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Revista Archivo Médico de Camagüey

versión On-line ISSN 1025-0255


BASULTO BARROSO, Manuel M; GALDOS SANCHEZ, María del Carmen; CARR GONZALEZ, Jorge  y  DIAZ AGUERO, Heriberto. Respiratory nosocomial infection in the Intensive Care Unit. AMC [online]. 2009, vol.13, n.2. ISSN 1025-0255.

Background: The nosocomial infections represent a health problem of being the main morbimortality cause, of high frequency, fatal consequences, prolongation of hospital stay and raised cost of the treatment. The risk of suffering intrahospital sepsis and a bigger microbial resistance it has been favored with the use of drugs, techniques and modern equipments that sometimes are very invasive, may alter the microorganisms of the resident flora and being vehicle for the respiratory nosocomial infection. Objective: To know the behavior of the intrahospital respiratory infections in the intensive care unit. Method: A longitudinal, descriptive and retrospective observational study to 137 patients reported with sepsis in the intensive care unit was carried out at "Manuel Ascunce Domenech", Provincial University Hospital of Camagüey, from January 2005 to December 2007. Data were obtained from the clinical histories of the patients as well as the sepsis registration that is taken in the Unit. For such effect a survey was made that answered to the reviewed bibliography. Results: The intrahospital respiratory infection was developed in more quantity in ages between 55 and 74 years, there was slight prevalence of the female sex. The infection of the high respiratory passages was the most frequent and all associated to the artificial mechanical ventilation, the most frequent germs were Klebsiella pneumoniae, Enterobacter sp. and Pseudomona aeruginosa. Conclusions: A remarkable prevalence of the respiratory nosocomial infections existed in the unit. Of those reported, the 60% were associated to the artificial mechanical ventilation. The presence of gram negative germs predominated.

Palabras clave : High and low respiratory sepsis; artificial mechanical ventilation; respiratory nososcomial infection.

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