Characterization of patients with healthcare-associated infections
Keywords:
INFECTION, CROSS INFECTION, SEPSIS, CARE FACILITIES.Abstract
Introduction: healthcare associated infection is the localized or generalized condition resulting from the adverse reaction to the presence of an infectious agent or its toxin, and which was not present or in incubation period at the time of the patient's admission to the hospital.
Objective: to characterize patients with care-associated infections at the "Pepe Portilla" Provincial Pediatric Teaching Hospital between January 1 and December 31, 2018.
Methods: observational, descriptive and cross-sectional study between January and December 2018. The universe was studied in its entirety and was constituted by 453 patients according to established selection criteria. Descriptive statistical methods such as absolute and relative percentage frequencies were used to analyze the results.
Results: the most frequent age group was between one and five years old (32,67 %) and male sex (53,20 %). The most frequent site of infection was respiratory (42,83 %), followed by enteral and phlebitis (19,43 %). The total rate of infections was 2,7 x 100 live discharges and in terms of services, the highest rate was obtained in progressive care (14,7). Candida (36,36 %) was reported as the most frequent microorganism and 8,47 % of the patients submitted to artificial ventilation or with central venous catheter presented some infection.
Conclusions: in the period studied, HCAI had a higher incidence in males and children under five years of age; there was a higher rate of infection in closed wards, with Candida being the most frequent causative germ and it was related to the use of catheters.
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