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Revista Cubana de Investigaciones Biomédicas
versão On-line ISSN 1561-3011
Resumo
PEREZ VEREA, Lits et al. Germs isolated from intensive care patients at “Dr. Joaquín Albarrán” Provincial Clinical Surgical Hospital. Rev Cubana Invest Bioméd [online]. 2020, vol.39, n.3 Epub 01-Set-2020. ISSN 1561-3011.
Introduction:
Infections related to critical care settings are associated to high death risk and significant costs.
Objective:
Identify the germs most commonly found in cultures and their resistance to antimicrobials in the intensive care service of “Dr. Joaquín Albarrán” Provincial Clinical Surgical Hospital.
Methods:
A retrospective descriptive study was conducted at the intensive care service of Dr. Joaquín Albarrán Provincial Clinical Surgical Hospital from January 2015 to December 2018. The study universe was 1 847 cultures, from which 654 were selected in which growth was obtained. Data were processed with the statistical software SPPS 22.0.
Results:
Of the germs isolated, Klebsiella spp. were the most common (31%), followed by Staphylococcus spp. (24.5%) and E. coli (9.8%). Klebsiella spp. were frequent in sputum cultures (45.1%), Staphylococcus spp. in blood cultures (53.6%) and Candida in urine cultures (41.1%), followed by E. coli (27%). Among the antimicrobials used to treat Klebsiella spp., E. coli, Acinetobacter and Pseudomonas spp., the most recommended is colistin (0-25% resistance) and vancomycin for Staphylococcus spp. (1.8%).
Conclusions:
Gram-negative germs continue to be the most commonly isolated in cultures from intensive care patients, with a high level of resistance to most antibiotics.
Palavras-chave : germs; antimicrobial resistance; intensive care.