Publicación: Caracterización epidemiológica de Infecciones Asociadas a Dispositivos en hospital del Caribe colombiano, 2018-2019
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Introduction: device-associated infections are a serious problem in patients in intensive care units, causing increased morbidity, mortality, and the socioeconomic costs associated with care. Objective: to determine the epidemiological characteristics of device-associated infections that occurred in the period from January 2018 to August 2019. Materials and methods: a descriptive, cross-sectional and retrospective study was conducted in the intensive care units of a highly complex hospital center in Santa Marta (Magdalena), Colombia. The information was obtained from the notification sheets (INS Code 357) of the National Public Health Surveillance System (SIVIGILA). The relative and absolute frequencies of the study variables were determined in the SPSS® v22 program. Results: 47 patient cases were found, of which 60% were women and the most frequent age group, those over 55 years (47%); the majority belonged to the subsidized health regime (72%), 9% were migrants and 6% were pregnant. Catheter-associated bloodstream infection was the most prevalent (49%) and 100% of the patients suffered from some comorbidity. The blood sample (49%) and S. aureus (18.2%) were the most common type of clinical sample and microorganism, respectively. The average days of use of mechanical ventilator, central catheter and urinary catheter were 7, 11 and 10 days, respectively. The prevalence of STI-AC (49%) and ISTU-AC (36%) was found to exceed the national average (47.5% and 28.9%, respectively). Central catheter-associated bloodstream infection had the highest incidence rate with 8.8 per 1000 device days in 2018 and 6 cases per 1000 device days in the months studied for 2019. Conclusion: the implementation of an effective Infection Control Program that reduces the incidence of ADI cases is demanding.