The microbiological profile of nosocomial infection in a respiratory intensive care unit.

Authors

  • G Brum Serviço de Pneumologia, Hospital de Santa Maria, Lisboa.
  • J T Monteiro
  • F Monteiro
  • J Valença
  • J R Gonçalves
  • L M Lito
  • H Couto
  • M Freitas e Costa

DOI:

https://doi.org/10.20344/amp.2963

Abstract

In 1987, in the Respiratory Intensive Care Unit of Santa Maria Hospital we developed a nosocomial surveillance program with specially created software that provides knowledge of NI in the ICU at any moment. The information gathered along the time is particularly useful in the correlation of the risk factors, the most frequent microorganisms and in the institution of empiric antibiotic therapy. Out of 2528 patients admitted in our ICU for the last 6 years (87/92), 10% had bacteriologically identified NI. Almost (93%) of them had occurred in mechanically ventilated patients, which corresponds to 20.7% NI in those patients. The gram-negative appeared in 63.37%, with the predominance of Enterobacteriaceae. From the gram-positives the most frequent were Staphylococcus spp. Their meticiline resistance was worrisome. NI patients had significantly higher severity and therapeutic intervention scores. Mechanical ventilation period was 4 fold higher and mortality 2.5 times higher in the patients with this complication.

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How to Cite

1.
Brum G, Monteiro JT, Monteiro F, Valença J, Gonçalves JR, Lito LM, Couto H, Freitas e Costa M. The microbiological profile of nosocomial infection in a respiratory intensive care unit. Acta Med Port [Internet]. 1994 Sep. 30 [cited 2022 Dec. 1];7(9):471-4. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2963

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Section

Arquivo Histórico