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