Características de las infecciones nosocomiales en el servicio de cuidados intensivos pediátricos del Hospital Vicente Corral Moscoso, Cuenca 2014 -2015

Abstract

Objective: To determine the characteristics of nosocomial infections in the Pediatric Intensive Care Service of Vicente Corral Moscoso Hospital during the years of 2013 to 2014. Materials and methods: Descriptive study conducted on 32 patients diagnosed with nosocomial infection in the Pediatric Intensive Care Unit of the Vicente Corral Moscoso Hospital; Data was collected on a form; it was tabulated in version 15 of SPSS and for the analysis we used frequencies, percentages, measures of central tendency and location. Results:The studied population corresponds to 32 cases, with an average age of 38,87 months; the most frequent groups were: 71,9% of male sex;50% under 12 months old; 56,3% of underweight patients, with an average of 20,31 days of hospitalization. The most common site of infection was blood with 59,4% being the Gram-positive cocci responsible for 46,9% of infections, the most frequently isolated specific germ was Staphylococcus aureus with 25% of isolates. The average time of device usage was as follows: bladder catheter 15,23 days; 14,07 days of venous catheter; central catheter 18,08 days; parenteral nutrition 10,57 days; nasogastric catheter 14,53 days and 10,92 days of mechanical ventilation. The most used antibiotic was from penicillin group, these was before entering PICU (Pediatric Intensive Care Unit), meanwhile in the PICU the antibiotic group used the most was cephalosporin with 68,8% of usage. Conclusions:Nosocomial infections in the Pediatric Intensive CareServices were more frequent in males and in patients with pneumonia on admission