Microbiological Profile of Nosocomial Infections at University Hospital Hernando Moncaleano Perdomo

Abstract

Nosocomial infections are one of the main causes of morbimortality at hospital level. Antibiotic management is the major mainstay for treating these kinds of infections; thereby it should be adequately administered in order to avoid an increase in microbiological resistance to antibiotics. It was determined the microbiological resistance profile of nosocomial infections through the MIC at Hospital Universitario Hernando Moncaleano Perdomo. A retrospective case series descriptive study was conducted in which it was developed a quantitative analysis of microbiological resistance taking into consideration the minimum inhibitory pharmacological concentrations. It was searched databases of the hospital’s department of epidemiology and clinical lab from february of 2011 to february of 2013. A total of 646 antibiogram reports were analyzed and it was found that most nosocomial infections are due to negative Gram germs, being Klebsiella, Pseudomona and E. coli, the outstanding ones; of the positive Gram germs Staphylococcus, and of the infections by Candida fungi. The most common nosocomial infection corresponded to bacteremia by 30,7%, main in adult ICU, followed by internal medicine and surgery. Nosocomial UTI is the second cause of nosocomial infections by 19% of total cases at internal medicine service and adult ICU.