Methods: A retrospective study was conducted. We analyzed the data of all cases of HAI that occurred between 2013 and 2014 at General Hospital Dr. Manuel Gea Gonzalez (HGEA) in Mexico City. We describes rates, type of HAI, according to the use of devices such as intravascular catheter, ventilator, urinary catheter, and for surgical wound, we also analyzed the services and strains of pathogens isolated
Results: During 2013, we detected 243 HAI with a rate of 4.1 per 1,000 patient days, 58% of cases had pathogens isolated; in 2014, we detected 240 HAI with a rate of 4 per 1,000 patient days, and 95.4% of cases had pathogens isolated. The occurrence of cases in women (W) and men (M) were similar in both years, in 2013 (W: 43%, M: 57%) and 2014 (W: 42%, M: 58%). The average age was 53 years ± 29.9 and 51 years ± 25.6. In 2013 and 2014, the most frecuent type of HAI was ventilator-associated pneumonia (VAP) (34.2 and 49.6%), surgical wound infection (SWI) (29.2 and 27.9%), bacteremia (11.1 and 13.8%). The pathogen isolated was Klebsiella pneumoniae (11.2 and 5.2%); Escherichia coli (32 and 23.4%); Acinetobacter baumannii (22.4 and 25.0%); Burkholderia cepacia (2.4 and 7.3%) and Enterococcus faecium (0 and 4.7%), others (32 and 34.4%). The services that had higher rates of HAI were in 2013 internal medicine (IM) with 20.2% of the cases, follow by general surgery (GS) 17.7%, neonatal intensive care unit (NICU) 14% and intensive care unit (ICU) 10.7%; In 2014 the services that had higher rates of HAI were GS 17.5%, followed by ICU 15%, NICU 14.2% and IM 13.3%.
Conclusion: This study helps us to have reliable information to develop strategies to reduce HAI and to follow preventive measures, create strategies to diminish pneumonias, surgical wound infection and bacteremias, which are the principal HAI in our hospital.
F. Alvarez-Montero, None
R. Valdes-Castro, None
R. Valdez-Vázquez, None
R. Figueroa-Moreno, None
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