Browsing by Author "Zhapa Quezada, Diana Fernanda"

Filter results by typing the first few letters
Now showing 1 - 3 of 3
  • Thumbnail Image
    Item
  • Thumbnail Image
    Item
    Prevalencia de mortalidad en pacientes infectados con enterobacterias productora de carbapenemasas y factores asociados. Hospital Vicente Corral Moscoso. Cuenca, 2014- 2017.
    (Universidad de Cuenca, 2019-11-11) Zhapa Quezada, Diana Fernanda; Cárdenas Bernal, Ana María
    Background: intrahospital Infections, are a public health problem, for the economic cost, and the high mortality. Objective: To determine the prevalence of mortality in patients infected with enterobacteria producing carbapenemase and factors associated. Methodology: It is a transversal analytical study in which all patients diagnosed with infection by carbapenemase producing enterobacteria from 2014 to 2017, and the prevalence of mortality and factors is analyzed. For statistical analysis, the prevalence ratio was used with a IC 95% and a level of significance of p <0.05. Results: the prevalence of mortality is 39.7%, the associated factors for mortality in patients with serious infection are: immunosuppressive treatment (p 0.004), and the Charlson index (p 0.01). In patients with minor infection the associated factors for mortality are: age (p 0.01), hospital stay (p:0.006), previous bacterial infection (p: 0.02), Previous antibiotic treatment (p 0.01), immunosuppressive treatment (p 0.01), comorbidities (p 0.0006), and Charlson index (p 0.000). Conclusions: a high prevalence of mortality due to carbapenemase infections has been found, the associated factor in serious infection are immunosuppressive treatment and Charlson index, and in patients with minor infection age, prolonged hospitalization, previous bacterial infection, previous antibiotic treatment, immunosuppressive treatment, comorbidities, and Charlson index.
  • Thumbnail Image
    Item
    Riesgo biológico, psicosocial y ergonómico en los médicos internistas del área COVID del Hospital Vicente Corral Moscoso
    (Universidad de Cuenca, 2022-03-18) Zhapa Quezada, Diana Fernanda; Barragán Landy, Milton Francisco
    A considerable proportion of internists have an unfavorable situation in the psychosocial field. The increased workload, physical and emotional exhaustion and the need to make ethically difficult decisions can have a negative effect on their mental and physical health. The objective of this academic essay is to identify dangers and evaluate the biological, psychosocial and ergonomic risks, to which internists are exposed. The methodology used was direct observation and surveys of the 5 internists who work in the COVID area of the Vicente Corral Moscoso Hospital (HVCM), and validated instruments such as the BIOGAVAL and PERCOVD method for biological risk, CoPsoQ ISTAS 21 for psychosocial and MAPO were applied. at ergonomic risk. Thus, it was found that when evaluating the risk for Hepatitis B, it exceeds the biological exposure limit (LEB), Hepatitis C and HIV exceed the Biological Action Level (NAB), and the risk of COVID 19 is high. In addition, 80% of the staff is in an unfavorable situation in terms of psychological demands, and they have a medium ergonomic risk. Thus, the psychological risk is one of the highest found in this population. The need to implement measures to reduce the identified risks is highlighted, in addition to conducting new studies that amplify the mental and physical health problems that occur when risks are not controlled.