Infections in patients with traumatic brain injury in Polytrauma Service in Camagüey from 2013 to 2015
Keywords:
Trauma craneoencefálico, infecciones nosocomiales, neumonía asociada a la ventilación.Abstract
Background: nosocomial infections or in its broadest concept hospital-acquired infections, are now one of the main problems in intensive care units. There are several factors contributing to the development of these infections in patients with traumatic brain injury, favoring the development of secondary brain injury during the post-traumatic period, correlating this event with the doubling of mortality rate.
Objective: to characterize nosocomial infections in patients with traumatic brain injury.
Methods: a descriptive transversal study was conducted in hospitalized patients in Manuel Ascunce Domenech hospital in Camagüey, from January 2013 to December 2015. The studied group was composed of 64 patients admitted and diagnosed with traumatic brain injury in which a pathogenic microorganism was isolated. Studied variables were: age groups, gender, need for artificial mechanical ventilation, discharge status, stay, isolated pathogenic microorganisms and their localizations.
Results: the highest frequency of patients belonged to male who were between 48-57 years. Almost all of them needed artificial mechanical ventilation, and more than one third died. The stay over 21 days presented a higher frequency in patients who were hospitalized. The most frequent isolated microorganism was the acinetobacter spp, and locations of the most frequent infections were the pneumonia associated to mechanical ventilation artificially and catheter bacteremia.
Conclusions: there was a prevalence of male patients corresponding to the 48 to 57 age group. The most frequent findings were the acinetobacter spp as isolated microorganism and pneumonia associated to artificial mechanical ventilation as well as catheter bacteremia.
DeCS: CRANIOCEREBRAL TRAUMA; CROSS INFECTION; RESPIRATION, ARTIFICIAL; ACINETOBACTER; EPIDEMIOLOGY, DESCRIPTIVE.
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