Factores asociados al desarrollo de Bacteriemia por Bacilos Gram Negativos en las unidades de cuidado intensivo del Hospital Universitario Mayor Mederi, 2015
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- Resistencia; Bacteriemia; Esquemas conjugados; Carbapenemasas; Dispositivos invasivos; 614; Resistencia a drogas en microorganismos; Antibióticos; Vigilancia epidemiológica; Resistance; Bacteremia; Conjugated schemes; Invasive devices
thesis / dissertation description
Introduction. The antimicrobial resistance to the usual antibiotics has increased dramatically worldwide in the last decades causing prolonged hospital stays with increases in costs in health care and mortality, constituting a public health problem aggravated by the increase in resistance to broad spectrum antibiotics leading to the need to implement conjugate schemes with unexpected outcomes. Objective. To determine the factors associated with the development of bacteremia by gram-negative bacilli in the intensive care units of the university hospital mayor méderi in Bogota. Materials and methods. A retrospective descriptive study was conducted by non-probabilistic convenience sampling that allowed access and obtain greater proximity to the study subjects, adults with infection by gram negative germs resistant to broad spectrum antibiotics in intensive care units between January and December 2015 The information was collected through a survey instrument and review of the clinical history. The protocols established by the ethics committee of the institution were adopted. Results. There were no statistically significant differences by gender, greater resistance was documented in patients in the eighth decade of life, with a hospital stay of more than 15 days and normal weight who required medical devices, specifically bladder catheter. The prevailing resistance was the carbapenems pattern in patients with the use of invasive devices, previous hospitalization and previous consumption of antibiotics; factors such as advanced age, diabetes mellitus and kidney disease were associated with this resistance.