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Infecciones invasivas por SARM asociadas al cuidado de la salud, 2005-2008
Alexander J Kallen1, Yi Mu, Sandra Bulens
1Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. AKallen@cdc.gov
JAMA
|August 12, 2010
Resumen
Las infecciones invasivas de SARM asociadas a la atención médica disminuyeron significativamente entre 2005 y 2008. Esto incluye tanto las infecciones de inicio hospitalario como las de inicio comunitario, lo que indica el progreso en los programas de prevención de salud pública.
Área de la Ciencia:
- Enfermedades infecciosas Enfermedades infecciosas.
- Salud Pública La salud pública.
- Epidemiología La epidemiología.
Sus antecedentes:
- El Staphylococcus aureus resistente a la meticilina (MRSA) es una preocupación significativa para la salud pública.
- Los programas de prevención de MRSA se implementan cada vez más en entornos de atención médica.
- Las tendencias recientes sugieren una disminución en las infecciones del torrente sanguíneo por MRSA (BSI) dentro de las unidades de cuidados intensivos.
Objetivo del estudio:
- Para analizar las tendencias en las infecciones invasivas de MRSA asociadas a la atención médica.
- Examinar los cambios en las tasas de infección de 2005 a 2008.
- Para cubrir 9 diversas áreas metropolitanas de los EE.UU..
Principales métodos:
- La vigilancia basada en la población de las infecciones invasivas por SARM.
- La inclusión de datos de aproximadamente 15 millones de personas.
- Clasificación de las infecciones por inicio (inicio hospitalario vs. inicio comunitario) y asociación de atención médica.
Principales resultados:
- Se registraron un total de 21.503 episodios invasivos de SARM, de los cuales 17.508 se clasificaron como asociados a la atención médica.
- La incidencia de infecciones invasivas por SARM con inicio hospitalario disminuyó en un 9,4% anual.
- La incidencia de infecciones de origen comunitario asociadas a la atención de la salud disminuyó en un 5,7% anual, y las infecciones de origen comunitario mostraron la disminución más significativa.
Conclusiones:
- Las infecciones invasivas de SARM asociadas a la atención médica mostraron una tendencia a la baja de 2005 a 2008.
- Tanto las infecciones por SARM de inicio hospitalario como las infecciones por SARM de inicio comunitario asociadas a la atención médica disminuyeron durante el período de estudio.
- Estos hallazgos sugieren la efectividad de las intervenciones de salud pública para reducir la carga de MRSA.
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