Prevalência de infecções hospitalares em um hospital geral de alta complexidade no município de Ponta Grossa

Abstract

Patients admitted to health institutions are exposed to a variety of pathogenic microorganisms. Factors such as stay time, mechanical ventilation and invasive procedures, contribute for the development of Hospital Infections, requiring constant surveillance from the Hospital Infection Control Committees (HICC). The objective was to outline the profile of infections in a hospital of high complexity, located in the city of Ponta Grossa, Paraná State, determining the prevalence of Hospital Infection in Adult Intensive Care Unit and Neonatal Intensive Care Unit, concerning the profile of sensitivity to antimicrobials. This is a descriptive, retrospective, quantitative study, with 768 infections treated in 2007, 36.8% from Community origin, 63.2% hospital - 16.3% from the NICU, 27.8% from adult ICU and 55.9% from Units. The most prevalent bacteria in the units were: Escherichia coli, Staphylococcus aureus, and Pseudomonas aeruginosa. Adult ICU: Acinetobacter baumannii, Staphylococcus aureus, Escherichia coli. NICU: SNPC, Staphylococcus aureus, Klebsiella pneumoniae. We emphasized the high sensitivity of Acinetobacter baumannii to Ampicillin / sub-activity and Tobramycin; effectiveness of Meropenem, Vancomycin and Ciprofloxacin; low prevalence of methicillin-resistant Staphylococcus aureus/MRSA. These indicators presented significant values of prevalence and antimicrobial sensitivity, resulting from the criteria used by the HICC from the surveyed institution - conducting epidemiological surveillance; Antibiogram Stepped; monitoring of antibiotic prescriptions, and employee training.