Surveillance of nosocomial infections in a Mexican community hospital. How are we doing?
Salud Publica Mex
; 52(6): 511-6, 2010.
Article
en En
| MEDLINE
| ID: mdl-21271009
ABSTRACT
OBJECTIVE:
To compare the nosocomial infection (NI) rate obtained from a retrospective review of clinical charts with that from the routine nosocomial infection surveillance system in a community hospital. MATERIAL ANDMETHODS:
Retrospective review of a randomized sample of clinical charts.Results were compared to standard surveillance using crude and adjusted analyses.RESULTS:
A total of 440 discharges were reviewed, there were 27 episodes of NIs among 22 patients. Cumulated incidence was 6.13 NI per 100 discharges. Diarrhea, pneumonia and peritonitis were the most common infections. Predictors of NI by Cox regression analysis included pleural catheter (HR 16.38), entry through the emergency ward, hospitalization in the intensive care unit (HR 7.19), and placement of orotracheal tube (HR 5.54).CONCLUSIONS:
Frequency of NIs in this community hospital was high and underestimated. We identified urgent needs in the areas of training and monitoring.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Hospitales Urbanos
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Vigilancia de la Población
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Infección Hospitalaria
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Hospitales Comunitarios
Tipo de estudio:
Diagnostic_studies
/
Evaluation_studies
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Incidence_studies
/
Observational_studies
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Prognostic_studies
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Risk_factors_studies
/
Screening_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
País/Región como asunto:
Mexico
Idioma:
En
Revista:
Salud Publica Mex
Año:
2010
Tipo del documento:
Article