Characterization of Nosocomial Infection in a Pediatric Intensive Care Unit. Cienfuegos 2005-2009

<strong>Background</strong>: children can frequently develop nosocomial infections in pediatric intensive care units. <br /><strong>Objective</strong>: to characterize nosocomial infections in pediatric patients treated in intensive care units. <strong><br />...

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Main Authors: Lourdes Elena Duany Badell, Dagmaris Losa Pérez, Mabel Ávila Ramírez, Jorge Emilio Barletta del Castillo, Sara Hernández Malpica, Aymahara Gómez Morejón
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2014-06-01
Series:Medisur
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Online Access:http://medisur.sld.cu/index.php/medisur/article/view/2730
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author Lourdes Elena Duany Badell
Dagmaris Losa Pérez
Mabel Ávila Ramírez
Jorge Emilio Barletta del Castillo
Sara Hernández Malpica
Aymahara Gómez Morejón
author_facet Lourdes Elena Duany Badell
Dagmaris Losa Pérez
Mabel Ávila Ramírez
Jorge Emilio Barletta del Castillo
Sara Hernández Malpica
Aymahara Gómez Morejón
author_sort Lourdes Elena Duany Badell
collection DOAJ
description <strong>Background</strong>: children can frequently develop nosocomial infections in pediatric intensive care units. <br /><strong>Objective</strong>: to characterize nosocomial infections in pediatric patients treated in intensive care units. <strong><br />Methods</strong>: a retrospective case series study was conducted in the Intensive Care Unit at Pediatric Hospital of Cienfuegos, between 2005 and 2009. The sample consisted of 70 patients who developed nosocomial sepsis and were admitted directly to the service. The variables studied were age, procedures performed during hospitalization, type of sepsis by site, isolated germs, microbiological support (microbiology tests) and condition at discharge (recovered or deceased). <br /><strong>Results</strong>: nosocomial infections showed a rate of 3.2 per 100 patients discharged. Children under 1 year (41.4 %) were the most frequently affected. Pneumonia associated with mechanical ventilation was the most common infection (29.4%). Venous catheterization was used in all cases. Microbiology tests were performed in 84.2 % of cases, 85.3% of them had a positive result. Pseudomonas aeruginosa was the most frequently isolated bacteria and was also associated with highest mortality. <br /><strong>Conclusion</strong>: nosocomial sepsis in this service was more frequent in children under one year, as a result of mechanical ventilation. Malnutrition and chronic illness were an important predisposing factor in these patients.
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spelling doaj-art-6b295a86da094f1bb21f5bac0477730f2025-01-30T21:28:47ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2014-06-011234624691116Characterization of Nosocomial Infection in a Pediatric Intensive Care Unit. Cienfuegos 2005-2009Lourdes Elena Duany Badell0Dagmaris Losa Pérez1Mabel Ávila Ramírez2Jorge Emilio Barletta del Castillo3Sara Hernández Malpica4Aymahara Gómez Morejón5Centro Municipal de Higiene y Epidemiología. CienfuegosPoliclínico Área II. CienfuegosCentro Municipal de Higiene y Epidemiología. CienfuegosHospital Universitario Gustavo Aldereguía Lima. CienfuegosUniversidad de Ciencias Médicas. CienfuegosHospital Pediátrico Paquito González Cueto. Cienfuegos<strong>Background</strong>: children can frequently develop nosocomial infections in pediatric intensive care units. <br /><strong>Objective</strong>: to characterize nosocomial infections in pediatric patients treated in intensive care units. <strong><br />Methods</strong>: a retrospective case series study was conducted in the Intensive Care Unit at Pediatric Hospital of Cienfuegos, between 2005 and 2009. The sample consisted of 70 patients who developed nosocomial sepsis and were admitted directly to the service. The variables studied were age, procedures performed during hospitalization, type of sepsis by site, isolated germs, microbiological support (microbiology tests) and condition at discharge (recovered or deceased). <br /><strong>Results</strong>: nosocomial infections showed a rate of 3.2 per 100 patients discharged. Children under 1 year (41.4 %) were the most frequently affected. Pneumonia associated with mechanical ventilation was the most common infection (29.4%). Venous catheterization was used in all cases. Microbiology tests were performed in 84.2 % of cases, 85.3% of them had a positive result. Pseudomonas aeruginosa was the most frequently isolated bacteria and was also associated with highest mortality. <br /><strong>Conclusion</strong>: nosocomial sepsis in this service was more frequent in children under one year, as a result of mechanical ventilation. Malnutrition and chronic illness were an important predisposing factor in these patients.http://medisur.sld.cu/index.php/medisur/article/view/2730infección hospitalariacuidados intensivosunidades de cuidado intensivo pediátrico
spellingShingle Lourdes Elena Duany Badell
Dagmaris Losa Pérez
Mabel Ávila Ramírez
Jorge Emilio Barletta del Castillo
Sara Hernández Malpica
Aymahara Gómez Morejón
Characterization of Nosocomial Infection in a Pediatric Intensive Care Unit. Cienfuegos 2005-2009
Medisur
infección hospitalaria
cuidados intensivos
unidades de cuidado intensivo pediátrico
title Characterization of Nosocomial Infection in a Pediatric Intensive Care Unit. Cienfuegos 2005-2009
title_full Characterization of Nosocomial Infection in a Pediatric Intensive Care Unit. Cienfuegos 2005-2009
title_fullStr Characterization of Nosocomial Infection in a Pediatric Intensive Care Unit. Cienfuegos 2005-2009
title_full_unstemmed Characterization of Nosocomial Infection in a Pediatric Intensive Care Unit. Cienfuegos 2005-2009
title_short Characterization of Nosocomial Infection in a Pediatric Intensive Care Unit. Cienfuegos 2005-2009
title_sort characterization of nosocomial infection in a pediatric intensive care unit cienfuegos 2005 2009
topic infección hospitalaria
cuidados intensivos
unidades de cuidado intensivo pediátrico
url http://medisur.sld.cu/index.php/medisur/article/view/2730
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