Cleaning control and use of antimicrobial in intensive care unit and internal medicine unit on a metropolitan area hospital in Barranquilla, Atlantico, 2012
Keywords:
Nosocomial infection, Asepsis, Antisepsis standards, Infection controlAbstract
Infections acquired after forty-eight hours of hospitalization are considered nosocomial; they may occur associa- ted with surgical procedures, with incidence of 0.5 to 15%. In Colombia the available data show a behavior that differs from the one found in developed countries. In this descriptive, retrospective and prospective, longitudinal study we evaluated a third level hospital in the metropolitan area of Barranquilla, Colombia using as a benchmark the performance of the cleaning and disinfection, and antimicrobial procedures use in Intensive Care and Internal Medicine units. The results showed which factors must be changed to make a positive impact in reducing the frequency of nosocomial infections, entities that concentrate the use of antimicrobials in the institution and led to the provision of guidance to improve internal policies in handling control systems.
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References
2.Sarmiento G, Rodríguez M, Barahona N, La- gares A, Cotes R, Soto J. Estudio prospecti- vo para describir la resistencia a antibióticos esenciales de los microorganismos aislados de pacientes hospitalizados en la Clínica de la Costa, Barranquilla, durante el periodo 2005. Revista Médica de la Costa. 2006. 1(2):8-41.
3.Basulto BM, G. S. M, Carr GJ, Díaz AH. Infec- ción nosocomial respiratoria en la Unidad de Cuidados Intensivos. Archivo Médico de Ca- magüey. 2009; 13:1-14.
4.REMI: Guías de práctica clínica. Campaña sobrevivir a las sepsis. Crit Care Med. 2008; 36(1):296-327.
5.Bridson E. Puerperal fever. Latrogenic epi- demics on the 18th-19th centuries. Culture Oxoid. 1995; 16(2):5-7.
6.Gálvez R. Infección hospitalaria. J Hosp In- fect. 1993; 25(3):207.
7.Alcadía Mayor de Bogotá, D.C. Secretaría Dis- trital de Salud. Boletin Epidemiológico Distri- tal. 2007; 12(10-13):13-15.
8.Wenzel RP. Preoperative antibiotic pro- phylaxis. N Engl J Med. 1992; 326:337-338.
9.Navarrete S. Las infecciones nosocomiales y la calidad de la atención médica. Salud Públi- ca de México. 1999; 41:1-20.
10.Digiovine B, Chenowth C, Watts C, Higgins M. The attributable mortality and costs of pri- mary nosocomial bloodstream infections in the intensive care unit. Am J Respir Crit Care Med.1999; 160(3):976-81.
11.Chediak SJ, Santana TT, del Águila GA, del Risco TC. Caracterización de las infecciones nosocomiales en pacientes con patología oncológica. Archivo Médico de Camagüey; 2007.
12.OMS-Organización Mundial de la Salud. Pre- vención de las infecciones nosocomiales, Guía Práctica. Segunda edición; 2003.
