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Resumen Objetivo. Estudio prospectivo. Se efectuaron hemocultivos y cultivos de aspirado traqueal. Los microrganismos gram positivos Incidence of nosocomial bacteremia and pneumonia in a pediatric ward. Salud Publica Mex ; Abstract Objective. To determine the incidence of catheter-related bacteremia and ventilator-associated pneumonia in children admitted to a secondary care hospital. Material and Methods. Daily visits to the pediatric ward were conducted to detect episodes of bacteremia and pneumonia, according to the Official Mexican Norm.

Blood and tracheal aspirate cultures were obtained from all exposed patients. Also, the monthly infection rate is presented for days of exposure, using statistical control graphs. The gram-positive rods The most striking finding of this study was the higher incidence of these two nosocomial infections in children, as compared to that reported elsewhere. These findings call for preventive strategies and guidelines for handling intravenous catheters and mechanical ventilation in Mexico.

El HGR No. Tiene una cobertura de derechohabientes, cuenta con camas y un promedio anual de 15 egresos. Sistema de vigilancia. De acuerdo a los lineamientos del protocolo y a las definiciones operacionales de la NOM, se tomaron muestras para hemocultivos y cultivos de aspirado traqueal.

Otras bacterias aisladas durante el seguimiento de la cohorte se presentan en el cuadro III. Klebsiella pneumoniae y Pseudomonas aeruguinosa fueron los principales microrganismos que se aislaron en pacientes con NAV. Todas las cepas de Staphylococcus aureus fueron sensibles a oxacilina. Este procedimiento se ha relacionado con un riesgo de bacteriemia 2. Estos resultados son consistentes con la literatura, ya que, tanto el Staphilococcus coagulasa 25 negativo como el S.

Salud Publica Mex. Bol Med Hosp Infant Mex ; Salud Publica Mex ; suppl 1:SS Jarvis WR, Robles B. Nosocomial infections in pediatric patients. Advances in Pediatric Infectious Diseases. Editorial Mosby, Nueva York ; Nosocomial pneumonia: Epidemiology and infection control. Intensive Care Med Am J Infect Control ; The efficacy in infection surveillance and control programs in preventing nosocomial infections in US hospitals.

Am J Epidemiol ; Bol Med Hosp Infant Mex ;55 6 Infecciones nosocomiales en una unidad de cuidados intensivos neonatales. Perinatol Reprod Hum ; Ocurrence of nosocomial bloodstream infections in six neonatal intensive care units.

Pediatr Infect Dis J ; Rev Invest Clin ; Extrinsic contamination of intravenous infusates administrated to hospitalized children in Mexico. Pediatric Infect Dis J ; National Committee for Clinical Laboratory Standards. Methods for dilution antimicrobial susceptibility tests for bacteria that growth aerobically. Diagnosis and treatment of nosocomial pneumonia among patients in intensive care units.

Benneyan JC. Statistical quality control methods in infection control and hospital epidemiology, part I: Introduction and basic theory. Infect Control Hosp Epidemiol ; Statistical quality control methods in infection control and hospital epidemiology, part II: Chart use, statistical properties, and research issues.

Centers for Disease Control and Prevention. Enf Infec Microbiol ;18 3 Pediatric primary gram-negative nosocomial bacteremia: A possible relationship with infauste contamination. Infec Control Hosp Epidemiol ; Intravenous lipid emulsions are the major determinant of coagulase negative staphylococcal bacteremia in very low birth weight newborns.

Pediatr Infect Dis J ; Catheter-related infections and associated septicemia. Chest ; Environment issues and nosocomial infections. En: Wenzel R, eds. Prevention and control of nosocomial infections. Baltimore MA : Williams and Wilkins; Salud Publica Mex ;SS Vigilancia del uso de antimicrobianos en un hospital pediatrico. Gac Med Mex ; Enf Infect Microbiol ; Hospital Regional de Zona No. Instituto Mexicano del Seguro Social. Referencias 1. Avila-Figueroa C.



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