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Revista Habanera de Ciencias Médicas
versión On-line ISSN 1729-519X
Resumen
FITERRE LANCIS, Irene et al. Infections associated with Health Care in a Hospital specialized in the nephro-urological patient. Rev haban cienc méd [online]. 2017, vol.16, n.3, pp. 479-488. ISSN 1729-519X.
ABSTRACT Introduction: Infections associated with healthcare are a negative event for the patient when determining morbidity and mortality and hospital expenses, behaving as an indicator of the quality of care. Objective: To describe the healthcare-associated infections that occurred during 2013 and 2014 in a hospital specialized in nephrological patient care. Material and Methods: The data were collected through active research, review of medical records and records of infections associated with health care in each hospital service. In the statistical analysis we used frequency distributions, and as summary measures, rates and percentages. Results: The frequency of infection associated with health care was 8 and 7.5% in each year of study, with a prevalence of infections related to vascular access in hemodialysis patients, and urinary tract infection in instrumented patients and endo-urological surgery. The most reported microorganisms were Staphylococcus aureus, Staphylococcus aureus methicillin resistant and Escherichia coli. The mortality associated with IAAS was 5.1%, in the 2 years of study. Conclusions: Infections associated with health care are expected due to the complexity of the processes carried out in the center, in which infections associated with vascular access and reporting of Gram positive microorganisms are highlighted.
Palabras clave : Infections; health care; vascular access; nephrological patient; microorganisms; Gram positive; Gram negative.