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[Nosocomial infection by multiresistant pathogens during one year in a secondary hospital: clinical an

A Jover Sáenz1, F Barcenilla Gaite, E Barbé Illa

  • 1Servicio de Medicina Interna, Hospital Universitario Arnau de Vilanova, Lleida. alfredojover@hotmail.com

Anales De Medicina Interna (Madrid, Spain : 1984)
|May 18, 2005
PubMed
Abstract

Insights

Nosocomial infections by multiresistant pathogens (NIMP) are a significant concern. This study found a 4.0 incidence rate per 103 patients, with Acinetobacter baumannii being the most common pathogen, leading to high mortality.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Hospital Management

Context:

  • Growing medical and social significance of nosocomial infections caused by multiresistant pathogens (NIMP).
  • Need to understand the incidence, nosology, clinical presentation, and mortality of NIMP in a secondary hospital setting.

Purpose:

  • To establish the incidence, nosology, presenting forms, and mortality of nosocomial infections by multiresistant pathogens (NIMP).
  • To analyze the first year of experience of a nosocomial infection control unit.

Summary:

  • Prospective, descriptive study of 79 patients with NIMP admitted between January and December 2000.
  • Overall NIMP incidence was 4.0 per 103 patients; Acinetobacter baumannii was most frequent, especially in the ICU (15.4 per 103 patients).
  • Infection (69.6%) predominated over colonization (30.4%), increasing hospital stay (38.9 days); overall mortality was 29.1%, with A. baumannii in 66.6% of deaths.

Impact:

  • Highlights the need for surveillance and control measures to prevent NIMP.
  • Incidence studies are crucial for creating databases to track NI distribution and detect outbreaks.
  • Findings underscore the significant burden of NIMP on patient outcomes and healthcare resources.

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