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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255


TELLEZ VELASQUEZ, Robert et al. Intrahospital infections at clinical services. AMC [online]. 2008, vol.12, n.2. ISSN 1025-0255.

Background: The gravity of intrahospital infections is more frequent and difficult to treat, constitutes an important cause of morbidity and mortality. Objective: To characterize the intrahospital infection at clinical services. Method: A cross-sectional descriptive study was carried out at Nephrology, Intermediate Care Unit, Intensive Care Unit, Cardiology Center and Internal Medicine clinical services of the Surgical Clinical Educational Provincial Hospital «Manuel Ascunce Domenech» of Camagüey during a period of three years (January 2004 to December 2006). The sample was constituted by 751 patients admitted in these services and in whose medical histories unmistakable data of intrahospital infection existed since the clinical point of view and microbiological laboratory. Results: It were not found significant differences about sex. The therapeutic invasive procedures with the 94% were the main risk factors identified, within the employment of vesical catheterization, central venous catheter and artificial mechanical ventilation were the most important. The major number of patients corresponded to Intermediate Care Unit and to Internal Medicine service in which the infection by Enterobacteria and Staphylococci sp dominated. Although did not turn out to be significant, the Acinetobacter sp. multirresistant was isolated in the therapy rooms. The most frequent sites of infection were the urinary and respiratory system. Conclusions: The majority of patients discharged alive and a one third had a stopover of 23 days and more. The 12.2% of patients died because of nosocomial sepsis.

Keywords : Cross infection; risk factors; sepsis/mortality; acinetobacter infections/therapy; epidemiology descriptive.

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