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Revista Cubana de Medicina

versión On-line ISSN 1561-302X


FROMETA SUAREZ, Ileana; IZQUIERDO CUBAS, Francisco  y  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.

Palabras clave : Nosocomial infection; epidemiology; hospital infection; nosocomial surveillance.

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