Resumen

AVILA PADRON, Yohanka; GOMEZ VIERA, Nelson; IZQUIERDO CUBAS, Francisco  y  GALI NAVARRO, Zuleica. Infectious complications in patients discharged from the Cardiovascular Surgery Department. "Hermanos Ameijeiras" Clinical Surgical Hospital. 2007-2008 Biennium. Rev cubana med [online]. 2010, vol.49, n.3, pp.228-241. ISSN 0034-7523.

We performed an observational retrospective descriptive study at "Hermanos Ameijeiras" Clinical Surgical Hospital in the period from 1 January 2007 to 31 December 2008 to identify infectious complications in patients discharged from the Cardiovascular Surgery Department. We drew up a data collection model for the data obtained from medical records at the Files and Statistics Department of the hospital. For data analysis we used central tendency and dispersion measurements, and estimated rates and percentages. It was found that of 1 516 patients discharged during the biennium, 398 had had infectious complications (26.2 × 100 rate). The nosocomial infection rate was 38.3 %. The rates of infected patients (29.3 %) and nosocomial infection (41.8 %) were higher in 2008 than in 2007. The most affected age group among patients with hospital acquired infections was 60 years and up (55.0 %) and men constituted the highest percentage of ill patients (61.0 %). Nosocomial infection rates were highest in the lower respiratory tract (12.2 %), the surgical site (12.0 %) and the bloodstream (6.9 %). The rate of clean surgical wound infection was 21.3 %. Indication of microbiological studies was 72.8 % during the biennium, with increased use in 2008 (97.0 %). The germs most commonly isolated were Klebsiella (20.6 %), Candida (13.1 %) and Acinetobacter (12.0 %). In infected patients, the main device used was the central venous catheter (64.3 %).

Palabras clave : Infection nosocomial; sepsis; germs; cardiovascular surgery.

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