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Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
versión impresa ISSN 2225-5109versión On-line ISSN 2227-4731
Resumen
CAVALCANTI-RAMIREZ, Sofía; MOYANO, Luz M. y LEON-JIMENEZ, Franco Ernesto. Characteristics of infections associated with health care and use of antibiotics in a COVID-19 Intensive Care Unit, in northern Peru: 2020-2021. Rev. Cuerpo Med. HNAAA [online]. 2022, vol.15, n.4, e1786. Epub 28-Ene-2023. ISSN 2225-5109. http://dx.doi.org/10.35434/rcmhnaaa.2022.154.1786.
Objective:
To describe the frequency of HAIs and the use of antibiotics in a COVID ICU in northern Peru.
The methods
cross-sectional descriptive study. 85 stories were reviewed.
Findings:
median age= 57 years, IQR (49-78); 70% men; 74/85 on a ventilator, median in days= 13 (IQR=7-45). HAI frequency: 28.2%: Ventilator-associated pneumonia 79.1%; 26/85 had at least one culture: 22/26 bronchial secretions: 10/26 Acinetobacter baumani, 10/26 Pseudomonas Aeruginosa; 8/10 of Acinetobacter and 5/10 of Pseudomonas were multidrug resistant; 100% of patients received antibiotics; 63% Carbapenems (36% Imipenem and 27% Meropenem) and 22% third-class cephalosporins (14% Ceftazidime and 8% Ceftriaxone); mortality: 30.6%. Of the 19 VAP, 7/19 were due to Acinetobacter Baummani and 10/19 due to Pseudomonas Aeruginosa. Of the deceased, 19% had Acinetobacter baumani and 11% had Pseudomonas Aeruginosa.
Conclusion:
the most frequent germs: Acinetobacter and Pseudomona, all patients received antibiotics and the most frequent was imipenem.
Palabras clave : COVID-19; Anti-Bacterial Agents; cross sectional study; Ventilator-Associated Pneumonia; Intensive care unit.